원주지역 여대생들의 이상식이습관과 관련된 식행동과 체형, 영양지식과의 관련성

원향례 대한지역사회영양학회 1998 대한지역사회영양학회지 Vol.3 No.2

This study was made to find out the relationship between the eating attitude influenced by an eating disorder and nutritional knowledge among 441 female college students. A self-report questionnaire was used, and the summary of the results are as follows : Almost all of the surveyed female college students were in criteria of standard weight, however they regard themselves more obese than what their actual body shape normally shows. The correlation between perceived body shape and the eating attitude influenced by an eating disorder turned out to be high(p<0.001). The significant level of correlation between the perceived body shape and the eating attitude test-26(EAT-26) scores showed much higher than that obtained between actual shape, degree of obesity and eating attitude test-26(EAT 26) scores(p<0.001). There was no significant level of correlation between the defree of obesity and the average score of nutritional knowledge obtained out of the total questionnaire, however it showed significant level of correlation between macronutrient and roughage(p<0.05), fat and calorie requirement(p<0.01). There was significant correlation among perceived body shape, actual weight and eating attitude influenced. by an eating disorder. Thus the correct perception of body shape turned out to be an important factor in obtaining the desirable eating attitude and adequate nutritional knowldege.

국민 식생활 변화가 비만에 미치는 영향: 외식 소비 확대를 중심으로

김성용 ( Sung Yong Kim ) 한국축산경영학회,농업정책학회(구 한국축산경영학회) 2015 농업경영정책연구 Vol.42 No.4

The Increase in eating away from home has been reported to be associated with obesity rates in many countries. Using individual dietary data from Korea Health and Nutrition Examination Survey, we examine the impact of eating away from home on Korean adults’ obesity. The impact on obesity was evaluated by individual Body Mass Index (BMI) available from the Korea National Health and Nutrition Examination Survey. To measure its effect, we use a matching method to control heterogeneity of socio-economic backgrounds, observable dietary patterns and health conditions between eating out groups and not eating out groups, or more frequently eating out group and less frequently eating out group. In addition, we conduct a quantile regression analysis to go beyond its mean effect, looking at distributional effect of eating out. The difference of BMI between eating out group and non-eating out group was found to be positive and significant, although the magnitudes are relatively small ranging between 0.156 and 0.362. The quantile regression results show that impacts of eating away from home are different across the frequency of eating out and the quantiles of BMI distribution. When they are not much frequently eating out (for example, 1~3 times per month), the impact of eating out are larger for persons at lower quantile BMI rather than those who being at higher quantile BMI. On the other hand, the impact of eating out more frequently, which amounts to be 1~6 times per week are larger for persons at higher quantile BMI rather than lower quantile BMI. The most popular among policy options to reduce obesity rate is to provide nutritional information on food items people choose to eat. However, for making menu labeling launched in food away from home sectors contribute to improve Korean adults`` dietary life, other nutrition educational programs, public health campaigns on healthy eating, changing food serving-related environments in the food service establishment should be combined with the nutritional labeling schemes.

경기 일부지역 고등학생의 성별 야식 섭취 빈도에 따른 식습관

김희진,김성영 동아시아식생활학회 2019 동아시아식생활학회지 Vol.29 No.5

This study examined the eating habits by night eating frequency of gender among high school students (n=516) in Gyeonggi region. The night eating frequency was divided into three groups (low, <1 a week; middle, 1∼2 times a week; high, >3 times a week) according to gender. The eating habits of the high group in the girls were more ‘Skipping breakfast (p<0.01)’ and ‘Unbalanced diet (p<0.05)’ than the other groups, whereas the those low group were more ‘Regular mealtime (p<0.05)’ and ‘Eating small amounts (p<0.01)’ than the other groups. In contrast, the high group of boys was eating much more than the other groups (p<0.05). The eating frequency of the high group in the boys was higher in ‘Noodles (p<0.001)’, ‘Fast foods (p<0.01)’, and ‘Ice creams (p<0.05)’ than other groups. The high group of the girls was higher in ‘Noodles (p<0.01)’, ‘Breads (p<0.05)’, ‘Snacks (p<0.001)’, ‘Fast foods (p<0.01)’, ‘Confectionaries (p<0.001)’, and ‘Beverages (p<0.05)’ than the other groups, but the low group was higher in ‘Mixed rice (p<0.05)’ and ‘Beans (p<0.05)’ than the other groups. Recognition of a change in eating habits by night eating showed that the high group of the girls was higher in ‘Binge eating (p<0.05)’ than the other groups, whereas the high group of the boys was more ‘Eating instant foods (p<0.05)’ than the other groups. In conclusion, frequent night eating of high school students induced poor eating habits (‘Skipping breakfast’, ‘Unbalanced diet’, and eating ‘Fast foods’ and ‘Confectionaries’, and ‘Binge eating’), particularly in girls. Therefore, practical nutrition education plans are required to reduce the night eating frequency of high school students considering gender.

