대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
권호 표지

섭식장애를 위한 낮병원 프로그램 개발에 관한 연구

The Study for Development of Day Hospital Program of Eating Disorders

  • 공성숙 (순천향대학교 의과대학 간호학과)
  • 발행 : 2004.02.01
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초록

Purpose: The purpose of this study was to develop the day hospital program for Korean eating disorders patients and to examine the effect of the day hospital program on improving frequency of binging and purging, eating disorders symptoms, self-esteem, and depression. Method: The subjects were 24 binge eaters visited at eating disorders clinic 'M'. They participated in a modified day hospital program based on the Toronto Day Hospital Program. All subjects completed the Eating Disorders Inventory(EDI)-2, Rosenberg Self-Eesteem Scale, Beck Depression Inventory(BDI) at pre and post intervention, and recorded daily food records. Results: In paired t-test analysis, frequency of binging and purging, self-esteem, depression, and 11 sub-scales of EDI-2(drive for thinness, bulimia, body dissatisfaction, ineffectiveness, interoceptive awareness, perfectionism, interpersonal distrust, maturity fear, asceticism, impulse regulation, social insecurity) were significantly improved after treatment. Conclusion: The results of this study suggest that the day hospital program for Korean eating disorders patients may be an effective initial approach to overcoming various eating disorders symptoms. Further studies should investigate longer term outcome data using a larger sample.

