• 대한불안의학회지
• /
• 제3권2호
• /
• pp.69-76
• /
• 2007

Anorexia nervosa is a physical and psychosocial disorder that occurs most frequently in adolescent girls and young adult women. A decade ago, anorexia nervosa was rare outside of the developed western countries. However, it is now becoming a common clinical problem among young women in Korea. It is not enough to merely focus on relieving patients from the symptoms of "not eating," which is a practice that has been adopted by some forms of hospital care. The evidence base to guide treatment is limited. Nevertheless, there is the hope that a better understanding of the factors that play a role in the initiation and maintenance of disordered eating behaviors may be lead to more sophisticated treatments. This review aims to look beyond the overt "not eating" phenotype of anorexia nervosa and considers eating disorder endophenotypes based on Treasure's model. The first part of the review sets the basis for a framework of potential eating disorder endophenotypes. A description of the evidence of disordered eating behaviors as well as the clinical and psychopathological features associated with the central control of appetite follow. Finally, we describe how endophenotypes can be translated into treatments.

• 생물정신의학
• /
• 제5권2호
• /
• pp.197-209
• /
• 1998

In mordern society, nutritional and appetite disorders occur in epidemic proportions and are serious health harzards. Obesity and diabetes affect over 30% of American population, while eating disorders, such as anorexia nervosa and bulimia nervosa occur in a growing number of adolescences and young adults. The changes in various sociocultural aspects with the introduction of Westernized culture have had the effect of increasing the risk of same problems in Korea. Disorderd eating patterns are a primary symptom of numerous psychiatric disorders and loss of appetite and cachexia, during illness or in the elderly, preclude proper medical treatment for restoring good health or preserving life. Increased understanding of the systems of the body and brain, related to energy and nutrient balance, may help us to treatment and ultimately prevent these commom disorders. In this review, the author highlights the psychobiological mechanisms or factors which are associated with eating behavior, especially in the view of intake psychobiology. This review would be concentrated on 1) the theoretical concepts and theories of eating behavior ; 2) the psychobiological determinants of food intake ; and 3) the psychobiological control of eating behavior.

• 한국식품영양학회지
• /
• 제18권3호
• /
• pp.229-240
• /
• 2005

This quantitative study was investigated to examine the relationship between severity of state-trait anxiety 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 to have an eating disorder, including anorexia nervosa and bulimia nervosa. Scores of healthy dietary behaviors were obtained by self-assessment instrument on healthy diet scale(20-item questionnaire), and severity of state-trait anxiety was calculated by state-trait anxiety inventory(Total 40- item questionnaire). In groups for each state anxiety and trait anxiety, there were divided between 50 percentile point of cumulatived scores of state anxiety and trait anxiety in all subjects. Linear regression analysis showed overall significant difference between dietary patterns(anorexia nervosa and healthy dietary behaviors) and severity of state-trait anxiety in all sex. Our results indicated that severity of state-trait anxiety may marked eating disorder symptomatology on dimensions of eating disorder prevention.

• 한국의류학회지
• /
• 제30권1호
• /
• pp.59-70
• /
• 2006

This study has analyzed females' motives and psychological experiences related to appearance-enhancement seeking behavior(weight control practice and cosmetic surgery). In this study, in-depth interviews were carried out to 11 females who had experienced weight control practices and cosmetic surgery in June 2001. There is social standard in ideal body image. One perceive a physical idea and own body through society(mass media, reference group), others and clothing, and recognize the ideal body and internalize the social standard as own worth. The discrepancies between ideal body image internalized as standards of own worth and real body image became a setup for body dissatisfaction. Increasing in body dissatisfaction, rejection of own body grow, furthermore body is perceived with distortion. In order to remove a negative body image and to reach ideal body image, appearance-enhancement seeking behavior such as weight control and cosmetic surgery is made. By appearance enhancing, one come to closer to ideal image of which one pursuit oneself. Therefore body satisfaction feeling increase, self·esteem rise, manner of life and character change to with affirmation. Otherwise, strengthening of appearance-concern and of appearance enhancement seeking desire has the possibility of developing into bulimia and cosmetic surgery addiction. Also, the standard of beauty in appearance rise by degrees, and that produces motives of appearance-enhancement seeking behavior.

• 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.

• 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.

• 대한상한금궤의학회지
• /
• 제15권1호
• /
• pp.131-148
• /
• 2023

Objective : We Explored the meaning of the 厥逆 in Gangpyeong-Shanghanlun through two cases. Methods : We analyzed the original form of 厥逆 and the contexts in Shanghanlun. At the same time, we analyzed 2 clinical cases treated with 大靑龍湯 (Daecheongryong-tang) according to the newly deduced definition of 厥逆. Results : 厥逆 can be interpreted as 'Being indulged and indigestive'. We analyzed the cases and found that both cases were related to eating disorder even though their chief complaints were different. We also found that 大靑龍湯 was effective for both bulimia nervosa and anorexia nervosa. Conclusions : 厥逆 is symptoms of reflux in human body such as, gastroesophageal reflux disease, as a result of concentration or indulgence. We analyzed the two cases with DSM-5 and found that the two cases also can be diagnosed with eating disorder along with the provision (38條, 大靑龍湯). We found out the possibility of correlation between eating disorder and 38條, however, more advanced clinical studies are needed in the future.