중학생의 외식 실태에 대한 연구- 2016년 청소년 식품소비행태조사 -

나예슬,전은례,정난희 한국식생활문화학회 2019 韓國食生活文化學會誌 Vol.34 No.3

This study examined the actual condition of middle school students’ dining out based on the data of the 2016 youth food behavior inquiry data of the Korea Rural Economic Institute. The eating out behavior of 278 middle school students’ according to gender, average eating-out cost per person, monthly average dining-out cost per person, frequency of having breakfast weekly, and dietary information source were calculated into a chi-square value by cross analysis. The main results of this study are as follows. First, in middle school students' eating-out status, most students answered 'eating out', and the highest frequency of eating out was once a week. The reason for eating out was 'to enjoy delicious food', and 'costly price' was the most common reason for not eating out. Food taste was the most common standard for selecting eating out, and a restaurant was the most common place to eat out. The main restaurant was the 'Kimbap specialized store'. Second, there was no significant difference in all items of eating-out status according to gender (p<.001). A significant difference in eating out frequency was observed according to the average eating-out cost per person at one time (p<.001), standard of selecting eating out (p<.001), main places to eat out (p<.001), and main restaurants (p<.001). There was a significant difference in the frequency of eating out (p<.001) in the eating-out status according to the monthly average eating out cost of middle school students per person. Third, the eating-out status according to the weekly frequency of having breakfast of middle school students had a significant difference in the reason for eating out (p<.001). The eating-out status according to the eating information source of middle school students had a significant difference in whether they ate out or not (p<.01) and the frequency of eating out (p<.01). These results highlight the importance of school diet education so that middle school students can achieve healthy eating habits and plan to increase their interest and utilization of school dietary education.

Eating habits and eating behaviors by family dinner frequency in the lower-grade elementary school students

Seo Yeon Lee,Seong Ah Ha,Jung Sook Seo,Cheong Min Sohn,Hae Ryun Park,Kyung Won Kim 한국영양학회 2014 Nutrition Research and Practice Vol.8 No.6

BACKGROUND/OBJECTIVES: Recently, there has been an increased interest in the importance of family meals on children’s health and nutrition. This study aims to examine if the eating habits and eating behaviors of children are different according to the frequency of family dinners. SUBJECTS/METHODS: The subjects were third-grade students from 70 elementary schools in 17 cities nationwide. A two-stage stratified cluster sampling was employed. The survey questionnaire was composed of items that examined the general characteristics, family meals, eating habits, eating behaviors, and environmental influence on children’s eating. The subjects responded to a self-reported questionnaire. Excluding the incomplete responses, the data (n = 3,435) were analyzed using χ²-test or t-test. RESULTS: The group that had more frequent family dinners (≥ 5 days/week, 63.4%), compared to those that had less (≤4 days/week, 36.6%), showed better eating habits, such as eating meals regularly, performing desirable behaviors during meals, having breakfast frequently, having breakfast with family members (P < 0.001), and not eating only what he or she likes (P< 0.05). Those who had more frequent family dinners also consumed healthy foods with more frequency, including protein foods, dairy products, grains, vegetables, seaweeds (P < 0.001), and fruits (P < 0.01). However, unhealthy eating behaviors (e.g., eating fatty foods, salty foods, sweets, etc.) were not significantly different by the frequency of family dinners. CONCLUSIONS: Having dinner frequently with family members was associated with more desirable eating habits and with healthy eating behaviors in young children. Thus nutrition education might be planned to promote family dinners, by emphasizing the benefits of having family meals on children’s health and nutrition and making more opportunities for family meals.

