본문 바로가기
KERD
논문KCI 등재

부적응적 완벽주의, 부정정서, 부정적 긴급성이 여자 대학생의 신경성 폭식증 증상에 미치는 영향

The Influence of Maladaptive Perfectionism, Negative Affect, and Negative Urgency on Bulimic Symptoms among Female College Students

0

조회

0

다운로드

8

인용

0

참고문헌

키워드

주제분류심리과학

초록

본 연구에서는 부적응적 완벽주의, 부정정서, 부정적 긴급성이 여자 대학생의 신경성 폭식증 증상에 미치는 영향을 검증하고자 하였다. 그동안 신경성 폭식증에 대한 심리적 위험요인으로 부정정서와 성격특질 요인들이 연구되었지만, 이 둘을 함께 고려하여 신경성 폭식증 증상의 기제를 통합적으로 설명하려는 시도는 소수에 불과했다. 본 연구에서는 부정정서가 신경성 폭식증 증상을 예측하는 경로에서 부적응적 완벽주의와 부정적 긴급성이라는 두 성격특질 요인이 미치는 영향을 살펴보고자 하였다. 구체적으로 부적응적 완벽주의는 부정정서에 선행하는 성격특질로, 부정적 긴급성은 부정정서와 신경성 폭식증 증상 사이의 관계를 조절 혹은 매개하는 성격특질로 가정하였다. 본연구에는 여자 대학생 174명이 참가하였으며, 이들을 대상으로 자기보고식 질문지를 사용하여 해당 변인들을 측정하고 분석하였다. 분석결과, 부적응적 완벽주의가 부정정서와 부정적 긴급성을 차례로 거쳐 신경성 폭식증 증상을 예측하는 순차적 매개효과가 유의한 것으로나타났다. 또한 부적응적 완벽주의는 부정정서를 거치지 않고도 부정적 긴급성만을 매개변인으로 하여 증상을 예측하였으며, 어떠한 매개변인을 거치지 않고 부적응적 완벽주의가 신경성 폭식증 증상을 예측하는 직접효과 또한 유의하였다. 본 연구결과는 부정정서와 성격특질 요인이 다양한 경로를 통해 신경성 폭식증 증상의 발달에 영향을 미칠 수 있음을 시사하며, 이러한 결과를 바탕으로 본 연구의 한계점과 이론적, 임상적 의의를 논하였다.

Abstract

The purpose of this study was to examine the integrative effects of maladaptive perfectionism, negative affect, and negative urgency on bulimic symptoms in young women. Although negative affect and personality variables, such as maladaptive perfectionism and negative urgency have been studied as risk factors for bulimic symptoms, relatively little is known about underlying mechanisms by which these factors may conjointly lead to the development of bulimic symptoms. The current study therefore examined an integrative model of bulimic symptoms, including both personality and affect variables simultaneously. Specifically, maladaptive perfectionism was hypothesized as an antecedent of negative affect, and negative urgency was hypothesized as a mediator or a moderator between negative affect and bulimic symptoms. A total of 174 female college students completed a series of self-report inventories assessing maladaptive perfectionism, negative affect, negative urgency, and bulimic symptoms. The results indicated that negative affect and negative urgency sequentially mediated the effect of maladaptive perfectionism on bulimic symptoms. Additionally, negative urgency mediated the effect of maladaptive perfectionism on bulimic symptoms without its association with negative affect, and the direct effect of maladaptive perfectionism on bulimic symptoms was also significant. Based on these findings, the implications and limitations of this study were discussed.

참고문헌 (87)

