The Korean Journal of Food And Nutrition (한국식품영양학회지)

The Korean Society of Food and Nutrition (한국식품영양학회)
권호 표지

Study on Association between Risk of Eating Disorder and Self-Esteem on Body Image

일부 대학생의 체형 만족 정도와 식사 장애 위험 정도의 관계 연구

  • Nam Hee-Jung (National Cancer Center, Gastric Cancer Center) ;
  • Kim Young-Soon (Department of Food and Nutrition, College of Health Sciences, Korea University)
  • 남희정 (국립암센터 위암센터) ;
  • 김영순 (고려대학교 병설보건대학 식품영양학과)
  • Published : 2005.06.01
Download PDF
⟨ Previous Next ⟩

Abstract

This Quantitative study was investigated to examine the relationship between self-esteem on body image and disordered eating patterns in some university students. This study used a cross-sectional study design. Total 347 students participated in this study (88 male and 259 female) among three universities. The assessment of eating disorder was conducted by Eating Attitudes Test (EAT-26), a score of >or=20 identified individuals likely have an eating disorder, including anorexia nervosa and bulimia nervosa. Ideal body weight and current body weight were completed with self-evaluation. A distorted body image was independently related to the eating problem in the Logistic regression analysis. There were stronger relationships between their EAT-26 scores and their expected weight changes and weight control behaviors. Compared with the men, women showed highly wishful to loss for current body weight. In the relationship between score of EAT-26 and BMI distance by sex, levels of eating disorder showed linearly elevated toward increased BMI distance (Ideal BMI-Current BMI) (F-value=18.794, p<0.0001) in women, but there were not significant in men (F-value=2.028, p>0.05). In estimate on state-trait anxiety inventory according to quartile of BMI distance by sex, levels of state-trait anxiety were not significant difference by degree of body dissatisfaction in all sex. In addition, higher distorted body image was significantly increased numbers of weight control method and experience of side effects in female, but there were not showed significant relation between two variables in male.