三國時代 匙箸의 普及과 食事方式

오승환 (사)한국문화유산협회 2019 야외고고학 Vol.0 No.34

Eating by using spoons and chopsticks is an important feature of Korean food culture which cannot be found in other countries. However, it is still unknown when this eating method using spoons and chopsticks began and how they were used in the past. Therefore, the purpose of this paper is to examine when the eating method using spoons and chopsticks was started and investigate the food culture in those days. Spoons and chopsticks in the Korean peninsula were found for the first time during Nakrang Period but only in the tombs of royal classes. Therefore, the actual usage began during the period of the Three States. Spoons and chopsticks were excavated in Onyeo mountain fortress of Goguryeo and silver spoons were excavated in Golden Crown Tomb of Silla. These excavations indicate that spoons and chopsticks were used partially by the royal and noble families during the period of Goguryeo and Silla. Usage of spoons and chopsticks becomes prevalent in Sabi period of Baekje. This is because of brisk exchanges with China and acceptance of their food culture which used spoons and chopsticks for eating. In Baekje, it is assumed that eating method using spoons and chopsticks may have been spreaded not only to the noble families but also to subordinate officers. However, not everyone used spoons and chopsticks for eating because spoons and chopsticks excavated during the Sabi period of Baekje were limited to Buyeo areas, the capital of Baekje, and rarely found in other areas. In this sense, it is logical to assume that only royal and noble families used spoons and chopsticks during the period of Goguryeo and Silla and it was spreaded to subordinate officers during Baekje period. Eventually, during the period of the Three States, most people ate by hand instead of using spoons and chopsticks except for people of Baekje. Spoons and chopsticks were used as eating tools for the first time in ancient China. However, spoons and chopsticks were not used together from the beginning. Spoons were used for eating soup or porridge while chopsticks were used for eating other meals. Korea was also affected by China during the period of the Three States thus spoons and chopsticks were not used together. This is supported by the fact that spoons and chopsticks are far apart in Royal Tomb of King Muryeong. Eating method using spoons and chopsticks together was first found in Tang dynasty of China and in Goryeo dynasty of Korea. As such, spoons and chopsticks are small tools to understand the eating methods of the ancient times as well as the key words to investigate the food culture of East Asia. 오늘날 숟가락과 젓가락을 함께 사용하는 식사방식은 다른 나라에서 보기 어려운한국만의 고유한 음식문화이다. 그러나 우리나라에서 숟가락과 젓가락을 이용한 식사방식이 언제부터 시작되었으며, 초기의 사용방식은 어떠하였는지에 대해 아직 밝혀지지 않았다. 이 글은 우리나라에서 숟가락과 젓가락을 이용한 식사법의 등장과 사용방식, 나아가당시의 음식문화에 대해 살펴보고 있다. 한반도에서 가장 이른 시기의 숟가락은 낙랑의 분묘에서 출토되지만 일부 최상층 무덤에 한정되며 아직 젓가락은 보이지 않는다. 삼국시대에는 숟가락과 젓가락이 모두 나타나며, 다양한 재질과 형식이 생활유적에서 출토되는 것으로 보아 이때부터 본격적으로 사용되었음을 알 수 있다. 고구려는 숟가락과 젓가락이 4세기 말~5세기 초 오녀산성에서 출토되므로 늦어도 이 때부터 사용되었음을 알 수 있다. 신라에서는 숟가락이 금관총 출토품외에 사례가 없어 사용여부가 불분명하다. 다만 젓가락은 함안 성산산성에서 다수 출토되어 6세기 후반에는 사용되기 시작한 것으로 보인다. 백제의 한성~웅진기 사례는 많지 않으나 사비기부터 여러 유적에서 다양한 재질과 형식이 나타난다. 이는 숟가락과 젓가락을이용한 식사방식이 일찍부터 사용된 南北朝의 여러 나라와 활발히 교류하면서 그들의 음식문화를 받아들인 데서 그 배경을 찾을 수 있을 것이다. 그 결과, 숟가락과 젓가락을 이용한 식사방식이 점차 하급관료나 그 하위계층에도 확산되었을 것으로 판단된다. 따라서고구려와 신라에서는 주로 왕실과 귀족층 위주로 숟가락이나 젓가락이 사용되지만, 백제에서는 사비기부터 점차 그 사용 계층이 확대되었음을 알 수 있다. 숟가락과 젓가락을 이용한 식사예법이 시작된 곳은 고대 중국이지만 처음부터 숟가락과 젓가락이 함께 쓰였던 것은 아니다. 고대 중국에서 숟가락은 국물이나 죽을 뜨고, 젓가락은 국물 속의 건더기를 건지는 용도였으나, 점차 젓가락은 밥과 음식을 먹는데 사용되었다. 우리나라에서도 삼국시대에는 동시기의 중국과 마찬가지로 숟가락과 젓가락을 함께사용하지 않았다. 이러한 사실은 무령왕릉의 숟가락과 젓가락이 서로 다른 곳에 놓인 데다짝도 맞지 않는 데서 알 수 있다. 중국에서도 商~南北朝時代까지는 숟가락과 젓가락을한 벌로 쓰지 않았으며, 그 배치도 음식기의 측면에 세로방향으로 두었다. 唐代에 이르러숟가락과 젓가락은 지금의 우리나라와 마찬가지로 한 벌을 이루어 사용하기 시작하였다. 그리고, 밥상에서의 배치는 음식기 앞에 가로 방향으로 두었다. 고대 중국의 식사예법은교류가 활발하던 동시기 백제의 음식문화에도 영향을 미쳤을 것이다. 무령왕릉에서는 출토맥락이나 여러 정황으로 보아 아직 숟가락과 젓가락은 한벌로 사용되지 않았으며, 그 배치도 음식기 옆에 세로 방향으로 놓였을 가능성이 크다. 이러한 특징은 사비기까지 지속되는 것으로 보인다. 이상에서 보듯 숟가락과 젓가락은 고대 동아시아의 음식문화와 식사예법을 이해하는데 있어 주요한 機制가 될 수 있음을 잘 보여주고 있다

