본문 바로가기
KERD
논문KCI 등재

초기 성인기 여성의 외로움, 통제감 그리고 폭식행동 변화에 대한 종단연구

A Longitudinal Analysis of Changes in Loneliness, Sense of Control and Binge Eating Symptoms among Young Adult Women

0

조회

0

다운로드

9

인용

0

참고문헌

키워드

주제분류심리과학

초록

이 연구는 초기 성인기 여성을 대상으로 외로움과 통제감, 폭식행동의 관계를 종단적으로 분석하였다. 구체적으로 외로움, 통제감 그리고 폭식행동은 연구기간인 2년 동안 안정적으로 지속되며 서로를 양방향으로 예측할 것이라 가정하였다. 이때 외로움의 증가는 통제감의 감소를 통해 폭식행동의 증가를 예측할 것이라 가정하였다. 가설 검증을 위해 서울 및 수도권 소재 대학에서 18-31세 초기 성인기 여성 570명을 대상으로 6개월을 주기로 2년 동안 4회 설문을 실시하고, 자기회귀 교차지연 모형을 통해 종단적 매개효과를 분석하였다. 그 결과 외로움, 통제감, 폭식행동은 2년 동안 안정적으로 유지되었고 외로움과 폭식행동은 서로 예측하지 않았으며, 외로움과 통제감은 서로 부적으로 예측하였고 통제감은 폭식행동을 예측하였으나 폭식행동은 통제감을 예측하지 않는 일방향적 관계가 검증되었다. 외로움이 통제감을 매개로 폭식행동을 예측하는 종단적 매개효과는 검증되었으나 폭식행동이 통제감을 매개로 외로움을 예측하는 종단적 매개효과는 검증되지 않았다. 이 연구의 결과가 갖는 학문적 의의와 상담 장면에서의 함의를 논의에 제시하였다.

Abstract

This study aims to examine a longitudinal relationship between loneliness, sense of control, and binge eating symptoms. We hypothesize that loneliness, sense of control, and binge eating symptoms would remain stable and reciprocally related over two years. We expected that decrease in sense of control would mediate the relationship between increase in loneliness and binge eating symptoms. We employed autoregressive cross-lagged modeling with 570 young adult Korean women aged 18-31 who completed surveys four times over two years. We found that loneliness, sense of control, and binge eating symptoms were stable over time. We also found that loneliness and sense of control negatively predicted each other, and sense of control negatively predicted binge eating over time. Although the reciprocal relationship between loneliness and binge eating was not significant, this relationship was mediated by sense of control over time. Theoretical and clinical implications of the study and limitations were discussed.

참고문헌 (76)

