• 혜화의학회지
• /
• 제13권1호
• /
• pp.345-353
• /
• 2004

This study analyzed the contents of the research papers concerning the obesity from a psychiatrical point of view. As a result, the following conclusion was drawn. 1. In obese people, negative emotions, especially depression were frequently reported. 2. Negative feelings, especially anger, anxiety, depression, induce binge eating and can lead to obesity. 3. Depression was related to the wrong body image more than to the body mass index. 4. Wrong body image affects eating attitudes, which may cause eating disorders. 5. To treat obesity or eating disorders, we must use psychosocial treatment, for example, supportive, cognitive or behavior therapy.

• 한방비만학회지
• /
• 제2권1호
• /
• pp.1-12
• /
• 2002

식이장애란 체형과 체중에 대해 과도한 집착과 왜곡된 인지를 가지면서 비정상적인 식사행동을 반복하고 그에 따른 신체적, 심리적 부작용을 나타내는 장애를 말하며, 대표적으로 신경성 식욕부진증 및 신경성 폭식증이 있으며, 그 외 폭식장애를 비롯한 달리 분류되지 않은 식이장애가 있다. 서구문화의 급속한 유입으로 인하여 1990년대 이후 우리나라에서도 식이장애의 발병율이 점차 증가하는 추세에 있으며 특히 청소년과 조기성년기 여성에게서 문제가 되고 있다. 비만 클리닉에 체중감량을 원해 내원하는 환자들은 식이장애에 대한 고위험군일 가능성이 있으며, 체중감량을 위한 과도한 식사제한은 자칫 식이장애를 유발할 수 있으므로 비만클리닉 임상의들이 식이장애에 대한 이해를 갖고 적절한 식이요법을 지도하는 것이 필요하다고 생각된다.

• 동의신경정신과학회지
• /
• 제12권2호
• /
• pp.17-25
• /
• 2001

Objectives: Obesity is related to psychological problems as well as physical problems. This study was designed to investigate the eating attitude and depression of females who participated in a fasting therapy. They were considered to have many eating attitude and psychological problems. Methods: 59 females were selected, they were admitted in Woosuk university hospital of oriental medicine(from August 1st, 2000 to July 31th, 2001) and 42 females were selected, they were college students of Woosuk university, Jeonju, Korea. We checked height, weight and administerd the Korean Eating Attitudes Test-26(KEAT-26), Beck Depression Inventory(BDI) and questions about binge-eating, smoking, drinking, exercise and body weight-wanted to females in two groups. Results: In fasting women group, 2(3.39%) were underweight, 24(40.68%) were average. The average of KEAT-26 in fasting women group$(13.33{\pm}7.65)$ was higher than that in college women group$(4.76{\pm}5.54)$(p<0.001). In fasting women group, 5(8.47%) had mild eating problem, 4(6.78%) had moderate eating problem, and 5(8.47%) had severe eating problem. In fasting women group, 47(79.66%) said 'yes' at the question(A-1, DSM-IV bulimia nervosa diagnosis), 33(55.93%) said 'yes' at the question(A-2, DSM-IV bulimia nervosa diagnosis) about binge eating. In fasting women group, 14(23.73%) had used vomiting, 13(22.03%) enemas, 27(45.76%) laxatives, 7(11.86%) diuretics, 6(10.17%) other drugs, 38(64.41%) fasting, 15(25.42%) severe exercise, and others 2(3.39%) to reduce their weight. The average of BDI in fasting women group$(12.44{\pm}6.70)$ was higher than that in college women group$(7.47{\pm}5.48)$(p<0.001). In fasting women group, 10(16.95%) had mild depression problem, 4(6.78%) had moderate depression problem, and 3(5.08%) had severe depression problem. In fasting women group, 41(64.49%) had under 5Kg-gap, and 18(30.51%) has over 5Kg-gap between weight-reasonable and weight-wanted. In 26 fasting women who were underweight or average-weight, 14 had over 5Kg-gap. Conclusions: These results suggest that the females who participated in a fasting therapy had many depression and eating problems, and we should pay attention to the eating disorders and psychological problems including depression as well as the physical problems when we treat obesity.

• 동의신경정신과학회지
• /
• 제19권3호
• /
• pp.255-264
• /
• 2008

The purpose of this study is to identify the effect on a patient with bulimia nervosa-purging type and depression according to the oriental medical treatment and cognitive-behavioral therapy. In this case, a 28 year-old female patient had a binge eating and reward behaviors for 2 years. This patient was treated with acupunture therapy, Soyo-san for 5 months after cognitive-behavioral therapy for 12 sessions(2 times a week). The result of this research showed that bulimia nervosa with depression was improved by our treatment.

• 한국의류학회지
• /
• 제31권7호
• /
• pp.1042-1051
• /
• 2007

The purposes of this study were to identify shoplifting items and assess consumers' attitudes toward shoplifting, and to determine the variables to effect shoplifting. Three hundred ninety-eight respondents of high school students were used for data analysis. Descriptive statistics, t-test, and multiple regression analysis were used. Results indicated 17.8% of the respondents experienced fashion item shoplifting in the last 3 years. Shoplifting fashion items were categorized accessory, apparel, and cosmetic, and so on. Generally fashion item shoplifters demonstrated generous attitudes toward shoplifting than non-shoplifters. There were statistically significant differences between shoplifters and non-shoplifters in that shoplifters showed more hedonic shopping orientation and higher compulsive buying than non-shoplifters did. Also, fashion item shoplifters were more likely to have high depression and binge eating behavior. Shoplifting attitudes were correlated with lower self-esteem and higher depression, hedonic shopping orientation, compulsive buying, and binge eating. Results of multiple regression revealed that hedonic shopping orientation and compulsive buying was significantly related to shoplifting attitudes. Based on these results, fashion marketing strategies to protect shoplifting would be suggested.

