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E-ISSN : 2733-4538
In this study, we empirically investigated early maladaptive schemas in subjects with eating problems to help identify the underlying origin of such problems. First, we identified groups of subjects having anorexic tendency(AN), bulimic tendency(BN), restricting bulimic tendency(RBN) and normal group from 450 female college students. The results, derived using the Young Schema Questionnaire(YSQ), indicated that the eating disorder groups had higher scores than the normal group did and, among the eating disorder groups, the RBN group had higher scores than did the AN or BN group on YSQ scores. In detail, among the 3 eating disorder groups, there were no significant differences with regard to mistrust/abuse scores. On the other hand, the AN group showed more maladapted scores than the BN group did with regard to abandonment, subjugation, while the RBN group had the most maladapted scores of all in these areas(i.e., BN<AN<RBN). In fact there was no significant difference between the BN group and the normal group with regard to subjugation scores. This suggests such schemas are more closely associated with the AN tendency than with the BN tendency. Though scores pertaining to enmeshment, emotional inhibition and insufficient self-control were more maladapted in BN than AN and most maladapted in RBN(AN<BN<RBN), these differnces were not statistically significant. Nevertheless, this suggests the possibility that these 3 schemas may be more closely associated with the BN tendency than with the AN tendency. We concluded by not only discussing the possible causality between eating disorders and maladaptive schemas, coping style on maladaptive schemas, and limitations of this study but presenting suggestions for future studies.
공성숙 (2001). 폭식행동자의 인지행동치료 경험에 관한 연구. 정신간호학회지. 10. 148 -163.
권호인 (1999). 폭식행동을 보이는 여대생의 인지행동집단치료 효과. 고려대학교 석사학위논문
김혜은, 박 경 (2003). 여성의 우울과 스트레스 대처방식이 폭식행동에 미치는 영향. 한국심리학회지: 건강, 8(3), 511-524.
안명희 (2004). 여성과 식이장애. 동덕여성연구. 9, 99-118
안소연 (1994). 폭식행동 집단의 신체 불만족과 자아존중감 및 우울 간의 관계. 연세대학교 석사학위논문.
윤화영 (1996). 여대생 폭식 행동과 우울 및 귀인양식간의 관계. 가톨릭대학교 석사학위 논문.
이민규, 이영호, 박세현, 손창호, 정영조, 홍성국, 이병관, 장필립, 윤애리 (1998). 한국판 식사태도검사-26(The Korean Version of Eating Attitude Test-26: KEAT-26) 표준화연구Ⅰ: 신뢰도 및 요인분석. 정신신체의학, 6(2), 155-175.
이민규, 고영택, 이혜영, 황을지, 이영호 (2001). 한국판 식사태도검사 -26(Eating Attitude Test-26: KEAT-26)의 타당화. 정신신체의학, 9(2), 153-163.
이상선, 오경자 (2003). 외모관련 사회문화적 태도 설문지의 타당화 연구. 한국임상심리학회지, 22(4), 913-926.
이정애 (1997). 폭식행동집단의 인지적 특성. 고려대학교 석사학위 논문.
이진희 (1999). 폭식행동집단의 성격특질. 충북대학교 석사학위 논문.
이현정 (2001). 섭식절제, 부정적 정서 및 충동성이 폭식행동에 미치는 영향. 가톨릭대학교 석사학위 논문.
조성호 (2001a). 한국판 도식 질문지의 요인 구조. 한국심리학회지: 상담 및 심리치료, 13(1), 177-192.
한진화 (2003). 신경성 폭식증의 인지행동집단치료 효과. 덕성여자대학교 석사학위 논문.
Agras, W. S., Walsh, T., Fairburn, C. G., Wilson, G. T., & Kraemer, H. C. (2002). Amulticentre Comparisonof cognitive behavioural therapy and interpersonal psychotherapy for bulimia nervosa. Archives of General Psychiatry, 57, 459-466.
Allen, Jon (2001). Traumatic Relationships and Serious Mental Disorder, New York: Wiley & Sons,. Ltd.
American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorder, 4th ed. Washington, D. C: American Psychiatric Association.
Barnett, T. E. (1996). Risk factors and bulimia outcomes in adolescent women: A longitudinal and retrospective analysis. Unpublished doctoral dissertation. Logan: Utah State University.
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.
Bowlby, J. (1988). Secure base: Parent-child attachment and healthy human development, New York: Basic Books.
Cooper, M. J. (1997). Cognitive heory of anorexia nervosa and bulimia nervosa: A review. Behavioural and Cognitive Psychotherapy, 25, 511-531.
Cooper, M. J. (2003). Cognitive theory. Bulimia nervosa: A cognitive perspective(pp. 154-171). Oxford University Press, Chapter 8.
Cooper, M. J. (2005). Cognitive theory in anorexia nervosa and bulimia nervosa: Progress, development and future directions. Clinical Psychology Review, 25, 511-531.
Cooper, M. J. (2006). Beliefs and their relationship to eating attitudes and depressive symptoms in men. Eating Behaviors, 7, 423-426.
Cooper, M. J., Rose, K. S., & Turner, H. M. (2006). The specific content of core beliefs and schema in adolescent girls high and low in eating disorder symptoms. Journal of Eating Behaviors 7, 27-35
Costanzo, P. R., Musante, G. J. & Friedman, K. E., Kern, L. S., & Tomlinson, K. (1999). The gender specificity of emotional, situational, and behavioral indicators of binge eating in a diet-seeking obese population. International Journal of Eating Disorder, 26, 205-210.
Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: a “transdiagnostic” theory and treatment. Behaviour Research and Therapy, 41, 509-528.
Fairburn, C. G., & Harrison, P. J. (2003). Eating disorders, The Lancet, 361, 407-416.
Garner, K. M., & Garfinkel, P. E. (1979). The Eating Attitudes Test: An index of the symptoms of anorexia nervosa. Psychological Medicine 9, 273-279.
Garner, D. M., Olmsted, M. P., Bohr, Y., & Garfinkel, P. E. (1982). The Eating Attitudes Test. Psychometric features and clinic correlates, Psychological Medicine 12, 871-878.
Herman, C. P. & Polivy J. (1993). Etiology of binge eating: Psychological mechanisms, In binge eating; nature, assessment and treatment. N.Y.: Guilford Press.
Johnson, C., Connors, M. E., & Tobin, D. L. (1987). Symptom management of bulimia. Journal of consulting & Clinical Psycology, 55, 668-676.
Mitchell, J. E. (1990). General treatment Considerations. In: Bulimia Nervosa. Ed by Mitchell, J. E., Minneapolis, University of Minnesota Press, pp. 99-119.
Olmsted, M. P., Kaplan, A. S., & Rockert, W. (1994). Rate and prediction of relapse in bulimia nervosa. American Journal of Psychiatry, 151, 738-749.
Patton, C. J. (1992). Fear of Abandonment and binge eating a subliminal psychodynamic activation investigation. Joural of Nervous and Mental Disease, 180, 484-490.
Polivy, J., & Herman, C. P. (1985). Dieting and binging: A causal analysis. American Psychologist, 40, 193-201.
Pyle, R. L., Mitchell, J. E., & Eckert, E. D. (1981). Bulimia: A report of 34 cases. Journal of Clinical Psychiatry, 42, 60-64.
Rorty, M., Yager, J., & Rossotto, E. (1993). Why and how do woman recovered for a year or more. International Journal of Eating Disorders, 14, 249-260.
Shafran, R., Cooper, Z., & Fairburn, C. G. (2002). Clinical perfectionism: a cognitive-behavioural analysis. Behaviour Research and Therapy, 40, 773-791.
Shafran, R., Lee, M., Cooper, Z., Fairburn, C. G., & Christopher, G. (2007). Attentional Bias in Eating Disorders. International Journal of Eating Disorders, 40, 369-380.
Smith, M. C., & Thelen, M. H. (1984). Development and Validation of a test for bulimia nervosa. Journal of Consulting and Clinical Psychology, 52, 863-872.
Sugarman, D., & Kurash, C. (1982). The body as a transitional object in bulimia. International Journal of Eating Disorders, 1, 57-67.
Thelen, M. H., Farmer, J., Wondelich, J., & Smith, M. C. (1991). A revision of the Bulimia Test: BULIT-R. Psychological Assessment, 3, 119-124.
Turner, H. M., Rose, K. S., & Cooper, M. J., (2005). Parental bonding and eating disorder symptoms in adolescents: The meditating role of core beliefs. Journal of Eating Behaviors 6, 113-118
Tyrka, A. R., Waldron, I., Graber, J. A., & Brooks-Gunn, J. (2002). Prospective predictors of the oncet of anorexic and bulimia syndromes. International Journal of Eating Disorders, 32, 282-290.
Vitousek, K., & Manke, F. (1994). Personality Variables and disorders in anorexia nervosa and bulimia nervosa. Journal of Abnormal Psychology, 103, 137-147.
Waller, G., Kennerley, H., & Ohanian, V. (2004). Schema-Focussed cognitive behaviour therapy with the eating disorder. In P. du Toit (Ed.), Cognitive schemas and core beliefs in psychological problems: A scientist practitioner guide. Washington: American Psychiatric Association.
Waller, G., Kennerley, H. & Ohanian, V. (2005). Schema-focussed cognitive behaviour therapy with the eating disorders. In L. P. Riso, P. T. du Toit & J. E. Young(Eds.), Cognitive schemas and core beliefs in psychiatric disorders: A scientist practitioner guide. New York: American Psychiatric Association.
Waller, G., Ohanian, V., Meyer, C., & Osman, S. (2000). Cognitive content among bulimic women: The role of core beliefs. International Journal of Eating Disorders, 28, 235-241.
Wilson, G. T., Nonas, C. A., & Rosenblum, G. D. (1993). Assessment of binge eating in obese patients. International Journal of Eating Disorder, 150, 1472-1479.
Wolff, G. E., Crosby, R. D., Rpberts, J. A., & Wittrock, D. A. (2000). Differences in daily stress, mood, coping, and eating behavior in binge eating and non binge eating collegewomen. Addictive Behaviors, 25(2), 205-216.
Young, J. E. (1990). Cognitive therapy for personality disorders: A schema-focused approach. Sarasota, FL: Professional Resource Exchange.
Young. J. E. (1999). Cognitive therapy for personality disorders: A schema-focused approach (3rd ed.). Sarasota. FL: Professional Resources Press.
Young, J. E. & Klosko, J. S., (1993). Reinventing your life: How to break free from negative life patterns. New York: E. P. Dutton.
Young, J. E., Weinberger, A. D., & Weishaar, M. E. (2003). Schema therapy: A practitioner's guide. New York: Guilford Press.