가족 역할을 중심으로 본 한국 여성의 섭식장애

권다예,김정선 한국보건사회학회 2017 보건과 사회과학 Vol.0 No.44

This study attempts to examine the social dimension of eating disorder among adolescent girls in Korea, particularly focusing on the role of family. Recent studies on the cause of eating disorder in adolescent girls pointed out physical, psychological, and social factors such as BMI, stress, and pressures of media or friends are important in framing eating habits and perception of eating disorders. To examine the important dynamics of personal and social factors of eating disorder in adolescent girls in Korea, a survey was carried out in a girls’ high school in Daegu. In addition, to back up a survey data, in-depth interviews were conducted to 17 women with eating disorder problems. Several significant results are as follows: First, 13.4% of the respondents are have eating disorder and 28.4% are classified as “high risk for eating disorder group” in this survey. Eating disorder is serious problem in adolescent girls. Second, stress, family diet pressure, diet-will and media diet pressure affected Eat-26 (p<0.001). Especially, family diet pressure is the most influential factor in the level of Eat-26 (B=.248, t=3.849). Third, from the in-deapth interviews of 17 people who have experienced eating disorder, it is found that family’s diet pressure and abuse by family were key to start to diet which led them to eating disorder. It is found that family played a significant role in overcoming eating disorder. In conclusion, this study suggests that we should look for multiple dimensions as cause of eating disorder among adolescent girls, including physical and mental aspect at individual level and various aspects of social factors. The result especially implies the crucial role of family in the whole process of eating disorder. 섭식에 불편함을 겪는 섭식 장애는 ‘정신 질환(mental disease)’으로 분류되지만, 섭식 장애가 여성이라는 특정 성, 15세에서 25세라는 특정 연령, ‘음식이 풍부한 선진 국가’라는 특정 지역에 주로나타난다는 사실은 섭식 장애가 사회 경제적 요인을 함께 고려해야 하는 ‘질병(illness)’의 성격을 지니고 있음을 함의 한다. 본 연구는 실제 섭식 장애 경험자 17명을 대상으로 한 심층 면접과 지방의한 여자고등학교 학생들을 대상으로 한 설문조사를 바탕으로 섭식장애에 영향을 미치는 다양한 요인들을 분석하였다. 그 결과 440명의 응답자 중 약 13.4%가 섭식 장애를 경험하는 것으로 추정되었으며, 28.4%가 섭식 장애 위험군으로 분류되었다. 섭식장애에 영향을 미치는 사회적 요인을 분석하기위해 회귀분석을 한 결과 BMI지수로 본 신체적 요인, 본인의 다이어트 의지, 스트레스 등과 같은 인지적 요인, 미디어나 가족의 압력 등과 같은 사회적 요인들이 유의미한 변수로 파악되었다. 특히 가족들의 다이어트에 대한 압력이 섭식 장애에 가장 큰 영향력을 미치고 있는 것으로 파악되었다. 이러한 양적분석의 결과는 심층면접 결과로도 확인되는데 가족들의 다양한 층위의 다이어트 압력 외에도음식을 통한 가족의 학대, 가족의 강압적 분위기 등이 섭식 장애와 관련이 있다는 점이 드러났다. 동시에 섭식 장애의 극복에 있어서도 가족의 지지와 역할이 중요한 것으로 나타나, 섭식 장애의 발생과극복에 있어서 가족은 중요한 변수로 작용한다는 것을 확인할 수 있었다.

