• Journal of Community Nutrition
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• 제1권1호
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• pp.33-38
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• 1999

Since binge eating is known to be related to increased risk of body weight fluctuations, it may be associated with increased health risks. This study was conducted to investigate the risks of binge eating on the cardiovascular system of female university students in Korea. Sixty-five female university students who were interested in a weight control program were recruited from a university campus. After personal interviews were conducted using a semi-structured questionnaire, 36 individuals were classified as binge eaters and 29 as non-binge eaters according to modified criteria of the proposed DSM-IV by the American Psychiatric Association(APA). All subjects participate in anthropometric and clinical measurements to evaluate the level of obesity and cardiovascular risks. Binge eating subjects showed no significant differences in obesity index compared to non-binge eating subjects. However, they had a higher level of low-density lipoprotein (LDL) cholesterol and a higher atherogenic index. They also showed close correlations with general obesity and cardiovascular risk factors. Body mass index(BMI) was the main explanatory index related to cardiovascular risk factors according to the stepwise regression analysis. Furthermore, obese binge subjects had higher levels than non-obese binge subjects or non-binge subjects for total cholesterol, LDL-cholesterol, triacylglycerols, atherogenic index, and systolic blood pressure. The findings strongly suggest that obese young women having binge eating episodes might display a greater risk for cardiovascular disease tan that shown for obese non-binge eating women.

• 대한지역사회영양학회지
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• 제14권2호
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• pp.175-181
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• 2009

The purpose of this study was to investigate the relationships of stress, depression, binge eating and food behavior of high school girls with their degree of BMI. One hundred twenty high school girls from the Seoul metropolitan area participated in this study. Self-administrated questionnaires to search for degree of stress, depression, binge eating, and food behavior were distributed. Anthropometric assessment was carried out to calculate the body mass index(BMI). The results are as follows: The mean of age and BMI of the subjects were $17.6{\pm}0.6$ years and $21.0{\pm}2.9kg/m^2$(ranged from 15.4 to $31.7kg/m^2$), respectively. 16.7%, 65.8% and 17.5% of the subjects were classified as under weight, normal weight and overweight, respectively. The average scores of stress, depression and binge eating were $124.9{\pm}31.4$, $15.2{\pm}9.8$, $29.5{\pm}7.8$ points, respectively. The food behavior score was $11.5{\pm}2.4$ points. Their degree of stress, depression, binge eating was significantly higher in overweight high school girls compared to underweight or normal weight high school girls. There were significant correlations of BMI with stress(p<0.05), depression(p<0.001), and binge eating(p<0.01). Also there were significant correlations of food behavior with stress(p<0.05), depression(p<0.05) and binge eating(p<0.001). These results indicate that the high school girls who have higher BMI seem to have more stress, depression, and binge eating habits. Also the high school girls who have more stress, depression and binge eating habits have poor food behaviors. Therefore proper control of emotions is required to maintain desirable food behaviors in high school girls.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제35권1호
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• pp.66-74
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• 2024

Food addiction refers to a condition in which individuals exhibit addictive-like behaviors toward food, like those observed in substance abuse. Although still debated, evidence supporting the validity and usefulness of the concept of food addiction is growing. Food addiction is particularly associated with obesity and eating disorders involving binge eating. This study discusses the cases of two adolescent patients who presented with anorexia nervosa. During the recovery phase of anorexia nervosa, binge eating was observed, and the patterns of binge eating significantly differed between patients, with and without food addiction. Therefore, healthcare professionals treating eating disorders should be aware of food addiction and modify their treatment strategies accordingly.

• 가정과삶의질연구
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• 제32권3호
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• pp.31-44
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• 2014

The purpose of this study is to examine the effect of female adolescents' rejection sensitivity, impulsivity and guilt on their binge eating behavior. Questionnaires on rejection sensitivity, impulsivity, guilt and binge eating behavior were administered to 607 female adolescents in Changwon and Ulsan. Of 572 collected copies, 402 were deemed valid and statistically analyzed through frequency analysis, mean and standard deviation, t-test, Pearson's correlation analysis, multiple regression analysis and stepwise multiple regression analysis using SPSS Win 12.0. The results of the study were as follows: 1) School type was found to make a significant difference in rejection sensitivity, overall impulsivity, guilt and binge eating behavior; however, its influence was not significant on the sub-factors of impulsivity: motor impulsivity, unplanned impulsivity and cognitive impulsivity. 2) For female middle school students, rejection anger sensitivity, rejection depression sensitivity and motor impulsivity were found to have a significant influence on binge eating behavior for both middle school and high school girls. Guilt, however, was found to be influential for female high school students only. 3) Impulsivity was found to have a partial mediating effect on the relationship between female adolescents' rejection sensitivity and binge eating behavior.