  1. 김누리, "성인진입기 여성의 부모애착이 우울에 미치는 영향: 자아존중감과 외로움의 매개효과", 한국심리학회지: 발달, 30(2), pp.19~42 (2017), 한국심리학회 산하 한국발달심리학회
  2. 김미혜, "노년기 우울증원인에 대한 경로분석", 한국노년학회, 20(3), pp.211~226 (2000)
  3. 김수영, "구조방정식 모형의 기본과 확장 : Mplus 예제와 함께" (2016), 학지사
  4. 김주환, "구조방정식모형으로 논문쓰기" (2009), 커뮤니케이션북스
  5. 박선영, "가족기능 및 자아존중감과 청소년이 외로움간의 관계", 아동학회지, 19(1), pp.229~244 (1998)
  6. 박현정, "잠재성장모형과 자기회귀교차지연모형을 활용한 종단매개효과 검증: 부모자녀관계가 자아존중감을 매개로 우울에 미치는 영향", 교육평가연구, 26(1), pp.83~106 (2013), 한국교육평가학회
  7. 안재은, "신경성 폭식증과 폭식 장애 환자에서의 음식에 대한 선호도 차이", 중독정신의학, 21(1), pp.38~43 (2017), 한국중독정신의학회[DOI]
  8. 이미현, "부정적 정서와 폭식행동의 관계-정서조절곤란의 매개효과를 중심으로-", 인지행동치료, 12(2), pp.129~144 (2012), 한국인지행동치료학회[DOI]
  9. 이민규, "한국판 식사태도검사-26(The Korean Version of Eating Attitudes Test-26 KEAT-26) 표준화 연구 I 신뢰도 및 요인분석", 정신신체의학, 6(2), pp.155~175 (1998), 한국정신신체의학회
  10. 이신혜, "자기 자비의 부족이 여자 청소년의 폭식행동에 미치는 영향과 그 기제: 신체 불만족, 섭식절제 및 부적 정서의 매개효과", 인지행동치료, 14(1), pp.103~121 (2014), 한국인지행동치료학회
  11. 이지현, "문항묶음:원리의 이해와 적용", 한국심리학회지:일반, 35(2), pp.327~353 (2016), 한국심리학회[DOI]
  12. 임지수, "폭식행동과 분노표현양식, 부정정서 조급성과의 관계에 대한 고찰", 심리치료 : 다학제적 접근, 17(2), pp.77~96 (2017)
  13. 장휘숙, "성인초기의 발달과업과 행복의 관계", 한국심리학회지: 발달, 22(1), pp.19~36 (2009), 한국심리학회 산하 한국발달심리학회
  14. 정유진, "성인 여성과 여자 청소년의 사회적 배척 이후 처벌 행동에 영향을 미치는 요인", 한국심리학회지: 발달, 30(1), pp.177~193 (2017), 한국심리학회 산하 한국발달심리학회
  15. 최호영, "정서강도와 정서인식의 명확성이 여고생의 폭식행동에 미치는 영향 -회피적 정서조절 양식의 매개효과-", 상담학연구, 12(5), pp.1579~1597 (2011), 한국상담학회[DOI]
  16. 홍세희, "인터넷 중독과 부모와의 의사소통 사이의 자기회귀 교차지연 효과 검증: 성별간 다집단 분석", 교육심리연구, 21(1), pp.129~143 (2007), 한국교육심리학회
  17. 홍세희, "다변량 고차잠재 성장모형을 이용한 내외통제성과 학업성취의 종단관계 분석", 교육평가연구, 17(2), pp.131~146 (2004), 한국교육평가학회
  18. American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders" (2013), American Psychiatric Association
  19. Arcelus, J., "The role of interpersonal functioning in the maintenance of eating psychopathology : A systematic review and testable model", Clinical Psychology Review, 33(1), pp.156~167 (2013)
  20. Ben-Zur, H., "The association of mastery with loneliness : An integrative review", Journal of Individual Differences, 39, pp.238~248 (2018)
  21. Browne, M. W., "Testing structural equation models", pp.136~162 (1993), Sage
  22. Bruce, B., "Binge eating in females : A population-based investigation", International Journal of Eating Disorders, 12(4), pp.365~373 (1992)
  23. Bulik, C. M., "An empirical study of the classification of eating disorders", The American Journal of Psychiatry, 157(6), pp.886~895 (2000)
  24. Cacioppo, J. T., "Loneliness:Human nature and the need for social connection" (2008), W. W. Norton
  25. Chen, F. F., "Sensitivity of goodness of fit indexes to lack of measurement invariance", Structural Equation Modeling, 14(3), pp.464~504 (2007)
  26. Cheung, G. W., "Evaluating goodness-of-fit indexes for testing measurement invariance", Structural Equation Modeling, 9(2), pp.233~255 (2002)
  27. correlation analysis for the behavioral sciences, "Applied multiple regression", pp.2003, Cohen, J.
  28. Cole, D. A., "Testing mediational models with longitudinal data : Questions and tips in the use of structural equation modeling", Journal of Abnormal Psychology, 112(4), pp.558~577 (2003)
  29. Conger, K. J., "Development of mastery during adolescence : The role of family problem-solving", Journal of Health and Social Behavior, 50(1), pp.99~114 (2009)
  30. Curran, P. J., "The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis", Psychological Methods, 1(1), pp.16~29 (1996)
  31. Deci, E. L., "The"what"and"why"of goal pursuits : Human needs and the self-determination of behavior", Psychological Inquiry, 11(4), pp.227~268 (2000)