• 대한간호학회지
• /
• 제34권1호
• /
• pp.25-34
• /
• 2004

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.

• 한국임상약학회지
• /
• 제17권1호
• /
• pp.6-12
• /
• 2007

지난 20 여 년 간 서구 선진사회에서는 식사장애(Eating disorder) 중에서 신경성 폭식증(Bulimia nervosa)의 발병률이 급격히 상승하였고, 우리나라는 특히 젊은 여성층에서 발병률이 빠르게 상승하고 있다. 치료약물로는 주로 항우울제가 선택되지만, 치료효과가 미흡한 바, 항경련제인 topiramate가 효과가 있다는 보고들이 있어 이를 신경성 폭식증치료에 적극 사용할 수 있는가에 관심이 고조되었다. 본 연구는 topiramate가 지닌 신경성 폭식증 치료효과에 대한 최신 지견을 얻고자, 1990년부터 2006년 사이 MEDLINE과, 한국의학논문데이터베이스에 등재된 국내외 자료를 binge eating disorder, bulimia nervosa, topiramate라는 3개의 주요어휘로 검색하여 추출한 자료중에서, 대조군이 사용된 무작위 배정, 이중맹검 임상연구 및 치험사례 만을 선별하여 임상적유용성을 평가하였다. 국외 임상연구 및 치험사례에 따르면, topiramate가 신경성 폭식증에 수반되는 유해한 증상의 발생빈도를 경감시키는데 유효함을 나타내었다. 국내에는 아직 topiramate의 신경성 폭식증 치료효과를 검증한 체계화된 임상연구나 치험사례가 보고된 바 없었다. 피험자의 규모가 작다는 한계에도 불구하고, 일일 투여량 25 mg로 시작하여 점차 증량후 최대 600 mg까지 투여한 국외의 연구결과는, topiramate가 신경성 폭식증 치료에 유효한 결과를 보인다고 사료되므로, 국내 신경성 폭식증 임상치료와 연구에 반영되기를 기대한다.

• 한방비만학회지
• /
• 제15권1호
• /
• pp.45-50
• /
• 2015

섭식장애로 진단되는 24세 여자 환자에게 2주간 총 6회 위정격(胃正格)의 침 치료 및 반하백출천마탕(半夏白朮天麻湯) 투여로 비만도 향상 및 식습관 개선의 효과가 있었다.

• 한국지역사회생활과학회지
• /
• 제27권3호
• /
• pp.495-508
• /
• 2016

This study was conducted to recognize the need for diet and nutrition education to correct body-shape and eating habits that lead to eating disorders in college students. The relationship between diet and obesity was confirmed. Approximately 405 (male 46.4%, female 53.6%) students were evaluated by questionnaire in September 2014. The statistical program SAS (ver. 4.3) was used to evaluate the Chi-squared, F and T-value. The correlation between eating disorder risk and eating habits was evaluated by Pearson's correlation. Body type recognition was classified into nine steps up the body fatty (9) to skinny (1) to show their body. Eating disorder risk (KEAT-26) was composed of F1 (attachment factors for weight loss), F2 (attachment factors for binge eating, and food), and F3 (adjustment factor to eating their will. The risk of eating disorders in male 73.4% of low risk, in female 61.3% (p<0.05). According to body mass index, underweight groups recognized in the normal weight (53.7%), normal weight group was in overweight (29.1%) (p<0.001). According to body-type, the overweight group had a higher risk of eating disorders (68.2%). The KEAT-26 showed that the overweight and obese group were high-risk in F1 & F2, while the underweight group was high-risk in F3 (p<0.001). Recognized overweight showed the dangers of eating disorders, proper recognition of body-type and body mass index required. Tendency to seek a balanced diet was associated with eating disorders, no-imposed adequate diet for nutritional education would be made. Proper nutrition education for males is needed depending on the increased incidence of male eating disorders.

• 한국지역사회생활과학회지
• /
• 제17권2호
• /
• pp.89-103
• /
• 2006

This study was performed to provide sources of nutrition education for female adolescents by identifying eating disorder patterns and their relationships with self-body image, weight control, and eating behavior. A total of 329 female middle school students were recruited and completed a general characteristics survey, the Eating Attitudes Test(EAT-26), a perception of self-body image survey, a concern for weight control survey, an eating behavior survey, and the Mini Dietary Assessment Index(MDA). Eating disorder patterns were identified to be obesity stress and weight control(OW), risk of binge eating(RB), and dietary restraint(DR) by factor analysis. OW pattern was related with stout body shape, body dissatisfaction, experience of weight control, skipping of dinner, and low MDA score. RB pattern was associated with lean body shape, body satisfaction, indiscreet snack behavior, and the eating time of snacks. The DR pattern was associated with normal body shape, regular meal times, desirable snack behavior, and high MDA scores. The results indicated that the eating patterns of adolescent were not identical to existing diagnostic categories. Furthermore, each eating pattern displayed different characteristics of perception on self-body image, concern for weight control, and eating behavior. In conclusion, nutrition education for female middle school students could reflect the different characteristics of each eating disorder pattern.