• 한국콘텐츠학회논문지
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• 제22권9호
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• pp.412-425
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• 2022

본 연구는 자기자비와 폭식행동의 관계를 확인하고, 자기자비가 폭식행동에 미치는 영향이 부정정서와 부정 긴급성에 의해 매개되는지를 살펴보았다. 이를 검증하기 위해 대학생 및 대학원생 441명을 대상으로 자기자비, 부정정서, 부정 긴급성, 폭식행동을 측정하는 설문을 실시하였다. 수집한 자료는 SPSS 23.0과 AMOS 23.0 프로그램을 통해 기술통계분석 및 Pearson 상관분석, 구조방정식 모형 검증을 통해 분석되었으며, 부트스트래핑(Bootstrapping) 방법을 사용하여 간접효과의 유의성을 검증하였다. 본 연구의 결과를 요약하면 다음과 같다. 첫째, 상관분석 결과 자기자비, 부정정서, 부정 긴급성, 폭식행동 간 유의한 상관이 나타났다. 둘째, 자기자비와 폭식행동의 관계에서 부정정서와 부정 긴급성의 순차적 매개효과가 나타났다. 이는 대학생의 자기자비 증진이 부정정서와 부정 긴급성을 순차적으로 감소시킴으로써 폭식행동을 감소시킬 수 있음을 의미한다. 마지막으로 이러한 결과를 토대로 폭식행동의 치료에 있어 자기자비의 실제적 활용방안에 대해 제안하였다.

• 한국응용과학기술학회지
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• 제40권4호
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• pp.685-698
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• 2023

본 연구는 한국인 인구집단에서 폭식행동, 음식중독을 식별하고, 해당 증상들이 비만 및 섭식행동, 정신건강, 인지적 특성과 어떠한 연관성을 보이는지 규명하고자 하였다. 이를 위하여 정상체중 및 비만체중에 해당하는 한국인 성인 257명을 대상으로 섭식문제(예: 폭식, 음식중독, 음식갈망), 정신건강(예: 우울), 인지기능(예: 충동성, 정서조절)에 관한 임상심리검사 척도를 측정하였다. 비만 여부와 성별에 따라 그룹을 나누었을 때, 비만체중 여성에서 폭식행동이 46.6%, 음식중독이 29.3%로 가장 빈도가 높았다. 성향점수 매칭 후 데이터로 독립성 검정을 수행한 결과, 폭식행동 및 음식중독이 비만체중 집단에서 정상체중 집단보다 더 많이 나타나는 것을 확인하였다. 또한 폭식행동과 음식중독 유무에 각 심리검사 척도 요인이 미치는 영향력을 파악하고자, 전진선택법을 적용한 로지스틱 회귀모델을 구축하였다. 로지스틱 회귀분석 결과, 폭식행동에는 섭식장애, 음식갈망, 상태불안, 정서조절(인지적 재해석) 및 음식중독이 주로 관여하였고, 음식중독에는 음식갈망, 폭식행동과 함께 비만과 연령의 교호작용, 교육년수가 유의하게 작용하는 것으로 나타났다. 본 연구는 한국인 성인을 대상으로 한 체계적 연구로서, 폭식행동과 음식중독이 여성 및 비만인에서 특히 더 많이 나타남을 확인하였다. 폭식행동과 음식중독에는 일부 섭식문제(예: 음식갈망)가 공통되게 관여하나, 정신건강 및 인지적 위험요인에는 차이가 있었다. 따라서 음식중독과 폭식행동은 서로 구별되는 개념으로 두고, 각각의 기질적·환경적 위험요인을 깊이 있게 탐구하는 것이 필요하다.

• 한국콘텐츠학회논문지
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• 제15권1호
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• pp.233-241
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• 2015

본 연구는 여대생의 폭식증 수준을 알아보고, 자기지향 완벽주의가 폭식증에 어떠한 영향을 미치는지 알아보며, 그리고 이 변인간의 관계에서 취업스트레스가 갖는 매개효과를 분석하는데 목적이 있다. 이를 위해 광주 전남지역 여대생 325명을 대상으로 자기지향 완벽주의 척도, 취업스트레스 척도, 폭식증 척도를 이용하여 설문조사 하였다. 매개효과를 검증하기 위해 구조방정식 모형을 사용하였다. 주요 분석결과는 다음과 같다. 첫째, 여대생의 폭식증 수준은 중간 점수에 근접하는 것으로 확인되었다. 둘째, 여대생의 자기지향 완벽주의는 폭식증에 직접 영향을 미치는 것으로 분석되었다. 셋째, 여대생의 자기지향 완벽주의가 폭식증에 미치는 영향에 있어서 취업스트레스는 부분 매개효과(partial mediation)를 보이는 것으로 나타났다. 이러한 결과를 바탕으로 폭식증 고위험군 선별 방안, 완벽주의적 성향 감소를 위한 대처방안, 취업스트레스 개입을 통한 폭식증 중재방안 등 실천적 함의를 제시하였다.

