한국판 보상적 섭식 욕구 척도의 타당화
Validation of the Korean Version of Reward-based Eating Drive-13
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
음식이 주는 보상 경험을 위해 배가 고프지 않음에도 불구하고 강박적으로 음식을 먹는 행동을 일컫는 보상적 섭식은 맛있는 음식의 종류와 접근성이 증가하는 현대 사회에서 병리적인 과식, 비만을 유발하는 주요한 요소로 주목받고 있다. 보상적 섭식과 관련되는 기존의 다양한 측정 도구들이 있으나, 각 척도마다 측정하고자 하는 주요 개념 및 각 척도가 반영하는 보상적 섭식의 수준이 다르다. 이에 최근 보상적 섭식 욕구의 정상적 수준부터 병리적 수준까지 전 범위를 측정하는 도구인 보상적 섭식 욕구 척도(Reward-based Eating Drive-13: RED-13)가 개발되었다. 본 연구에서는 RED-13을 한국어로 번역한 후 439명의 대학생을 대상으로 요인분석, 신뢰도 및 타당도를 확인하였다. 탐색적 및 확인적 요인분석 결과, 한국판 보상적 섭식 욕구 척도는 원판 RED-13과 마찬가지로 과식통제상실, 음식몰두, 포만감부족의 3요인으로 구성되어 있는 것으로 확인되었다. 내적 일치도 및 검사-재검사 신뢰도도 양호한 수준으로 나타났다. 한국판 보상적 섭식 욕구 척도는 DEBQ의 정서적 섭식과 외부적 섭식, TFEQ의 탈억제와 배고픔, 그리고 음식 갈망 수준과 정적 상관을 보였으며 절제된 섭식과는 상대적으로 낮은 상관을 보였다. 폭식행동 및 음식중독과 강한 정적 상관을 보였고 BMI와 정적 상관의 경향성을 보여, 한국판 보상적 섭식 욕구 척도의 수렴 및 준거 타당도가 적절한 것으로 확인되었다. 이러한 결과는 한국판 보상적 섭식 욕구 척도가 개인의 보상적 섭식 욕구 수준을 평가하기 위한 신뢰롭고 타당한 도구임을 시사한다.
Abstract
Reward-related eating (RRE), which refers to the behavior of compulsively eating food despite not feeling hungry for the rewarding experience, is considered as a major factor causing pathological overeating and obesity in modern society. There are various existing measurement tools related to RRE, but main aspects to be measured and the severity of RRE reflected by each scale are different. Accordingly, the Reward-based Eating Drive-13 (RED-13) was recently developed as a tool to measure the entire range from normal to pathological level of compulsive overeating desire. The purpose of this study is to translate the RED-13 into Korean and to examine its reliability and validity in college students. Result of exploratory and confirmatory factor analysis confirmed that the Korean version of the RED-13 consisted of three factors: loss of control, preoccupation with food, and lack of satiety. The internal consistency and test-retest reliability were found to be good. The Korean version of the RED-13 showed a positive correlation with various eating behaviors and food craving. It also showed a strong positive correlation with binge eating behavior and food addiction as well as a tendency of positive correlation with BMI. These results suggest that the Korean version of the RED-13 is a reliable and valid tool for assessing an individual's level of RRE.
참고문헌 (39)
- 김미애, "폭식행동에 대한 이중경로 모형의 검증: 내적 자각, 정서적 섭식의 매개효과와 BMI 수준에 따른 다집단 분석", 상담학연구, 15(6), pp.2165~2189 (2014), 한국상담학회[DOI]
- 김인혜, "사회 문화적 영향, 신체불만족, 대처방식 및 이분법적 사고가 폭식행동과 절식행동에 미치는 영향", Korean Journal of Clinical Psychology, 33(2), pp.315~339 (2014), 한국임상심리학회[DOI]
- 김효정, "식이행동 질문지의 신뢰도, 타당도 연구", 한국심리학회지 : 임상, 15(1), pp.141~150 (1996)
- 노지혜, "일반적 음식갈망-특질 척도(G-FCQ-T)의 타당화", Korean Journal of Clinical Psychology, 27(4), pp.1039~1051 (2008), 한국임상심리학회[DOI]
- 손은정, "여대생의 자아존중감, 신체 비교, 마른 이상적인 체형의 내면화, 신체 불만족이 이상 섭식 행동에 미치는 영향", 한국심리학회지: 상담 및 심리치료, 20(3), pp.885~901 (2008), 한국상담심리학회
- 신성만, "예일음식중독척도 2.0(Yale Food Addiction Scale 2.0) 국내 타당화 연구", 한국심리학회지:여성, 23(1), pp.25~49 (2018), 한국여성심리학회[DOI]
- 이수현, "비만 여중생의 신체상 만족도 및 폭식행동이 우울에 미치는 영향", 석사, 임상심리, pp.2000
- 이임순, "섭식절제척도의 타당도 연구: 섭식절제 및 역규제적 섭식 척도들 간의 비교", 한국심리학회지: 건강, 7(1), pp.143~158 (2002), 한국건강심리학회
- Bongers, P., "Emotional eating is not what you think it is and emotional eating scales do not measure what you think they measure", Frontiers in Psychology, 7, pp.1932~ (2016)[DOI]
- Brewer, J. A., "Can mindfulness address maladaptive eating behaviors? Why traditional diet plans fail and how new mechanistic insights may lead to novel interventions", Frontiers in Psychology, 9, pp.1~11 (2018)
- Carr, K. A., "Reinforcement pathology and obesity", Current Drug Abuse Reviews, 4(3), pp.190~196 (2011)
- Davis, C, "From passive overeating to “Food Addiction” A spectrum of compulsion and severity", Obesity, pp.e435027~ (2013)[DOI]