키워드

참고문헌

  1. Beck, A. T. (1961). Beck Depression Inventory. San Antonio, TX: The Psychological Corporation
  2. Everenz, K.P., & Gleaves, D.H.(1994). An examination of the internal consistency and factor structure of the eating disorder inventory-2 in a clinical sample. Int J Eat Disord, 16, 371-379 https://doi.org/10.1002/1098-108X(199412)16:4<371::AID-EAT2260160406>3.0.CO;2-W
  3. Fairburn, C. G., & Beglin, S. J. (1990). Studies of epidemiology of bulimia nervosa. Am J Psychiatry, 147(3), 401-408
  4. Fairburn, C. G., Marcus, M. D., & Wilson, G. T. (1993). Cognitive-behavioral therapy for binge eating and bulimia : A comprehensive treatment manual. In C.G. Fairburn & G.T. Wilson(Eds.), Binge eating: nature, assessment and treatment(pp.361-404). Guilford Press, N.Y
  5. Gamer, D. M. (1991). Eating Disorders Inventory Ⅱ Odessa, FL: Psychological Assessment Resources
  6. Gamer, D. M., & Garfinkle, P. E. (1985). Handbook of psychotherapy of for anorexia nervosa and bulimia nervosa. New York, Guilford Press
  7. Gamer, D. M., & Garfinkel, P. E. (1997). Handbook of treatment for eating disorders(2nd. ed). Guilford Press. NY. London. 25-33
  8. Gerlinghoff, M., Backmund, H., & Franzen, D.(1998). Evaluation of a day treatment program for eating disorders. Eur Eat Disorders Rev, 6, 96-106 https://doi.org/10.1002/(SICI)1099-0968(199806)6:2<96::AID-ERV236>3.0.CO;2-P
  9. Hahn, H.M., Yurn, T.H., Shin, Y.W., Kim, K.H., Yoon, D.J., & Chung, K.J.(1986). A standardization study of Beck Depression Inventory in Korea. J Korean Neuropsychiatr Assoc, 25, 487-502
  10. Hahn, O. S., Yoo, H. J., Kim, C. Y., Lee, C., Min, B. K., Park, I. H. (1990). The epidemiology and personality characteristics of eating disorders in Korea. The Seoul J Psychiatry, 15(4), 270-287
  11. Jeon, B. J. (1972). Review for theory of self-esteem. J Liberal Arts, 27, 107-118
  12. Keller, M. B., Herzog, D. B., Lavori, P. W., Bradburn, I. S., & Mahoney, E. M. (1992). The naturalistic history of bulimia nervosa: extraordinarily high rates of chronicity, relapse, recurrence, and psychosocial morbidity. Int J Eat Disord, 12, 1-9 https://doi.org/10.1002/1098-108X(199207)12:1<1::AID-EAT2260120102>3.0.CO;2-E
  13. Kim, N. S., & Lee, K. E. (1998). The relationship between eating disorder, physical symptoms and mood status among college women. J Korean Acad Women Health Nursing, 4(3), 388-401
  14. Kong, S. S., Kim, J. K., & Bae, J. H. (2000). Effects of cognitive behavioral group therapy for binge eating. J Korean Neuropsychiatr Assoc, 39, 1072-1082
  15. Lee, Y. H., & Song, J. Y. (1991). A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales. Korean J Clin Psychol, 10, 98-113
  16. Lyle, R. M. (1996). Translation of Eating Disorders Inventory ll-Korean. Odessa, FL: Psychological Assessment Resources
  17. Mansfield, J. L., & Wade, T. (2000). Assessing the relevance of the hopelessness theory of depression to women with disorders eating. Int J Eat Disord, 28, 113-119 https://doi.org/10.1002/(SICI)1098-108X(200007)28:1<113::AID-EAT14>3.0.CO;2-K
  18. Mitchell, J. E., Pyle, R. L., Hatsukami, D., Goff, G., Glotter, D., & Harper, J. (1989). A 2-5 year follow-up study of patients treated for bulimia. Int J Eat Disord, 8(2), 157-165
  19. Noh, H. (1995). A study of binge eating disorder and bulimia among Korean high school students. Mental Health and Social Work, 2, 74-97
  20. Oh, K. J., & Ahn, S. S. (1995). Effect of body dissatisfaction on self-esteem and depression in binge eater group. Korean J Clin Psychol, 14, 29-40
  21. Olmsted, M. P., Kaplan, A. S., & Rockert, W. (1994). Rate and prediction of relapse in bulimia nervosa. Am J Psychiatry, 151, 738-743
  22. Park, S. (2001). A study on dieting behaviors and related factors among normal or low-weight middle school girls in Seoul. J Korean Soc School Health, 14(1), 115-128
  23. Pike, K. M. (1998). Long-term course in anorexia nervosa: response, relapse, remission, and recovery. Clin Psychol Rev, 18, 447-475 https://doi.org/10.1016/S0272-7358(98)00014-2
  24. Piran, N., & Kaplan, A. S. (1990). A day hospital group treatment program for anorexia nervosa and bulimia nervosa. New York: Brunner Mazel
  25. Polivy, J., & Herman, C. P. (1993). Etiology of binge eating: Psychological mechanisms. In C.G. Fairburn & G.T. Wilson(Eds.), Binge eating : nature, assessment and treatment (pp.173-205). Guilford Press, N.Y.
  26. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press
  27. Thornton, C., Beumont, P., & Touyz, S. (2002). The Australian experience of day programs for patients with eating disorders. Int J Eat Disord, 32, 1-10 https://doi.org/10.1002/eat.10059
  28. Woodside, D.B., & Kaplan, A.S.(1994). Day hospital treatment in males with eating disorders-response and comparison to females. J Psychosom Res, 38(5), 471-475
  29. Woodside, D. B., Lackstorm, J. B., & Shekter-Wolfson, L.(2000). Marriage in eating disorders comparisons between patients and spouses and changes over the course of treatment. J Psychosom Res, 49, 165-168 https://doi.org/10.1016/S0022-3999(00)00154-9
  30. Zipfel, S., Reas, D. L., Thornton, C. E., Olmsted, M. P., Williamson, D. A., Gerlinghoff, M., Herzog, W., & Beumont, P. J. V. (2002). Day hospitalization programs for eating disorders: a systemic review of the literature. Int J Eat Disord, 31, 105-117 https://doi.org/10.1002/eat.10009