  32. DiTommaso, E., "Attachment styles, social skills and loneliness in young adults", Personality and Individual Differences, 35(2), pp.303~312 (2003)
  33. Erikson, E. H., "Youth: Change and challenge" (1963), Basic books
  34. Froreich, F. V., "Dimensions of control and their relation to disordered eating behaviours and obsessive-compulsive symptoms", Journal of Eating Disorders, 4(1), pp.14~ (2016)
  35. Garner, D. M., "The eating attitudes test : Psychometric features and clinic correlates", Psychological Medicine, 12(4), pp.871~878 (1982)
  36. Gerstorf, D., "Antecedent-consequent relations of perceived control to health and social support:Longitudinal evidence for between-domain associations across adulthood", The journals of gerontology. Series B, Psychological sciences and social sciences, 66(1), pp.61~71 (2010)
  37. Goldschmidt, A. B., "Momentary affect surrounding loss of control and overeating in obese adults with and without binge eating disorder", Obesity, 20(6), pp.1206~1211 (2011)
  38. Goldschmidt, A. B., "Overeating and binge eating in emerging adulthood : 10-year stability and risk factors", Developmental Psychology, 52(3), pp.475~483 (2016)
  39. Hawkley, L. C., "Loneliness matters : A theoretical and empirical review of consequences and mechanisms", Annals of Behavioral Medicine, 40(2), pp.218~227 (2010)
  40. Kaniasty, K., "People under extreme stress", pp.131~147 (2006), Nova Science
  41. Kenny, M. E., "Attachment to parents and adjustment in late adolescent college students : Current status, applications, and future considerations", The Counseling Psychologist, 23(3), pp.433~456 (1995)
  42. Levine, M. P., "Loneliness and eating disorder", The Journal of Psychology, 146(1-2), pp.243~257 (2012)
  43. Limbert, C., "Perceptions of social support and eating disorder characteristics", Health Care for Women International, 31(2), pp.170~178 (2010)
  44. Lincoln, K. D., "Financial strain, negative interactions, and mastery : Pathways to mental health among older African Americans", Journal of Black Psychology, 33(4), pp.439~462 (2007)
  45. Luhmann, M., "Age differences in loneliness from late adolescence to oldest old age", Developmental Psychology, 52(6), pp.943~959 (2016)
  46. MacKinnon, D. P., "Equivalence of the mediation, confounding and suppression effect", Prevention Science, 1(4), pp.173~181 (2000)
  47. Magallares, A., "Well-being and prejudice toward obese people in women at risk to develop eating disorders", The Spanish Journal of Psychology, 15(3), pp.1293~1302 (2012)
  48. Masheb, R. M., "Emotional overeating and its associations with eating disorder psychopathology among overweight patients with binge eating disorder", International Journal of Eating Disorder, 39(2), pp.141~146 (2006)
  49. Micali, N., "Lifetime and 12-month prevalence of eating disorders amongst women in mid-life : A population-based study of diagnoses and risk factors", BMC Medicine, 15(1), pp.12~ (2017)
  50. Miller, P. M., "Self-efficacy in overweight individuals with binge eating disorder", Obesity Research, 7(6), pp.552~555 (1999)
  51. Paczkowski, E., "Parenting children with and without developmental delay : The role of self-mastery", Journal of Intellectual Disability Research, 51(6), pp.435~446 (2007)
  52. Pearlin, L. I., "The Stress Process", Journal of Health and Social Behavior, 22(4), pp.337~356 (1981)
  53. Pearlin, L. I., "The structure of coping", Journal of Health and Social Behavior, 19(1), pp.2~21 (1978)
  54. Pitts, S. C., "Longitudinal measurement models in evaluation research : Examining stability and change", Evaluation and program planning, 19(4), pp.333~350 (1996)
