본 연구에서는 체중관련 자극에 주의를 두는 것이 신체불만족을 촉발시키며 체중과 관련없는 자극에 주의 초점을 맞추는 것이 신체불만족을 감소시키는지 확인하고자 하였다. 61명의 여자 대학생을 모집하여 과체중 관련 단어 주의유도집단, 저체중 관련 단어 주의유도집단, 그리고 비체중 관련 단어 주의유도집단에 무선할당하였다. 이후 시각탐사과제를 응용한 주의편향수정 프로그램을 약 1주일 간격으로 총 2회에 걸쳐 진행하였다. 또한 실험 전, 후에 연구 참여자의 신체불만족 수준, 정서 상태, 섭식 패턴을 측정하였다. 연구 결과, 비체중 관련 자극 주의유도집단에서만 신체불만족 수준이 유의하게 감소하였다. 이들의 정서 상태와 섭식패턴에는 유의한 변화가 없었다. 반면 다른 집단들에서는 어느 측정치에서도 유의한 변화가 없었다. 이는 체중 관련 단서에 주의를 두는 것은 신체불만족에 영향을 주지 않으며, 비체중 관련 자극에 주의 초점을 맞추는 것이 신체불만족을 낮추었음을 의미한다. 즉, 체중 관련 자극은 그 속성에 관계없이 신체불만족을 유지시키는 요인임을 의미한다. 마지막으로 본 연구의 의의와 한계점 및 후속 연구 방향을 논하였다.
The purpose of this study was to investigate if weight-related stimuli had a negative effect on body dissatisfaction levels, and if attentional modification to non-weight-related stimuli could attenuate body dissatisfaction levels. Sixty-one female college students were randomly assigned to a fat word attention-inducing group, a thin word attention-inducing group, and a non-weight word attention-inducing group. We provided a modified visual search task (ie., attention bias modification [ABM] programs) for two sessions at one-week intervals. We also assessed body dissatisfaction levels, affective states, and dietary patterns at pre- and post- session times during the ABM procedure. Only the non-weight word attention-inducing group showed significant reductions in body dissatisfaction but they did not show any changes in affective states and dietary patterns. Participants in the other groups did not show any changes. Results suggest that the non-weight word stimuli could be a non-threatening factor and that inducing attention toward the non-weight words could reduce body dissatisfaction. Implications, limitations, and future directions are discussed.
국립국어연구원 (1999). 표준국어대사전. 서울: 두산동아.
김인혜, 이영호 (2014). 사회 문화적 영향, 신체불만족, 대처방식 및 이분법적 사고가 폭식행동과 절식행동에 미치는 영향. Korean Journal of Clinical Psychology, 32(2), 315-339.
노영경, 김봉환 (2005). ‘체형 만족도 평가지(Body Shape Questionnaire: BSQ)'의 타당화 연구: 여대생을 중심으로. 상담학 연구, 6(4), 1163-1174.
박홍석, 이정미 (2016). 정적정서 부적정서 척도(PANAS)의 타당화. 한국심리학회지: 일반, 35(4), 617-641.
보건복지부 (2018). 청소년건강행태조사: 신체이미지 왜곡 인지율. 서울: 통계청.
서상규 (2014). 한국어 기본어휘 의미빈도사전. 서울: 한국문화사.
여성가족부 (2016). 양성평등실태조사: 자신의 외모와체형에 대한 인식. 서울: 통계청.
오지영, 박기환 (2011). 체형 및 체중의 과대평가가 폭식행동에 미치는 영향. 한국심리학회지: 건강, 16(4), 739-757.
이규영 (2018). 긍정정서 및 부정정서가 음식갈망을 매개로 폭식행동에 미치는 영향: 정서긴급성의 조절된매개효과. 가톨릭대학교 석사학위 청구논문.
Allen, L., Mulgrew, K. E., Rune, K., & Allen, A. (2018). Attention bias for appearance words can be reduced in women: Results from a single-session attention bias modification task. Journal of Behavioral Therapy and Experimental Psychiatry, 61(1), 87-103.
Altabe, M., Wood, K., Herbozo, S., & Thompson, J. (2004). The physical appearance ambiguous feedback scale(PAAFS): A measure for indexing body image related cognitive bias. Body Image, 1(3), 299-304.
Amir, N., & Taylor, C. T. (2012). Interpretation training in individuals with generalized social anxiety disorder: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 90(3), 497-511.