• 동아시아식생활학회지
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• 제8권4호
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• pp.399-411
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• 1998

Thinness has become a symbol for beauty, acceptance and competence for women in our society, and pressure to diet because of this unrealistic standard is one factor reponsible for the increasing incidence of eating disorder. Three hundred fifty college women in the Chonbuk area were surveyed from May to June 1998, to investigate the relationship among body image, eating disorder, dietary intakes, self esteem and sex role identity. This study identified a subgroup of women who were relatively satisfied with their body weight and who did not diet. This group was compared with subgroups of women who were dissatisfied with their bodies and either were or were not restrained eaters. The dissatisfied/dieting women had the highest BMI, binge eating disorder and night eating syndrom, had significantly lower calorie, protein, iron, vitamin B$_1$, and vitamin B$_2$ intake compared with the satisfied/non-dieting women. The dissatisfied /dieting women, who had lower self-esteem compared with the satisfied/non-dieting women, but the frequency of sex role identity was similga among the groups of women. BMI and binge eating disorder were positively correlated(r=0.157, p＜.01), but BMI and self esteem were negatively correlated(r=-0.202, p＜0.01). Especially, binge eating disorder and self esteem were negatively correlated (r=-0.126, p＜0.05).

• 보건교육건강증진학회지
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• 제35권5호
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• pp.35-45
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• 2018

Objectives: Despite the importance of Non-pharmacological interventions for Eating Disorders, no meta-analysis providing definite conclusions in this field has been reported. The purpose of the this study was to conduct meta-analysis of Non-pharmacological interventions for the improvement of eating disorders. Methods: We searched the Koreamed, KISTI, KMBASE, RISS and KISS and so on up to October 2017 using search terms such as ((Eating disorders OR anorexia OR binge) AND (Mediation OR program OR treatment OR therapy OR technique)) in Korean. Results: Initial searches yielded 602 citations. Of these results, seven met selection criteria. Interventions reduced the risk of binge eating disorder (standardised mean difference [SMD] -2.133, 95% CI -3.107~-1.159). Interventions reduced drive for leanness (-1.857, -3.143~-0.571), body dissatisfaction (-1.357, -2.238~-0.477), depression (-0.745, -1.298~-0.192), but not physical function (0.191, -0.089~0.471). Conclusions: The results from this study indicate that Non-pharmacological Interventions may help Eating disorders' binge eating, drive for thinness, body dissatisfaction, depression. However, larger-scale studies are needed to confirm this conclusion.

• 대한지역사회영양학회지
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• 제2권4호
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• pp.505-514
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• 1997

Concern about body weight among young females is too much, so distorted body image and restrained eating are serious problems among Korean young females. A society preoccupied with thinness give a psychological burden to women, this burden may have adverse effects on health physically and psychologically. We tried this study to investigate body image, eating problems, and dietary intakes among female college students in urban areas of Korea. We satisfactorily surveyed using their body weight, desired weight dieting, binge eating, and night eating by self-questionnaires with 500 female college students. We evaluated their dietary intakes by semi-quantitative food frequency questionnaires to assess their usual intakes. After removing incomplete data, we analyzed 469 data by SAS 6.10. The 469 women aged 21.1 years. Their mean height, weight, and BMI were 161.4cm, 52.5kg, and 20.2kg/$m^2$ respectively. Though the frequency of obesity was only 2.6$\%$, the frequency of dissatisfaction with their body weight was 84.7$\%$. Female college students desired their hight, weight, and BMI to be 165.8cm, 48.2kg, and 17.5kg/$m^2$, respectively. The frequency of binge eating and night eating were 20.7$\%$and 6.8$\%$. The odds ratios for binge eating and night eating were 10.9(95$\%$ CI : 2.6-15.1) and 6.0(95% CI : 1.8-14.8) in the group satisfied with their body weight compared with the dissatisfied group. The odds ratios for binge eating and night eating were 2.6(95% CI : 1.6-4.4) and 2.4(95% CI : 1.1-5.4) in the dieting group compared with the non-dieting group. The mean caloric intake was 1, 840kacl and percent intakes of carbohydrate, protein, and fat wee 57.2$\%$, 16.3$\%$, and 24.0$\%$, respectively. The dieting group showed deficient intakes of protein and calcium significantly compared with the non-dieting group showed deficient intakes of protein and calcium significantly compared with the non-dieting group. Almost all women college students in urban area had dissatisfaction with their body shape, and desired severe undrerweight. The frequency of binge eating and night eating increased according to dissatisfaction with body weight, diet, and distortion of body image. Dieting has adverse effect on the intakes of essential nutrients. Educations is needed to correct distorted body image, and bad eating habits in young females, and marked preoccupation with thinness among women should then be reduced. (Korean J Community Nutrition2(4) : 505-514, 1997)