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ISSN : 1229-067X

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Vol.27 No.2
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폭식행동 경향이 있는 미혼 여성의 사회향성과 사회적 불안

Sociotropy and Social Anxiety of Single Women with Binge Eating Behaviors

한국심리학회지: 일반 / Korean Journal of Psychology: General, (P)1229-067X; (E)2734-1127
2008, v.27 no.2, pp.569-587
임소영 (강남성모병원 신경정신과)
오수성 (전남대학교)
임소영, & 오수성. (2008). 폭식행동 경향이 있는 미혼 여성의 사회향성과 사회적 불안. 한국심리학회지: 일반, 27(2), 569-587.
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초록

본 연구의 목적은 사회향성 및 사회적 불안과 미혼 여성의 폭식행동과의 관계를 밝히고 이와 관련한 인지왜곡의 연관성을 규명하는 것이다. 총 484명(여대생 361명과 직장여성 123명 등)의 미혼 여성을 대상으로 자기보고식 설문방법으로 연구를 실시하였다. 연구도구는 신경성폭식증검사 개정판, 사회적 회피 및 불안척도, 사회향성-자율성척도, Mizes의 인지왜곡척도를 사용하였다. 먼저, 신경성폭식증검사 점수로 폭식경향집단과 정상집단을 구분한 후 두 집단 신체 특성을 알아보았는데 두 집단 간에 연령과 키는 유의미한 차이가 없었지만 체중은 폭식경향집단이 정상집단보다 유의미하게 더 무거웠고 신체질량지수도 폭식경향집단에서 유의하게 더 높았다. 또한 사회향성과 사회적 불안이 높을수록 폭식행동 경향이 높을 것으로 예상하여 단계적 중다회귀분석을 해 본 결과 두 변인 모두 유의한 설명력을 보여주었다. 사회향성과 사회적 불안이 인지왜곡의 매개를 통해 폭식경향을 심화시키는지 알아보기 위해 매개효과를 검증하였는데 인지왜곡의 매개효과가 검증되었다. 본 연구에 따르면 다이어트에 집착하고 대인관계에 지나치게 의존하고 타인의 거부나 평가에 민감한 사람일수록 폭식행동의 경향이 높은 것으로 나타났다. 그리고 이런 특성들은 섭식․체형․체중에 대한 인지왜곡을 통해 폭식행동을 더욱 악화시켰다. 따라서 이들의 폭식행동을 줄이기 위해서는 사회향성과 사회적 불안을 줄이기 위한 정서적 접근뿐만이 아니라 대인관계훈련 프로그램, 인지행동 프로그램, 사회성향상 프로그램 등 다각적 접근이 필요할 것이다.

keywords
신경성폭식증, 사회향성, 사회적 불안, 인지왜곡, Bulimia Nervosa, Sociotropy, Social anxiety, Cognitive distortion

Abstract

The aim of this study was to investigate whether sociotropy and social anxiety have influence upon binge eating and furthermore reinforce those behaviors by means of cognitive distortion. A total of 484 single women(361college student, 123 career women) were enrolled and asked to complete the self-reported questionnaires which included Bulimia Test Revised, Korea-Social Avoidance and Distress Scale, Sociotropy-Autonomy Scale, and the Mizes Anorectic Cognition Scale. First of all, we classified the subjects into the binge eating or control group based on the score of Bulimia Test Revised, and then analyzed the demographic characteristics between the two groups. There were no meaningful differences in the age and the height between the groups. However, the binge eating group was shown to be heavier in the body weight and higher in the body mass index (BMI) compared to the control group, which was statistically significant. Second, the step-wise multifactorial regression analysis demonstrated that both sociotropy and social anxiety were closely associated with binge-eating at the level of significance of p-value. Third, cognitive distortion was found to function as a mediator to link sociotropy, social anxiety, and physical characteristics including height and weight with a tendency toward binge eating.In summary, this study showed that the more women sticked to weight loss, depended on interpersonal relationship, and were sensitive to denial or appraisal by the others, the more they were apt to binge eating. And these characteristics aggravated binge eating by means of cognitive distortion on eating, body shape, and weight. Therefore, this study suggests that in order to control binge eating, not only an emotional approach to decrease sociotropy and social anxiety but also a multidisciplinary approach including interpersonal relationship training, cognitive-behavioral therapy, and social skill development program should be needed.

keywords
신경성폭식증, 사회향성, 사회적 불안, 인지왜곡, Bulimia Nervosa, Sociotropy, Social anxiety, Cognitive distortion

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