Beard, C., Swayer, A. T., & Hofmann, S. G. (2012). Efficacy of attention bias modification using threat and appetitive stimuli: A meta-analytic review. Behavior Therapy, 43(4), 724-740.
Beck, A. T., Emery, G., & Greenberg, R. L. (1985). Anxiety disorders and phobias: A cognitive approach. New York, NY: Basic Books
Bowler, J. O., Mackintosh, B., Dunn, B. D., Mathews, A., Dalgleish, T., & Hoppitt, L. (2012). A comparison of cognitive bias modification for interpretation and computerized cognitive behavior therapy: Effects on anxiety, depression, attentional control, and interpretive bias. Journal of Consulting and Clinical Psychology, 80(6), 1021-1033.
Chen, H., & Jackson, T. (2005). Are cognitive biases associated with body image concerns similar between cultures? Body Image, 2(2), 177-186.
Cho, A., & Lee, J. H. (2013). Body dissatisfaction levels and gender differences in attentional biases toward idealized bodies. Body Image, 10(1), 95-102.
Copper, P. J., Taylor, M. J., Cooper, Z., & Fairbum, C. G. (1987). The development and validation of the body shape questionnaire. International Journal of Eating Disorders, 6(4), 485-494.
Cristea, I. A., Mogoase, C., David, D., & Cuijpers, P. (2015). Practitioner review: Cognitive bias modification for mental health problems in children and adolescents: A meta-analysis. Journal of Child Psychology and Psychiatry, 56(7), 723-734.
Dalley, S. E., Buunk, A. P., & Umit, T. (2009). Female body dissatisfaction after exposure to overweight and thin media images: The role of body mass index and neuroticism. Personality and Individual Differences, 47(1), 47-51.
De Castro, J. M., & Goldstein, S. J. (1995). Eating attitudes and behaviors of pre-and postpubertal females: Clues to the etiology of eating disorders. Physiology & Behavior, 58(1), 15-23.
De Voogd, E. L., Wiers, R. W., Prins, P. J. M., & Salemink, E. (2014). Visual search attention bias modification reduced social phobia in adolescents. Journal of Behavior Therapy and Experimental Psychiatry, 45(2), 252-259.
Edman, J. L., Yates, A., Aruguete, M. S., & DeBord, K. A. (2005). Negative emotion and disordered eating among obese college students. Eating Behaviors, 6(4), 308-317.
Gao, X., Deng, X., Chen, N., Luo, W., Hu, L., Jackson, T., & Chen, H. (2011). Attention biases among body-dissatisfied young women: An ERP study with rapid serial visual presentation. International Journal of Psychophysiology, 82(1), 133-142.
Gao, X., Deng, X., Yang, J., Liang, S., Liu, J., & Chen, H. (2014). Eyes on the bodies: An eye tracking study on development of visual attention among females with body dissatisfaction. Eating Behaviors, 15(4), 540-549.
Glauert, R., Rhodes, G., Fink, B., & Grammar, K. (2010). Body dissatisfaction and attentional bias to thin bodies. International Journal of Eating Disorders, 43(1), 42-49.
Grogan, S. (2007). Body image: Understanding body dissatisfaction in men, women and children (2nd ed.). New York, NY: Routledge.
Hargreaves, D., & Tiggermann, N. (2002a). The effect of television commercials on mood and body dissatisfaction: The role of appearance-schema activation. Journal of Social and Clinical Psychology, 21(3), 287-308.
Hargreaves, D., & Tiggermann, N. (2002b). The role of appearance schematiity in the development of adolescent body dissatisfaction. Cognitive Therapy and Research, 26(6), 691-700.
Heeren, A., Reese, H. E., McNally, R. J., & Philippot, P. (2012). Attention training toward and away from threat in social phobia: Effects on subjective, behavioral, and physiological measure of anxiety. Behaviour Research and Therapy, 50(1), 30-39.
Hewig, J., Cooper, S., Trippe, R., Hecht, H., Straube, T., & Miltner, W. (2008). Drive for thinness and attention toward specific body parts in a nonclinical sample. Psychosomatic Medicine, 70(6), 729-736.
Hilbert, A., Tuschen-Caffier, B., & Vogle, C. (2002). Effects of prolonged and repeated body image exposure in binge-eating disorder. Journal of Psychosomatic Research, 52(3), 137-144.