  1. Agras, W. S., "The effects of caloric deprivation and negative affect on binge eating in obese binge-eating disordered women", Behavior Therapy, 29, pp.491~503 (1998)
  2. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders: DSM-5" (2013), American Psychiatric Publishing
  3. Anestis, M. D., "Dysregulated eating and distress: Examining the specific role of negative urgency in a clinical sample", Cognitive Therapy and Research, 33, pp.390~397 (2009)
  4. Bardone-Cone, A. M., "Self-oriented and socially prescribed perfectionism dimensions and their associations with disordered eating", Behaviour Research and Therapy, 45, pp.1977~1986 (2007)
  5. Bardone-Cone, A. M., "Predicting bulimic symptoms: An interactive model of self-efficacy, perfectionism, and perceived weight status", Behaviour Research and Therapy, 44, pp.27~42 (2006)
  6. Bardone-Cone, A. M., "Perfectionism and eating disorders: Current status and future directions", Clinical Psychology Review, 27, pp.384~405 (2007)
  7. Bardone-Cone, A. M., "Predicting difficulties controlling overeating and drinking when experiencing negative affect in undergraduate women", Journal of Social and Clinical Psychology, 31, pp.1051~1073 (2012)
  8. Bardone-Cone, A. M., "Perfectionism and eating disorders: Current status and future directions", Clinical Psychology Review, 27, pp.384~405 (2007)
  9. Baumeister, R. F., "Ego depletion: Is the active self a limited resource?", Journal of personality and social psychology, 74, pp.1252~ (1998)
  10. Berg, K. C., "Facets of negative affect prior to and following binge-only, purge-only, and binge", purge events in women with bulimia nervosa, 2013, pp.122, 111~118
  11. Bieling, P. J., "Is perfectionism good, bad, or both? Examining models of the perfectionism construct", Personality and individual differences, 36, pp.1373~1385 (2004)
  12. Boone, L., "Too strict or too loose? Perfectionism and impulsivity: The relation with eating disorder symptoms using a person-centered approach", Eating behaviors, 15, pp.17~23 (2014)
  13. Boone, L., "Perfectionism, body dissatisfaction, and bulimic symptoms: The intervening role of perceived pressure to be thin and thin ideal internalization", Journal of Social and Clinical Psychology, 30, pp.1043~1068 (2011)
  14. Boone, L., "An empirical typology of perfectionism in early-to-mid adolescents and its relation with eating disorder symptoms", Behaviour Research and Therapy, 48, pp.686~691 (2010)
  15. 변지애, "긍정 및 부정 정서가 남녀 고등학생의 폭식행동에 미치는 영향: 다차원적 충동성(UPPS-P)의 조절효과", Korean Journal of Clinical Psychology, 35(4), pp.784~796 (2016), 한국임상심리학회[DOI]
  16. Castro‐Fornieles, J., "Self‐oriented perfectionism in eating disorders", International Journal of Eating Disorders, 40, pp.562~568 (2007)
  17. Cooper, Z., "The evolution of “enhanced”cognitive behavior therapy for eating disorders: Learning from treatment nonresponse", Cognitive and Behavioral Practice, 18, pp.394~402 (2011)
  18. Corstorphine, E., "Changes in internal states across the binge-vomit cycle in bulimia nervosa", The Journal of Nervous and Mental Disease, 194, pp.446~449 (2006)
  19. Chua, J. L., "Negative mood-induced overeating in obese binge eaters: An experimental study", International Journal of Obesity, 28, pp.606~610 (2004)
  20. Crosby, R. D., "Daily mood patterns and bulimic behaviors in the natural environment", Behaviour Research and Therapy, 47, pp.181~188 (2009)
  21. Culbert, K. M., "Associations between negative affect and binge", purge behaviors in women with anorexia nervosa: Considering the role of negative urgency, 2016, pp.66, 104~112
  22. Cyders, M. A., "Depression, impulsivity and health-related disability: A moderated mediation analysis", Journal of Research in Personality, 45, pp.679~682 (2011)
  23. Cyders, M. A., "Emotion-based dispositions to rash action: Positive and negative urgency", Psychological Bulletin, 134, pp.807~828 (2008)
  24. Cyders, M. A., "Integration of impulsivity and positive mood to predict risky behavior: Development and validation of a measure of positive urgency", Psychological Assessment, 19, pp.107~118 (2007)
  25. Davis-Becker, K., "The relationship of trait negative urgency and negative affect to disordered eating in men and women", Personality and Individual Differences, 56, pp.9~14 (2014)
  26. Dunkley, D. M., "Personal standards and evaluative concerns dimensions of “clinical” perfectionism: A reply to Shafran et al.(2002, 2003) and Hewitt et al.(2003)", Behaviour Research and Therapy, 44, pp.63~84 (2006)
  27. Dunkley, D. M., "Self-critical perfectionism and daily affect: Dispositional and situational influences on stress and coping", Journal of Personality and Social Psychology, 84, pp.234~252 (2003)