  55. Polivy, J., "Causes of eating disorders", Annual Review of Psychology, 53(1), pp.187~213 (2002)
  56. Qian, J., "Prevalence of eating disorders in the general population: A systematic review", Shanghai Archives of Psychiatry, 25(4), pp.212~223 (2013)
  57. Rainer, J. P., "Rural mental health: Issues, policies, and best practices", pp.65~78 (2012), Springer Publishing
  58. Reis, O., "Individuation during adolescence and emerging adulthood : Five German studies", International Journal of Behavioral Development, 32(5), pp.369~371 (2008)
  59. Rotenberg, K. J., "Loneliness, dysphoria, dietary restraint, and eating behavior", International Journal of Eating Disorders, 25(1), pp.55~64 (1999)
  60. Rotenberg, K. J., "Bulimic symptoms and the social withdrawal syndrome", Eating Behaviors, 14(3), pp.281~284 (2013)
  61. Russell, D., "The revised UCLA loneliness scale : Concurrent and discriminant validity evidence", Journal of Personality and Social Psychology, 39(3), pp.472~480 (1980)
  62. Shank, L. M., "Examination of the interpersonal model of loss of control eating in the laboratory", Comprehensive Psychiatry, 76, pp.36~44 (2017)
  63. Shea, M. . Chachelin, F., "Cultural adaptation of cognitive behavior therapy guided self-help program for Mexican American women with binge eating disorders", Journal of Counseling & Development, 90(3), pp.308~318 (2012)
  64. Shrout, P. E., "Mediation in experimental and nonexperimental studies : New procedures and recommendations", Psychological Methods, 7(4), pp.422~445 (2002)
  65. Steiger, H., "Hypersensitivity to social interactions in bulimic syndromes : Relationship to binge eating", Journal of Consulting and Clinical Psychology, 67(5), pp.765~775 (1999)
  66. Steptoe, A., "Loneliness and neuroendocrine, cardiovascular, and inflammatory stress responses in middle-aged men and women", Psychoneuroendocrinology, 29(5), pp.593~611 (2004)
  67. Strecher, V. J., "The role of self-efficacy in achieving health behavior change", Health Education Quarterly, 13(1), pp.73~92 (1986)
  68. Surjadi, F. F., "Parental support, partner support, and the trajectories of mastery from adolescence to early adulthood", Journal of adolescence, 34(4), pp.619~628 (2011)
  69. Tice, D. M., "Emotional distress regulation takes precedence over impluse control: If you feel bad, do it!", Journal of Personality and Social Psychology, 80(1), pp.53~67 (2001)
  70. Tomba, E., "Psychological well-being in out-patients with eating disorders : A controlled study", International Journal of Eating Disorders, 47(3), pp.252~258 (2014)
  71. Vandereycken, W., "The addiction model in eating disorders : Some critical remarks and a selected bibliography", International Journal of Eating Disorders, 9(1), pp.95~101 (1990)
  72. Victor, C. R., "The prevalence of loneliness among adults: A case study of the United Kingdom", The Journal of Psychology, 146(1-2), pp.85~104 (2012)
  73. Wei, M., "Adult attachment, social self-efficacy, self-disclosure, loneliness, and subsequent depression for freshman college students : A longitudinal study", Journal of Counseling Psychology, 52(4), pp.602~614 (2005)
  74. Wilson, G. T., "Acceptance and change in the treatment of eating disorders and obesity", Behavior Therapy, 27(3), pp.417~439 (1996)
  75. Wolff, G. E., "Differences in daily stress, mood, coping, and eating behavior in binge eating and nonbinge eating college women", Addictive Behaviors, 25(2), pp.205~216 (2000)
  76. Zeeck, A., "Emotion and eating in binge eating disorder and obesity", European Eating Disorders Review, 19(5), pp.426~437 (2011)

관련 논문AI추천

이 간행물의 다른 논문 (10건)