Hofmann, S. G., & DiBartolo, P. M. (2014). Social anxiety: Clinical, developmental, and social perspectives. San Diego, CA: Elsevier.
Hunter, J. D. (2007). Matplotlib: A 2D graphics environment. Computing in science &Engineering, 9(3), 90-95.
Jansen, A., & de Vries, M. (2002). Pre-attentive exposure to the thin female beauty ideal does not affect women's mood, self-esteem and eating behavior. European Eating Disorders Review, 10(3), 208-217.
Jones, E. B., & Sharpe, L. (2017). Cognitive bias modification: A review of meta-analyses. Journal of Affective Disorders, 223, 175-183.
Leon, G. R., Fulkerson, J. A., Perry C. L., & Cudeck, R. (1993). Personality and behavioral vulnerabilities associated with risk status for eating disorders in adolescent girls. Journal of Abnormal Psychology, 102(3), 438-444.
Levine, M. P., & Murnen, S. K. (2009). "Everybody knows that media are/are not [pick one] a cause of eating disorders": A critical review of evidence for a causal link between media, negative body image, and disordered eating in females. Journal of Social and Clinical Psychology, 28(1), 9-42.
MacLeod, C., Mathews, A., & Tata, P. (1986). Attentional bias in emotional disorders. Journal of Abnormal Psychology, 95(1), 15-20.
Mansell, A., Clark, D. M., Ehlers, A., & Chen, Y. P. (1999). Social anxiety and attention away from emotional faces. Cognition and Emotion, 13(6), 673-690.
Mathews, A., & Mackintosh, B. (1998). A cognitive model of selective processing in anxiety. Cognitive Therapy and Research, 22(6), 539-560.
Mathews, A., & MacLeod, C. (2002). Induced processing biases have causal effects on anxiety. Cognition & Emotion, 95(1), 15-20.
McNally, R. J., Enock, P. M., Tsai. C., & Tousian, M. (2013). Attention bias modification for reducing speech anxiety. Behaviour Research and Therapy, 51(12), 882-888.
Onden-Lim, M., Wu, R., & Grisham, J. (2012). Body image concern and selective attention to disgusting and non-self related stimuli. Body Image, 9(4), 535-538.
Paxton, S. J., Neumark-Sztainer, D., Hannan, P. J., & Eisenberg, M. E. (2006). Body dissatisfaction prospectively predicts depressive mood and low self-esteem in adolescent girls and boys. Journal of Clinical Child & Adolescent Psychology, 35(4), 539-549.
Peirce, J. W. (2007). PsychoPy—psychophysics software in Python. Journal of Neuroscience Methods, 162(1-2), 8-13.
Pine, D. S., Moog, K., Bradley, B. P., Montgomery, L., Monk, C. S., McClure, E., Guyer, A. E., Ernst, M., Charney, D. S., & Kaufman, J. (2005). Attention bias to threat in maltreated children:implications for vulnerability to stress-related psychopathology. The American Journal of Psychiatry, 162(2), 291-296.
Rosser, B. A., Moss, T., & Rumsey, N. (2010). Attentional and interpretative biases in appearance concern: An investigation of biases in appearance-related information processing. Body Image, 7(3), 251-254.
Smith, E., & Rieger, E. (2009). The effect of attentional training on body dissatisfaction and dietary restriction. European Eating Disorders Review, 17(3), 169-176.
Stice, E., & Agras, W. S. (1999). Subtyping bulimic women along dietary restraint and negative affect dimensions. Journal of Consulting and Clinical Psychology, 67(4), 460-469.
Stice, E., & Shaw, H. E. (2002). Role of body dissatisfaction in the onset and maintenance of eating pathology: A synthesis of research findings. Journal of Psychosomatic Research, 53(5), 985-993.
Trampe, D., Staple, D. A., & Siero, F. W. (2007). On models and vases: Body dissatisfaction and proneness to social comparison effects. Journal of Eating Disorders, 26(1), 43-51.
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect the PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063-1070.
Williams, J. M. G., Mathews, A., & MacLeod, C. (1996). The emotional Stroop task and psychopathology. Psychological Bulletin, 120(1), 3-24.
Williamson, D. A., White, M. A., York-Crowe, E., & Stewart, T. M. (2004). Cognitive-behavior theories of eating disorders. Behavioral Modification, 28(6), 711-738.