Keywords

References

  1. 박용우. 섭식장애(Eating disorder). 가정의학회지. 21(3):315-323. 2000
  2. Leicher, P and Gertler, A. Prevalence and incidence studies of anorexia nervosa. In BJ Blinder, BF Chaitin & RS Goldstein(Eds.), The eating disorders: Medical and Psychological Bases of Diagnosis and Treatment. PMA Publishing Corporation. 1988
  3. Cooper, PJ. Eating disorders. In FN Watts(Ed), New Developments in Clinical Psychology. The British Psychological Society. 1985
  4. 한오수, 유희정, 김창윤, 이철, 민병근, 박인호, 한국인의 식이장애의 역학 및 성격특성. 정신의학. 15:270-287. 1990
  5. Gamer DM, Garfinkel PE. The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychol Med. May. 9(2):273-9. 1979 https://doi.org/10.1017/S0033291700030762
  6. 이민규, 이영호, 박세현, 손창호, 정영조. 한국판 식이태도 검사 표준화연구. I. 신경정신의학회 추계학술대회. 1994
  7. Spielberger, CD. Manual for the state-trait anxiety inventory. palo alto, consulting psychologists press. 1970
  8. Hahn, DW, Lee, CH, Chon, KK. Korean Adaptation of Spielberger's STAI(K_STAI). Korean J. of Health Psychology. 1(1):1-14. 1996 https://doi.org/10.1111/j.2044-8287.1996.tb00486.x
  9. 강재헌, 김남순. 한국의 비만 추이. 대한비만학회지. 11(4):329-336. 2002
  10. American Psychiatric Association: Diagnostic and statistical manual of mental disorders, 4th ed.:DSM-IV. Washington, D.C. American Psychiatric Assoc. 1994
  11. Patton, GC & King, MB. Epidemiological study of eating disorders: Time for a change of emphasis. Psychological Medicine 21:287-291. 1991
  12. Ovewumi, LK & Kazarian, SS. Abnormal eating attitudes among a group of Nigerian youths: II Anorexic behavior. East African Medical Journal. Dec. 667-669. 1992
  13. 유희정, 조성민, 김성윤, 김창윤, 홍택유, 한오수, 한국 청소년 섭식장애의 역학. 정신병리학. 5(1): 130-137. 1996
  14. 이선영, 김성원, 강재헌. 서울지역 고등학교 1학년 남녀학생의 식사장애 고위험군의 유병률-식이장애 증상의 우울 및 불안 성향과의 관련성. 대한비만학회지 10(4):376-391. 2001
  15. Killen, JD, Taylor, B, Hayward, C, Haydel, F, Wilson, DM, Hammer, L, et al. Weight concerns influence the development of eating disorders. A 4-year prospective study. J. of Consulting and Clinical Psychology 64:936-940. 1996 https://doi.org/10.1037/0022-006X.64.5.936
  16. Patton, GC, Selzer, R, Coffey, C, Carlin, JB, Wolfe, R. Onset of adolescent eating disorders: population based cohort study over 3 years. BMJ. 318:765-768. 1999 https://doi.org/10.1136/bmj.318.7186.765
  17. Rosen, JC, Tacy, B, Howell, D. Life stress, psychological symptoms and weight reducing behaviour in adolescent girls. Int. J. of Eating Disorders 9:17-26. 1990 https://doi.org/10.1002/1098-108X(199001)9:1<17::AID-EAT2260090103>3.0.CO;2-F
  18. Polivy, J, Herman, P. Diagnosis and treatment of normal eating. J. of Consulting Clinical Psychology 55:635-644. 1987 https://doi.org/10.1037/0022-006X.55.5.635
  19. Stunkard, AJ, Berkowits, R, Wadden, T. Binge eating disorder and the night-eating syndrome. Int. J. Obes. 20: 1-6. 1996
  20. Mussell, MP, Peterson, CB, Walle,r CL. Differences in body image and depression among obese women with and without BED. Obes Res. 4:431-439. 1996 https://doi.org/10.1002/j.1550-8528.1996.tb00251.x
  21. Spitzer, RL, Stunkard, A, Yanovski, S. Binge eating disorder should be included in DSM-IV: A reply to Fairburn et al's 'The Classification of recurrent overeating: The binge eating disorder proposal.' Int. J. Eat Disord. 13:161-169. 1993 https://doi.org/10.1002/1098-108X(199303)13:2<161::AID-EAT2260130204>3.0.CO;2-R
  22. Fichter, MM, Quadflieg, N, Brandl, B. Recurrent overeating: an empirical comparison of binge eating disorder, bulimia nervosa and obesity. Int. J. Eating Disorder. 14:1-16. 1993 https://doi.org/10.1002/1098-108X(199307)14:1<1::AID-EAT2260140102>3.0.CO;2-3
  23. Lamertz, CM, Jacobi, C, Yassouridis, A, Arnold, K, Henkel, AW. Are obese adolescents and young adults at higher risk for mental disorders? A community survey. Obes Res. Nov. 10(11):1152-60. 2002 https://doi.org/10.1038/oby.2002.156
  24. Grant, CL, Fodor, IG. Adolescent attitudes toward body image and anorexic behavior. Adolescence. Summer. 21(82):269-81. 1986
  25. Lee, AM, Lee, S. Disordered eating and its psychosocial correlates among Chinese adolescent females in Hong Kong. Int. J. Eat Disord.. Sep. 20(2):177-83. 1996 https://doi.org/10.1002/(SICI)1098-108X(199609)20:2<177::AID-EAT8>3.0.CO;2-D
  26. Nakamura, K, Hoshino, Y, Watanabe, A, Honda, K, Niwa, S, Tominaga, K, Shimai, S, Yamamoto, M. Eating problems in female Japanese high school students: a prevalence study. Int. J. Eat Disord. Jul. 26(1):91-5. 1999 https://doi.org/10.1002/(SICI)1098-108X(199907)26:1<91::AID-EAT12>3.0.CO;2-M
  27. Bee, DW, Holmbeck, GN, Schober, A, Lane, M, Rosa, K. Is body focus restricted to self-evaluation? Body focus in the evaluation of self and others. Int. J. Eat Disord. Dec. 20(4):415-22. 1996 https://doi.org/10.1002/(SICI)1098-108X(199612)20:4<415::AID-EAT9>3.0.CO;2-Q
  28. Lee, S, Lee, AM. Disordered eating in three communities of China: a comparative study of female high school students in Hong Kong, Shenzhen, and rural hunan. Int. J. Eat Disord. Apr. 27(3):317-27. 2000 https://doi.org/10.1002/(SICI)1098-108X(200004)27:3<317::AID-EAT9>3.0.CO;2-2
  29. Koff, E, Sangani, P. Effects of coping style and negative body image on eating disturbance. Int. J. Eat Disord. Jul. 22(1):51-6. 1997 https://doi.org/10.1002/(SICI)1098-108X(199707)22:1<51::AID-EAT6>3.0.CO;2-1
  30. Hoerr, SL, Bokram, R, Lugo, B, Bivins, T, Keast, DR. Risk for disordered eating related to both gender and ethnicity for college students. J. Am. Call. Nutr. Aug. 21(4):307-14. 2002 https://doi.org/10.1080/07315724.2002.10719228