Sociotropy and Social Anxiety of Single Women with Binge Eating Behaviors

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

Reference

김혜은 (2003). 여성의 우울과 스트레스 대처방식이 폭식행동에 미치는 영향. 서울여자대학교 석사학위논문.

김정욱 (2002). 섭식장애: 날씬한 몸매를 위한 처절한 투쟁. 서울: 학지사.

김주화 (2007). 청년기 여성의 폭식증에 대한 성경적 상담. 총신대 상담대학원 석사학위 논문.

김준기 (1997). 폭식증의 인지행동치료. 대한정신약물학회지, 8(1), 23.

민성길 (2006). 최신 정신의학 제5판. 서울: 일조각.

조옥귀 (1993). 우울취약성과 우울수준, 성격차원 및 부정적 생활 스트레스와의 관계. 중앙대학교 박사학위논문.

안소연 (1994). 폭식행동 집단의 신체불만족과 자아존중감 및 우울간의 관계. 연세대학교 석사학위논문.

윤화영 (1996). 여대생의 폭식행동, 우울 및 귀인양식간의 관계. 가톨릭대학교 석사학위논문.

이상선 (2005). 거식행동과 폭식행동에 자기평가의 신체비중, 신체불만족, 완벽주의, 충동성이 미치는 영향. 연세대학교 박사학위논문.

10.

이정애 (1997). 폭식행동 집단의 인지적 특성. 고려대학교 석사학위논문.

11.

이정윤 (2003). 여대생의 이상 식사행동 수준에 따른 심리적, 정서적 특징. 한국심리학회지: 상담 및 심리치료. 15(1), 111- 124.

12.

이희주 (2000). 완벽주의 성향과 신경성폭식증의 관계에서 자아존중감과 자아통제감의 매개효과. 강원대학교 석사학위논문.

13.

최정훈, 이정윤 (1997). 한국판 사회공포증 척도의 신뢰도 및 타당도 연구. 한국심리학회지: 임상. 16(2), 251-264.

14.

한진화 (2003). 신경성폭식증의 인지행동집단치료 효과. 덕성여자대학교 석사학위 논문.

15.

한오수, 유희정, 김창윤, 이철, 민병근. 박인호 (1990). 한국인의 식이장애의 역학 및 성격특성. 정신의학, 15, 270-287.

16.

APA(American psychiatric Association). (1994). Diagnostic and Statistical manual of Mental disorders, 4th ed. Washington, D. C. Author.

17.

Allen, N. B., Horne, D. J. L., & Trinder, J. (1996). Sociotropy, Autonomy, and dysphoric emotional response to specific classes of stress: A psychophysiological evaluation. Journal of Abnormal Psychology, 105, 25-33.

18.

Beck, A. T. (1983). Cognitive therapy of depression: New perspectives. In P. J Clayton & J. E. Barrett(Eds.), Treatment of depression; Old controversies and new approaches (pp 265-290), New York; Raven Press.

19.

Beck, A. T., Einstein, N., Herrison, R. P., & Emery, G. (1983). Development of the Sociotropy-Autonomy Scale: A measure of personality factors in psychopathology. Unpublished manuscript. University of Pennsylvania, Philadelphia.

20.

Blatt, S, J., D'Affilti, J., & Quinlan, D. M. (1976). Experiences of depression in normal college students. Journal of Abnormal Psychology, 85, 383-389.

21.

Bornstein, R. F., & Greenberg, R. P. (1991). Dependency and eating disorders in female psychiatric inpatient. Journal of Nervous and Mental Disease, 179, 148-152.

22.

Castonguay, L. G., Eldredge, K. L., & Agras, W. S. (1995). Binge eating disorder: Current state and future directions. Clinical Psychology Review, 15(8), 865-890.

23.

Cooper, P. J., & Fairburn, C. G. (1993). Confusion over the core psychopathology of bulimia nervosa. International Journal of Eating Disorder, 13, 385-389.

24.

Drewnowski, A., Hopkins, S. A., & Kessler, R. C. (1988). The prevalence of bulimia nervosa in the US college student population, American Journal of Public Health, 78, 1322-1325.

25.

Fairburn, C. G. (1985). Cognitive-behavioral treatment for bulimia. In ; Garner, D. M. and Garfinkel, P. E., Editors, Handbook of psychotherapy for anorexia and bulimia, Guilford press, New York.

26.

Fairburn, C. G., Cooper, Z., Doll, H. A., & Welch, S. L. (1999). Risk factors for anorexia nervosa: three integrated case- control comparisons. Archives of General Psychiatry, 56, 468-476

27.

Friedman, M. A. (1996). Sociotropy, Autonomy, and Bulimic symptomatology. Department of psychology, Yale university. New Haven, Connecticut.

28.

Geist, R., & Heinman, M. (1988). Bing-purge symptoms and comorbidity in adolescents with eating disorder. Canadian Journal of Psychiatry, 43, 507-512.

29.

Grissette, N. I, Norvell, N. K. (1992). Perceived social support, social skill and quality of relationships in bulimic women. Journal of consulting and clinical psychology. 60(2), 293-299.

30.

Hart, K, J., & Ollendick, T, H. (1985). Prevalence of bulimia in working and university women. American Journal of Psychiatry, 142, 851-854.

31.