  28. Engel, S. G., "The relationship of momentary anger and impulsivity to bulimic behavior", Behaviour Research and Therapy, 45, pp.437~447 (2007)
  29. Fairburn, C. G., "Cognitive behaviour therapy for eating disorders: A “transdiagnostic” theory and treatment", Behaviour Research and Therapy, 41, pp.509~528 (2003)
  30. Fairburn, C. G., "Binge Eating: Nature, Assessment and Treatment", pp.361~404 (1993), Guilford Press
  31. Fischer, S., "A prospective test of the influence of negative urgency and expectancies on binge eating and purging", Psychology of Addictive Behaviors, 27, pp.294~300 (2013)
  32. Fox, J. R., "Eating disorders: A basic emotion perspective", Clinical Psychology & Psychotherapy, 16, pp.328~335 (2009)
  33. Friedman, M. A., "The relationship between weight and psychological functioning among adolescent girls", Obesity Research, 3, pp.57~62 (1995)
  34. Frost, R. O., "A comparison of two measures of perfectionism", Personality and Individual Differences, 14(1), pp.119~126 (1993)
  35. Frost, R. O., "The dimensions of perfectionism", Cognitive Therapy and Research, 14, pp.449~468 (1990)
  36. Goldschmidt, A. B., "Ecological momentary assessment of stressful events and negative affect in bulimia nervosa", Journal of Consulting and Clinical Psychology, 82, pp.30~39 (2014)
  37. Gonzalez, V. M., "Role of impulsivity in the relationship between depression and alcohol problems among emerging adult college drinkers", Experimental and Clinical Psychopharmacology, 19, pp.303~313 (2011)
  38. Gustafsson, S. A., "Risk and protective factors for disturbed eating in adolescent girls–aspects of perfectionism and attitudes to eating and weight", European Eating Disorders Review, 17, pp.380~389 (2009)
  39. Haedt-Matt, A. A., "Revisiting the affect regulation model of binge eating: A meta-analysis of studies using ecological momentary assessment", Psychological Bulletin, 137, pp.660~681 (2011)
  40. Han, K., "Multidimensional Perfectionism – Concept, Measurement, and Relation with Maladjustment", doctor, pp.1993
  41. Hayes, A. F., "Introduction to mediation, moderation, and conditional process analysis: a regression-based approach" (2013), The Guilford Press
  42. Heatherton, T. F., "Binge eating as escape from self-awareness", Psychological Bulletin, 110, pp.86~108 (1991)
  43. Hersen, M., "Adult psychopathology and diagnosis" (2011), John Wiley &Sons
  44. Hewitt, P. L., "Perfectionism in the self and social contexts: Conceptualization, assessment, and association with psychopathology", Journal of Personality and Social Psychology, 60, pp.456~470 (1991)
  45. Hewitt, P. L., "Perfectionism traits and perfectionistic self-presentation in eating disorder attitudes, characteristics, and symptoms", International Journal of Eating Disorders, 18, pp.317~326 (1995)
  46. Hewitt, P. L., "Perfectionism and depression:Longitudinal assessment of a specific vulnerability hypothesis", Journal of Abnormal Psychology, 105, pp.276~280 (1996)
  47. Hohlstein, L. A., "An application of expectancy theory to eating disorders: Development and vali dation of measures of eating and dieting expectancies", Psychological Assessment, 10, pp.49~58 (1998)
  48. Hyun, J., "The Effect of Perfectionism and Evaluative Threat on the Performance of Task", master, pp.1992
  49. 전주리, "정서조급성과 폭식행동의 관계", 석사, 임상ㆍ상담심리학, pp.2011
  50. Karyadi, K. A., "Urgency and negative emotions:Evidence for moderation on negative alcohol consequences", Personality and Individual Differences, 51, pp.635~640 (2011)
  51. Kaye, W. H., "Effects of acute tryptophan depletion on mood in bulimia nervosa", Biological Psychiatry, 47, pp.151~157 (2000)
  52. Lavender, J. M., "Negative affect, negative urgency, thought suppression, and bulimic symptoms: A moderated mediation analysis in a sample at‐risk for bulimic symptoms", European Eating Disorders Review, 23, pp.246~250 (2015)
  53. Lavender, J. M., "Reciprocal associations between negative affect, binge eating, and purging in the natural environment in women with bulimia nervosa", Journal of Abnormal Psychology, 125, pp.381~386 (2015)
  54. 이희주, "완벽주의 성향과 신경성 폭식증의 관계에서 자아존중감과 자아통제감의 매개효과", 석사, 심리학, pp.2001
  55. 이현희, "한국판 정적 정서 및 부적 정서 척도 (Positive Affect and Negative Affect Schedule; PANAS)의 타당화 연구", Korean Journal of Clinical Psychology, 22(4), pp.935~946 (2003), 한국임상심리학회
  56. 이상선, "거식 행동과 폭식 행동에 자기 평가의 신체 비중, 신체 불만족, 완벽주의, 충동성이 미치는 영향", 박사, 심리학, pp.2005
  57. 임선영, "부정 긴급성, 부정 정서 및 정서조절곤란이 폭식과 자해행동에 미치는 영향 : 다차원적 충동성 이론을 중심으로", 박사, 심리학과 임상심리학전공, pp.2014
  58. 임선영, "한국판 다차원적 충동성 척도(UPPS-P)의 타당화 연구: 대학생 집단을 대상으로", Korean Journal of Clinical Psychology, 33(1), pp.51~71 (2014), 한국임상심리학회