경기 일부지역 중학생의 야식 섭취실태

조유진(Yu-Jin Cho),김미현(Mi-Hyun Kim),김명희(Myung-Hee Kim),최미경(Mi-Kyeong Choi) 한국식품영양과학회 2014 한국식품영양과학회지 Vol.43 No.2

본 연구에서는 경기 일부지역에 거주하는 중학생 705명을 대상으로 야식 섭취형태, 야식 선택 시 고려사항, 야식 메뉴별 기호도 및 섭취빈도, 야식 섭취에 따른 식습관을 비교분석함으로써 청소년의 야식 섭취상태와 그에 따른 문제점을 제시하고자 하였다. 주 1회 이상 야식을 한다는 대상자를 ‘야식군’으로 분류하였고, 전체대상자 중 야식군은 422명(59.9%)이었다. 야식을 먹는 주된 이유는 배가 고파서(79.1%)로 나타났으며, 야식을 먹게 되는 경로는 가족이 구입해서가 39.3%로 가장 높았고, 야식을 먹는 장소는 집이 96.2%로 높은 비율을 보였다. 야식을 먹는 시간은 밤 10∼11시가 40.3%로 가장 높았으며, 야식 대상자의 32.9%가 야식 후 1시간 이내에 잠자리에 들고, 야식을 먹고 난 후 다음날 아침의 변화에 대하여 69.2%가 변화가 없다고 답하였다. 야식 메뉴를 선택할 때 맛, 위생, 양 등의 순서로 중요하게 고려하는 것으로 나타났다. 기호도가 높은 야식 메뉴는 빙과류, 과일류, 치킨, 과일주스, 라면, 피자, 자장면 순이었으며, 섭취빈도가 높은 것은 과일류, 빙과류, 라면, 치킨, 요구르트, 과일주스 순이었다. 야식군은 비야식군보다 편식(P<0.01), 과식(P<0.01), 짜게 먹기(P<0.01), 불규칙한 식사시간(P<0.001)의 점수가 높아 식습관이 좋지 않은 것으로 나타났다. 이상의 결과를 종합할 때, 조사대상 중학생의 약 60%가 주 1회 이상 야식을 섭취하고 있었으며, 늦은 저녁 시간에 배고픔으로 인하여 가족과 함께 야식을 섭취하는 경우가 많고, 야식 메뉴에 있어서도 탄수화물 및 지방이 주를 이루며 영양밀도가 낮은 메뉴들에서 기호도 및 섭취빈도가 높았다. 또한 야식군이 비야식군에 비해 식습관도 바람직하지 않은 것으로 나타났다. 본 연구는 비교적 많은 청소년을 대상으로 이들의 올바른 야식 지도에 활용할 수 있는 유의미한 결과를 도출하였지만, 야식에 대한 정의가 다소 불분명하고 여름 한 철에 조사되어 야식 메뉴가 한정적으로 제시된 제한점을 가지고 있다. 따라서 앞으로 보다 다양한 야식시간과 양 그리고 계절에 따른 야식 섭취상태를 비교 분석하는 연구가 이루어져야 할 것이다. The purpose of this study was to investigate the night eating habits of middle schoolers. A total of 705 middle school students residing in Gyeonggi were surveyed about their dietary habits related to night eating. Among the total subjects, 59.9% (n=422) had night eating more than once a week and were classified into a night eating group (NEG). The main reason for night eating was hunger (79.1% of NEG) and the highest proportion of night eating was related to food purchased by family (39.3% of NEG). Most of the NEG had night eating in their home with family members, and the time with highest frequency of night eating was between 10 p.m. and 11 p.m.. About 33% of the NEG went to bed within an hour after night eating and 69.2% of the NEG did not report any change after night eating. The most common factors considered when choosing a night eating menu, in order of frequency, were taste, hygiene, and amount. The favorite items on the night eating menu were frozen desserts, fresh fruits, chicken, fruit juice, Ramen, pizza, and Jajangmyeon. The most frequent menu choices were fresh fruits, frozen desserts, Ramen, chicken, yogurt, and fruit juice. The NEG had higher scores for picky eating (P<0.01), overeating (P<0.01), salty eating (P<0.01), and irregular meal times (P<0.001) compared to the non-NEG. Consequently, the NEG had more dietary problems than the non-NEG and their night eating behaviors were related to family habits. Night eating was mainly dominated by a diet of carbohydrates and fats, and the intake frequency and preference for foods with low nutritional value were high; thus, a practical and systematical nutrition education is required. Seasonal and comparative studies on night eating status according to various times and amounts of night eating are also required.