Hayaki, J. (2003). sociotropy and bulimic symptom in clinical and nonclinical samples. Eating Disorder, 34, 172-176.

32.

Herman, C. P., & Polivy, J. (1980). Restrained eating In A. B. Stunkard(ED.), Obesity. Philadelphia; Saunders.

33.

Heatherton, T. F. & Polivy J. (1992). Chronic dieting and rating disorder : Aspiral model. In J. Crowther, S. E. Hobfall, M. A. P. Stephens, & D. L. Tennenbaum(Eds). The etiology of bulimia: The individual and familial context(pp.133-155). Washington, DC: Hemisphere.

34.

Herzog, D. B., Keller, M. B., Lavori, P. W. & Ott, I. L. (1987). Social impairment in bulimia. International Journal of eating disorders, 6, 741-747.

35.

Hinrichsen, H. (2003). Social anxiety and coping strategies in the eating disorder. Eating Behaviors, 4, 117-126.

36.

Johnson, R., & Robins, C. J. (1989). Social dependency and social support in bulimic and non bulimic women. International Journal Eating Disorder, 8. 665-670.

37.

Lingswiler, V. M., Crowther, J. H., & Stephens, M. A. (1989). Affective and Cognitive antecedents to eating episodes in bulimia and binge eating. International Journal of eating disorders, 8, 533-539.

38.

Minntz, L. B., O'Halloran, M. S., Mulholland, A. M, & Schneider, P. A. (1997). Questionnaire for eating disorder disgnoses: Reliability and Validity of operationalizing DSM-Ⅳ criteria into a self-report format. Journal of counseling Psychology, 44, 63-79.

39.

Mizes, J. S. (1985). Bulimia: A review of its symptomatology and treatment. Advances in Behavior Research and Therapy. 7, 91-142.

40.

Mizes, J. S., & Klesges, R. C. (1989). Validity, reability, and factor structure of the anorectic cognitions Quest. addictive behavior, 14(5), 589-594.

41.

Olfson, M., Guardino, M., Struening, F. R., Hellman, F & Klein, D. F. (2000). Barriers to the treatment of social anxiety. American Journal of Psychiatry, 50, 95-107.

42.

Patton, C. J. (1992). Fears of abandonment and binge eating: A subliminal psychodynamic activation investigation. The journal of Nervous and Mental Disease, 180, 484-490.

43.

Pelletier, L. G., Dion, S. C., & Seguin-Levesque, C. (2004). Can self-determination help protect women against sociocultural influence about body iname and reduce their risk of experiencing bulimic symptoms? Journal of social and Clinical Psychology, 23(1), 61-88.

44.

Polivy, J., & Herman, C. P. (1985). Dieting and binging: A causal analysis. American Psychologist, 40, 193-201.

45.

Schlencker, B. R., & Leary, M. R.(1982). social anxiety and self-presentation; A conceptualization and model. Psychological Bulletin, 92, 641-669.

46.

Shisslak, C. M., Crago, M., Estes, L. S. (1995). The spectrum of eating disturbances. International Journal of Eating Disorder, 18(3), 209-219.

47.

Smith, M. C. & Thelen. M. H. (1984). Development and validation of test for bulimia. Journal of consulting and clinical psychology, 52, 863-872.

48.

Strieger, H., Gauvin, L., Jabalpurwala, S., Seguin, J. R., & Stotland, S. (1999). Hypersensitivity to social interaction in bulimic syndromes; relationship to binge eating. Journal of Consulting and Clinical Psychology, 67, 765-775.

49.

Striegel-Moore, R. H., Silberstein, L. R., & Rodin, J. (1986). Toward an understanding of risk factors for bulimia. American Psychologist, 41, 246-263.

50.

Striegel-Moore, R. H., Silberstein, L. R., Frensch, P., & Rodin, J. (1989). A Perspective study of disordered eating among college students. International Journal of eating disorders, 8, 499-509.

51.

Thelen, M. H., & Farmer, J., Wondelich, J., & Smith, M. C. (1991). A revision of the bulimia test : The BULIT-R. Psychological Assessment, 3, 119-124

52.

Thompson, J. K, & Smolak, L (2001). Editors, Body Image, eating disorders, and obesity in youth: assessment, prevention, and treatment. American Psychological Association Washington D.C.

53.

Watson, D., & Friend. R. (1969). Measurement of social-evaluative anxiety. Journal of consulting and clinical Psychology, 33, 448-457.

54.

Wardle, J, Hasse, A. M., & Steptoe, A. (2006). Body image and weight control in young adults: international comparisons in university students from 22 countries. International journal of obesity and related disorders, 30(4), 644-652

55.

White, W. C. and Boskind-White, M. (1984). Am experiential-behavioral treatment program for bulimarexic women. In The Binge-purge Syndrome (Edited by Hawkins R. C., Fremouw W. J. and Clement P. F.). Springer, New York.

56.

Williamson, D. A, Zucker, N. L, Martin, C. K, &. Smeets, M. A. (2001). Etiology and management of eating disorders. In P. B. Sutker & H. E. Adams (Eds.) Comprehensive handbook of Psychopathology(3rd ed). (pp. 641-670). New York: plenum Press.

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Article Contents

Vol.27 No.2

Sociotropy and Social Anxiety of Single Women with Binge Eating Behaviors

Abstract

Reference

Korean Journal of Psychology: General