  59. Loth, K. A., "Could the resource depletion model of self‐control help the field to better understand momentary processes that lead to binge eating?", International Journal of Eating Disorders, 49, pp.998~1001 (2016)
  60. Mauler, B. I., "Affect regulation and food intake in bulimia nervosa:Emotional responding to food cues after deprivation and subsequent eating", Journal of Abnormal Psychology, 115, pp.567~579 (2006)
  61. Miller, J., "A test of the four-factor model of impulsivity-related traits", Personality and Individual Differences, 34, pp.1403~1418 (2003)
  62. Oltmanns, T. F., "Abnormal psychology", pp.278~299 (2012), Pearson
  63. Pang, R. D., "Depressive symptoms, negative urgency and substance use initiation in adolescents", Drug and Alcohol Dependence, 144, pp.225~230 (2014)
  64. Pearson, C. A., "The multiple dimensions of perfectionism and their relation with eating disorder features", Personality and Individual Differences, 41, pp.225~235 (2006)
  65. Pennesi, J. L., "A systematic review of the existing models of disordered eating: Do they inform the development of effective interventions?", Clinical Psychology Review, 43, pp.175~192 (2016)
  66. Polivy, J., "Dieting and binging: A causal analysis", American Psychologist, 40, pp.193~201 (1985)
  67. Preacher, K. J., "SPSS and SAS procedures for estimating indirect effects in simple mediation models", Behavior Research Methods, Instruments, & Computers, 36, pp.717~731 (2004)
  68. Preacher, K. J., "Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models", Behavior Research Methods, 40, pp.879~891 (2008)
  69. Racine, S. E., "Exploring the relationship between negative urgency and dysregulated eating: Etiologic associations and the role of negative affect", Journal of Abnormal Psychology, 122, pp.433~444 (2013)
  70. Rice, K. G., "Self-esteem as a mediator between perfectionism and depression: A structural equations analysis", Journal of Counseling Psychology, 45, pp.304~ (1998)
  71. Sherry, S. B., "The perfectionism model of binge eating: Tests of an integrative model", Journal of Personality and Social Psychology, 96, pp.690~709 (2009)
  72. Sherry, S. B., "The perfectionism model of binge eating: Testing unique contributions, mediating mechanisms, and crosscultural similarities using a daily diary methodology", Psychology of Addictive Behaviors, 28, pp.1230~1239 (2014)
  73. Smith, G. T., "On the validity and utility of discriminating among impulsivity-like traits", Assessment, 14, pp.155~170 (2007)
  74. Smith, M. C., "Development and validation of a test for bulimia", Journal of Consulting and Clinical Psychology, 52, pp.863~872 (1984)
  75. Smyth, J. M., "Daily and momentary mood and stress are associated with binge eating and vomiting in bulimia nervosa patients in the natural environment", Journal of Consulting and Clinical Psychology, 75, pp.629~638 (2007)
  76. 손은정, "여대생의 사회적으로 부과된 완벽주의와 폭식행동 간의 관계에서 대인관계 불일치, 지각된 사회적 지지, 우울의 매개효과", 한국심리학회지: 상담 및 심리치료, 25(2), pp.309~330 (2013), 한국상담심리학회
  77. Song, H., "The effects of maladaptive perfectionism on anxiety:State locus control as a moderator", master, pp.2015
  78. Steele, A., "The interaction of perfectionism, perceived weight status, and self-esteem to predict bulimic symptoms: The role of ‘benign’perfectionism", Behaviour Research and Therapy, 45, pp.1647~1655 (2007)
  79. Stice, E., "A prospective test of the dual-pathway model of bulimic pathology: mediating effects of dieting and negative affect", Journal of Abnormal Psychology, 110, pp.124~135 (2001)
  80. Stice, E., "Risk and maintenance factors for eating pathology:A meta-analytic review", Psychological Bulletin, 128, pp.825~848 (2002)
  81. Striegel-Moore, R. H., "Toward an understanding of risk factors for bulimia", American Psychologist, 41, pp.246~264 (1986)
  82. 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)
  83. Waller, G., "Anger and core beliefs in the eating disorders", International Journal of Eating Disorders, 34, pp.118~124 (2003)
  84. Watson, D., "Development and validation of brief measures of positive and negative affect: The PANAS scales", Journal of Personality and Social Psychology, 54, pp.1063~1070 (1988)
  85. Whiteside, S. P., "The five factor model and impulsivity: Using a structural model of personality to understand impulsivity", Personality and Individual Differences, 30, pp.669~689 (2001)
  86. Wonderlich, S. A., "Personality subtyping and bulimia nervosa: Psychopathological and genetic correlates", Psychological Medicine, 35, pp.649~657 (2005)
  87. Yoon, H., "The relatlonships amomg binge eating behavior, depressive symptoms, and attributional style", master, pp.1996

관련 논문AI추천

이 간행물의 다른 논문 (9건)