• 사상체질의학회지
• /
• 제22권3호
• /
• pp.110-121
• /
• 2010

1. Objectives: This investigation compares the eating behaviors across normal-weight male groups of different Sasang constitutional types. 2. Methods: We recruited 31 male participants aged 20-35 with BMI 18.5-23. The eating behavior was assessed using Gastrointestinal Symptom Rating Scale (GSRS), Bulimia Test Revised (BULIT-R), Korean Version of Eating Attitude Test-26 (KEAT-26), and Dutch Eating Behavior Questionnaire (DEBQ). 3. Results: 1) Assessments made by GSRS, KEAT-26, and BULIT-R were not significantly different across different Sasang constitutional types. (p<0.05) 2) The Soeum group showed significantly lower BMI and body weight compared to the Soyang and Taeeum groups. 3) The Emotional eating subscale of DEBQ differed significantly across different Sasang constitutional types. (p<0.05) 4) The Soeum group showed a significantly lower Emotional eating subscale score of DEBQ compared to the Soyang and Taeeum groups. 4. Conclusions: The results of this study suggest that emotional factors could influence eating behaviors differently across different Sasang constitutional types, in which the Soeum type is less affected than the Soyang type by emotional states.

• 여성건강간호학회지
• /
• 제8권4호
• /
• pp.570-582
• /
• 2002

The purpose of this study was to investigate the relationship between eating disorders, depression, and body dissatisfaction of middle aged women. Data was collected from June 1 to June 30, 1999 by means of a structured questionnaire. The subjects for this study were 99 middle aged women between the ages of 35 and 59, recruited from Seoul, Kyungido. The instruments were the BDI(Beck Depression Inventory) developed by Beck(1973), Eating Disorder Inventory(1997) developed by Garner & Garfinkel, Halm, Falk& Schwartz, Shin Mi Young. The instruments were the Body Dissatisfaction(1997) developed by Garner, Olstead & Polivy, Han osoo, yoo hee jung, shin Mi Young. The data was analyzed by the SPSS/PC program using frequency, percentage, mean, standard deviation, t-test, ANOVA and Pearson correlation coefficient. The results of this study are as follows 1. The mean body weight and height of the subjects were 57.49kg, 158.62cm. 2. Depending upon BMI, the obesity subjects were 18.2% and the rest(81.8%) were under weight or normal. More than 70% of the normal weight subjects(71 subjects) perceived their weight as overweight. 3. The total mean scores of anorexia nervosa were higher than bulimia nervosa. The total mean scores of eating disorders was 2.13. 4. The total mean scores of depression was 1.50. 5. The total mean scores of body dissatisfaction was 3.30. 6. There was a positive correlation between depression and eating disorders(r=.267, p<0.01)and, between body dissatisfaction and eating disorders(r=.273, p<0.01).There was not a significant correlation between depression and body dissatisfaction. According to the present study eating disorders in middle aged women developed because of the tendency to have negative perceptions of their bodies.

• 대한한방소아과학회지
• /
• 제16권1호
• /
• pp.105-124
• /
• 2002

With the progress of civilization, the disorders due to the stress, which derived from the social-structural complexity and diversity, are on an increasing trend in our times. Accordingly, the accurate diagnosis and appropriate treatment for them are required. Especially in the current years, children's disorders delivered by the emotional problems keep increasing. In this research, the researcher tried to figure out the cause of the children's stress and its treatment, studied the theories of the stress in the modem medicine and the sever emotions in oriental medicine, and came to the conclusion as follows: 1. The stress can be defined as the combination of the reaction to noxious stimuli and its defense mechanism of the body, In oriental medicine, it is considered as pathological notions which includes seven emotions as the internal factor, six evils as the external factor and other foods, expectoration, ecchymoma as the non-internal/external factors. 2. Children usually get stressed by various reasons in a growth process such as schooling, relationship with friends, the opposite sex of family, or change of surroundings, and these can cause the various disorders. 3. In the study of the children's stress symptoms, it is found that the silent reaction is uncommon. It usually appeared in both reactions: firs, physical reactions such as stomachache, vomiting, headache, neural frequent urination, bronchial asthma or excessive respiration and/or, second, behavioral reactions such as a decline of performance, alimentary disorder, e.g. anorexia nervosa or bulimia, sleep disorder, e.g. nightmare or panic in sleep, anthrophobia, refusal to a school attendance or hyperactiveness. Besides, the peculiar mental disorder such as paroxysm of anger, tic, autism, nocturnal enuresis, lack of attentiveness, impediment in linguistic development, learning difficulty, intellectual decline, etc. can be appeared, and the heavy stress during the babyhood can cause the regression of behavior or the immaturity of formation of character. 4. The appropriate treatments for the children's stress are Osteopathy, Manpulation, Aroma Therapy, Alexander Technique, Autonomic Never Control Treatment, Biofeedback, Chiropractic, Dance Therapy, Feldenkrasis Technique, Gravity Therapy, Homepathy, Aquatherapy, Hypnotherapy, Naturopathy and Meditation.