여고생의 섭식문제 구조모형 구축: 생체행동가족모형의 적용
Testing the Biobehavioral Family Model in Understanding the Eating Problems of Adolescent Girls
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목적 여고생의 섭식문제에 영향을 주는 요인 및 경로를 설명하는 모형을구축하고 검정하여, 여고생 섭식장애 예방을 위한 경로모형을 제시하고자 함. 방법 본 연구는 횡단적 조사연구로서 Wood 등(2000)의 생체행동가족모형에 근거하여 여고생의 섭식문제를 설명하기 위한 구조모형을 구축하고 이를 검증함. 결과 본 연구결과 여고생의 섭식문제에 영향을 주는 가족적 요인에 대한경로모형이 생체행동가족모형에 근거하여 구축될 수 있는 것으로 나타남. 우울은 섭식문제에 직접효과가 있었으며, 가족적 요인은 섭식문제에 통계적으로 유의한 직접적인 영향은 미치지 못하는 것으로 나타났으나, 섭식문제에 우울을 매개로 간접효과가 존재하는 것으로 나타남. 결론 여고생 섭식문제에 가족이 영향을 미치는 경로를 확인하였으며 추후 섭식문제의 치료를 위해 가족을 활용한 중재연구의 개발 및 효과평가를 제언하는 바임. 본 연구는 청소년 섭식문제의 발생에 있어 가족의 구체적인 영향력을 확인하려 하였다는 점에서 의의를 가짐.
Abstract
Purpose: This study was done to test a hypothesized model, the Biobehavioral Family Model (BBFM), on the relationship of family emotional climate, security of parent-child relationship, depression symptoms and eating problems in adolescent girls, to further understanding of eating problems in this population. Methods: With a convenience sample of 647 girls, aged 15 to 18, a self-report survey was conducted which included the Korean form of the Eating Attitude Test (EAT-26) to assess eating problems. Results: The estimated results of the structural equation modeling indicated a good fit of data to the hypothesized model proposing that family emotional climate and security of parent-child relationship were associated with the risk of eating problems by way of depression symptoms. That is, negative family emotional climate and insecure parent-child relationship increased the risk of eating problems indirectly by way of depression symptoms. Conclusion: The findings are consistent with the BBFM, which suggests a psychobiologic influence of specific family processes on children’s stress-sensitive physical disease activity by way of depression symptoms. Therefore, the applicability of the BBFM for understanding adolescent girls’ eating problems is supported. The psychobiologic pathways from depression to eating pathology should be addressed in future studies.
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