간호학과 학생의 신체변형장애에 관한 연구
Body Dysmorphic Disorder in a Korean Nurse College Student Sample
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초록
목 적 저자들은 대전지역 간호학과 학생을 대상으로 신체변형장애의 임상 특성과 관련 심리적 변인을 알아보기 위해 연구하였다. 방 법 한국판 신체변형장애 척도, 한국판 Maudsley 강박행동 질문지, 한국판 Beck 우울증 척도, 한국판 자아존중감 척도, 한국판 Liebowitz 사회 불안 척도를 607명의 간호학과 학생에게 시행하였다. 결 과 BDD군은 18명(2.97%)이었으며 가장 마음에 들지 않는 신체 부위로 다리 전체, 눈, 코, 허리-배, 종아리 순을 보고하였다. non-BDD군보다 BDD군에서 우울감, 강박증, 자존심 저하, 사회 불안-회피 성향이 유의미하게 높았다. 간호학과 학생 전체를 대상으로 신체변형장애 성향에 가장 영향을 주는 변인은 우울감이었으며 BMI, 사회 불안 성향, 연령, 강박증, 자존감 순이었다. 여학생의 경우 신체변형장애 성향에 영향을 주는 변인은 우울감, BMI, 사회 불안 성향, 연령, 강박증, 자존감 순이었다. 남학생의 경우 신체변형장애 성향에 영향을 주는 변인은 우울감, 강박증 순이었다. 결 론 본 연구는 향후 신체변형장애 연구에 유용한 자료로 사용될 수 있을 것이다. 그러나 많지 않은 표본수를 감안할 때 우리의 연구를 실증하기 위해 보다 많은 표본을 대상으로 연구가 시행되어야 할 것이며 신체변형장애 환자들에 대한 임상 특성에 대한 연구가 필요할 것이다.
Abstract
Objectives：The purposes of this study were to examine prevalence, characteristics and comorbidity of BDD in Korean nurse college students. Methods：Korean versions of BDDE-SR, MOCI, BDI, SES, LSAS were applied to 607 Korean nurse college students. Results：1) Five factors were extracted in BDDE-SR by factor analysis with the Varimax rotation. They were‘preoccupation, distress, embarrassment factor’,‘avoidance factor’,‘checking, comparing, camouflaging factor’,‘dissatisfaction factor’,‘importance factor’. 2) Sex differences in dissatisfied body parts on whole body, head hair, whole face, genitals, breasts were significant by chi-square test. 3) Eighteen participants(2.97%) were satisfied with DSM-IV criteria A and B of body dysmorphic disorder(BDD group). 4) The most dissatisfied body part was entire leg, eye, nose, waist-abdomen, calves in BDD group. 5) Differences between BDD group and non-BDD group on age and weight were significant by Mann-Whitney U-tests. 6) Differences between BDD group and non-BDD group on BDI, MOCI, LSAS-anxiety scale, LSAS-avoidance scale, SES were significant by Mann-Whitney U-tests. 7) Differences between men and female on BDDE-SR factor 1, BDDE-SR factor 2, BDDE-SR factor 3, BDDE-SR total factors, LSAS-avoidance scale were significant by Mann-Whitney U-tests. 8) Using multiple regression analysis the most contributing variance toward the total factor score of BDDE-SR of participants was BDI, and others were BMI, LSAS-anxiety scale, age, MOCI, SES in order of contribution. Conclusion：Our results indicate that BDD is a common disorder and is highly associated with depression, anxiety, obsessive-compulsive disorder symptoms, poor self-esteem. The authors suggest that future researches should be directed to obtaining clinical data of the patients with BDD.
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