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정서명명이 신경성 폭식증 경향 여대생의 정서적 섭식행동 감소에 미치는 효과: 인지적 재해석과 심리교육과의 비교

Affect Labeling Reduces Emotional Eating Behaviors among Female Undergraduates with Bulimic Tendencies: Comparisons with Cognitive Reappraisal and Psychological Education

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주제분류심리과학

초록

정서명명이란 자신이 경험하는 감정이 무엇인지 이름 붙임으로써 정서를 명확하게 인식하도록 돕는 정서조절 전략이다. 본 연구는 정서명명 처치가 신경성 폭식증 경향이 있는 여대생들의 정서적 섭식행동 감소에 미치는 효과를 검증하고자 하였다. 이를 위해 여대생 901명 중신경성 폭식증 경향이 있는 42명을 선별하여 정서명명(n=14), 인지적 재해석(n=13), 심리교육(n=15) 처치 집단으로 무선할당하고 개인별로 처치를 진행하였다. 처치가 끝난 후 즉흥 발표 과제를 실시하여 불안을 유도하였고, 발표를 하면서 앞서 훈련한 정서명명 또는 인지적 재해석 전략을 사용하도록 하였다. 발표가 끝난 후에는 가짜 맛 평가 과제를 실시하여 참여자들이 섭취한 고탄수화물 간식(빵, 초콜릿, 감자칩)의 양(kcal)으로 정서적 섭식행동을 측정하였다. 실험 결과, 정서명명과 인지적 재해석 집단은 심리교육 집단에 비해 발표 과제 당시 불안 수준이 유의하게 낮았고, 발표 후 실제 간식 섭취량 또한 유의하게 낮았다. 특히, 정서명명 집단은 인지적 재해석 집단보다 간식 섭취량이유의하게 더 낮았다. 이러한 결과들은 정서명명과 인지적 재해석 처치 둘 다 불안으로 인한 섭식행동 감소에 효과적이며, 특히 정서명명 처치는 인지적 재해석 처치보다 더욱 효과적임을 시사한다. 이 같은 결과들을 바탕으로 본 연구의 의의와 임상적 시사점에 대해 논의하였다.

Abstract

Affect labeling refers to naming one’s emotional experiences, which has proven to be a helpful strategy in down-regulating negative emotion. This study aimed to examine the effects of affect labeling on reducing emotion-induced eating among individuals with bulimic symptoms. Forty-two female undergraduates with bulimic tendencies were randomly assigned to one of the following treatment groups: affect labeling (AL; n=14), cognitive reappraisal (CR; n=13), or psychological education (PE; n=15). Following treatment, an impromptu speech task was given in order to induce anxiety, and participants were instructed to use the previously learned strategy during the speech task. Subsequently, a bogus taste test was conducted with high-carbohydrate snacks, and snack intake (kcal) was calculated as a measure of anxiety-induced eating behaviors. Results showed that both the AL and CR groups reported lower speech anxiety and consumed less snacks, as compared to the PE group. Furthermore, the AL group consumed even less snacks than the CR group. These results suggest that, while both AL and CR are effective in reducing anxiety-induced eating behaviors, AL may be more effective than CR. The implications of these findings are discussed.

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