A Study on the Relationship between Depression and Eating Disorders among College Students of Northern Gyeonggi-do, Korea

( Heeseon Jang ),( Hyunggon Kang ) 한국보건정보통계학회(구 한국보건통계학회) 2017 보건정보통계학회지 Vol.42 No.2

목적: 이 연구는 경기 북부 대학생을 대상으로 우울 정도와 이상섭식과의 관계를 규명하고자 수행되었다. 방법: 이 연구는 경기북부 대학생 총 481명을 대상으로 자기기입방식의 설문조사를 실시하였다. 이상 섭식 유무를 파악하기 위해서 Garner와 Garfinkel(1979)이 개발한 Eating Attitude Test-40(EAT-40)을 우리나라에서 표준화한 섭식 태도 검사(Eating Attitude Test-26, EAT-26)를 활용하였고, 우울 정도를 파악하기 위해 DSM-IV(미국정신협회)의 우울증 진단 기준에 따른 10문항의 자가 우울증 진단 테 스트를 연구 도구로 사용하였다. 결과: 이상섭식태도를 보이는 대학생은 91명으로 전체 연구대상의 18.9%이었다. 이상 섭식 태도를 보이는 대학생의 경우 우울 정도의 평균은 4.73점으로 정상적인 섭식 태도를 보이는 대학생의 우울 정도의 평균 2.57 점 보다 높았다. 이상 섭식과 우울 정도 간에는 통계적으로 유의한 차이를 보였으며, 우울 점수가 1점 증가할 때 이상 섭식 발생 위험이 1.31 배임을 볼 수 있었다. 우울 정도 이외에 이상 섭식 에 영향을 미치는 요인은 야식, 체중감량여부, 스트레스, 외모 만족도였다. 결론: 이 연구를 통해 우리는 이상 섭식에 우울 정도가 중요한 역할을 한다는 것을 확인할 수 있었다. 따라서, 대학생의 올바른 섭식 태 도 증진과 우울증 예방을 위한 프로그램의 개발이 필요하다고 사료된다. Objectives: This study was conducted to identify the relationship between depression and eating disorders among college students of northern Gyeonggi-do in Korea. Methods: This was a self-report study, targeting a total number of 481 college students. We used the eating attitudes test-26 (EAT-26) to identify participants with eating disorders, while the degree of depression was evaluated by a self-diagnostic test composed of 10 questions. Results: Among the participants, 18.9% were found to have an eating disorder (91 out of 481 participants). The depression score for students with eating disorders was markedly higher (4.73points) than that for students with normal eating habits (2.57 points). We noted a statistically significant association between eating disorder and depression. Specifically, when depression score increased by 1 point, the risk of eating disorder was 1.31 times higher. Additional factors that increased the risk of having eating disorders besides depression were eating late, weight loss, degree of stress, and satisfaction with one`s appearance. Conclusions: In this study, we found that depression plays an important role in the development of eating disorders. Therefore, it is need to develop programs to promote right eating habits and prevent depression for college students.