- Davis, C., "From motivation to behaviour : A model of reward sensitivity, overeating, and food preferences in the risk profile for obesity", Appetite, 48(1), pp.12~19 (2007)
- Davis, C., "Sensitivity to reward : Implications for overeating and overweight", Appetite, 42(2), pp.131~138 (2004)
- Epel, E., "The Reward-Based Eating Driv Scale: a self-report index of reward-based eating", PLoS ONE, 9(6) (2014)[DOI]
- Galmiche, M., "Prevalence of eating disorders over the 2000-2018 period : A systematic literature review", The American Journal of Clinical Nutrition, 109(5), pp.1402~1413 (2019)
- Gearhardt, A. N., "Preliminary validation of the Yale Food Addiction Scale", Appetite, 52, pp.430~436 (2009)
- Gearhardt, A. N., "The addiction potential of hyperpalatable foods", Current Drug Abuse Reviews, 4(3), pp.140~145 (2011)
- Gormally, J., "The assessment of binge eating severity among obese persons", Addictive Behaviors, 7(1), pp.47~55 (1982)
- Hu, L. T., "Cutoff criteria for fit indexes in covariance structure analysis : Conventional criteria versus new alternatives", Structural Equation Modeling : A Multidisciplinary Journal, 6(1), pp.1~55 (1999)
- Kessler, D. A., "The end of Overeating: Taking control of the insatiable American appetite" (2010), Rodale press
- Koritzky, G., "Decision-making, sensitivity to reward, and attrition in weight management", Obesity, 22(8), pp.1904~1909 (2014)
- Lennerz, B. S., "Effects of dietary glycemic index on brain regions related to reward and craving in men", The American journal of clinical nutrition, 98(3), pp.641~647 (2013)
- Lowe, M. R., "Hedonic hunger : a new dimension of appetite", Physiology and Behavior, 91, pp.432~439 (2007)
- Lowe, M. R., "The Power of Food Scale A new measure of the psychological influence of the food environment", Appetite, 53(1), pp.114~118 (2009)
- Mason, A. E., "Reduced reward-driven eating accounts for the impact of a mindfulness based diet and exercise intervention on weight loss: data from the SHINE randomized controlled trial", Appetite, 100, pp.86~93 (2016)
- Mason, A. E., "Improving assessment of the spectrum of reward-related eating : The RED-13", Frontiers in Psychology, 8, pp.795~ (2017)[DOI]
- Meule, A., "A short version of the Food Cravings Questionnaire-Trait: the FCQ-T-reduced", Frontiers in Psychology, 5(190), pp.1~10 (2014)
- Moss, M., "Salt, sugar, fat: How the food giants hooked us" (2013), Random House
- Stice, E., "Relative ability of fat and sugar tastes to activate reward, gustatory, and somatosensory regions", The American Journal of Clinical Nutrition, 98, pp.1377~1384 (2013)
- Stunkard, A. J., "The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger", Journal of psychosomatic research, 29, pp.71~83 (1985)
- Thelen, M. H., "A revision of the Bulimia Test: The BULIT—R", Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3(1), pp.119~124 (1991)
- Vainik, U., "Rapid Assessment of Reward-Related Eating: The RED-X5", Obesity, 27, pp.325~331 (2019)
- Vainik, U., "Uncontrolled eating: a unifying heritable trait linked with obesity, overeating, personality and the brain", European Journal of Neuroscience, 50(3), pp.2430~2445 (2019)
- Vainik, U., "Eating traits questionnaires as a continuum of a single concept Uncontrolled eating", Appetite, 90, pp.229~239 (2015)
- Van Strien, T., "The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior", International Journal of Eating Disorders, 5(2), pp.295~315 (1986)
- Volkow, N. D., "Reward, dopamine and the control of food intake:implications for obesity", Trends in Cognitive Sciences, 15(1), pp.37~46 (2011)
- Wardle, J., "Body image and weight control in young adults:international comparisons in university students from 22 countries", International Journal of Obesity, 30(4), pp.644~651 (2006)
- Yu, Z., "Disordered Eating Behaviors and Food Addiction among 697Nutrition Major College Students", Nutrients, 8(11), pp.673~ (2016)[DOI]