야식증후군 진단질문지(NEDQ)의 타당화 연구

홍혜정,박중규 한국임상심리학회 2019 한국심리학회지: 임상심리 연구와 실제 Vol.5 No.1

본 연구는 야식증후군의 진단기준에 따라 Nolan 등이 2001년에 개발하고 2016년에 개정한 야식증후군 진단질문지(Night Eating Syndrome Diagnostic Questionnaire: NEDQ)를 한국어로 번안하고 이의 타당화를 목적으로 수행되었다. 이를 위해 대구․경북의 대학(원)생 766명을 대상으로 연구를 실시하였으며, 이 중 60명에게 4주 간격으로 검사-재검사 신뢰도를 실시한 결과, 양호한 수준으로 나타났다. 이와 함께 NEDQ는 기존의 야식증후군 척도와도 유의한 상관이 나타났으며, 부정 정서 조급성과 우울, 폭식행동, BMI 및 섭식 기대와도 정적인 상관을 나타냈다. NEDQ를 심각도에 따라 분류한 뒤 변인들 간의 성별 차이를 살펴본 결과, 야식증후군이 심각한 집단에서 남성이 여성보다 부정 정서 조급성과 섭식 기대 및 폭식행동의 점수가 높게 나타났다. 이로 인해 남성이 경미한 수준에서의 부정적인 정서와 야식 및 폭식과 같은 이상 섭식행동에 대해 둔감한 태도를 가지고 방치하다 심각한 수준에 이를 수 있음을 추측해 볼 수 있다. 본 연구는 국외에서 개발된 야식증후군 측정도구를 국내에서 타당화 연구를 진행하여 향후 임상적으로 유용한 도구를 제공할 수 있다는 점에서 의의가 있다. 또한, 야식증후군에 기여하는 심리적 특성들의 임상적 영향력을 확인함으로서, 반복적인 야식 문제를 가진 개개인에게 구체적인 중재를 제공할 수 있을 것이다. The purpose of this study was to translate the Night Eating Diagnostic Questionnaire (NEDQ), developed (2001) and revised (2016) by Nolan et al., into Korean and to test its validation. After translating it into Korean, the NEDQ was distributed to 766 individuals, and 60 of the subjects took a test-retest with an interval of four weeks between the tests. The retest reliability coefficient was good. Correlation analysis was conducted to examine its correlations with the Korean Version of the Night Eating Syndrome Scale, which had been already developed in Korea, to test its validation. The analysis results showed significant correlations. Also, the NEDQ had significant correlations with negative urgency, depression, binge eating, BMI, and eating expectancy. Since previous studies on eating disorders reported higher prevalence in women, the present study analyzed gender differences on the NEDQ to see whether such differences would also be found on the Night Eating Syndrome Scale. Female college students scored significantly higher on average than their male counterparts. Male college students, however, scored higher than females on negative urgency, eating expectancy, and binge eating in cases of serious Night Eating Syndrome; this is because men have insensitive attitudes toward their eating behavior and negative urgency, thus neglecting these and reaching serious levels. The present study is significant in that it conducted validation research on the Night Eating Syndrome Questionnaire in Korea, providing a clinically useful instrument. In addition, it checked the clinical influence of psychological traits contributing to the syndrome, offering specific interventions to individuals with the issue of repeating night eating.