사회부과 완벽주의와 이상섭식행동의 관계: 인지왜곡을 통한 마른 이상적 체형 내면화의 조절된 매개효과 = The Effect of Socially Prescribed Perfectionism on Abnormal Eating Behavior: Moderated Mediation Effect of Thin-Ideal Internalization through Cognitive Distortion

다국어 초록 (Multilingual Abstract)

The purpose of the current study was to investigate whether cognitive distortion would mediate the relationship between socially prescribed perfectionism and abnormal eating behavior, and if such mediating effect would differ depending on the level of thin-ideal internalization. A total sample of 217 female undergraduate students completed measures assessing for socially prescribed perfectionism, cognitive distortion, abnormal eating behavior and thin-ideal internalization. The data was analyzed using SPSS Macro. The main results were as follows. First, cognitive distortion had a full mediating effect on the relationship between socially prescribed perfectionism and abnormal eating behavior. Second, thin-ideal internalization moderated the association between socially prescribed perfectionism and cognitive distortion. That is, as thin-ideal internalization increased, the effect of socially prescribed perfectionism over cognitive distortion increased. Third, the moderated mediating model was supported in that the mediating effect of cognitive distortion on the relationship between socially prescribed perfectionism and abnormal eating behavior increased as thin-ideal internalization increased. Limitation and future directions were discussed.

국문 초록 (Abstract)

본 연구는 여자 대학생을 대상으로 사회부과 완벽주의와 이상섭식행동의 관계에서 섭식관련 인지왜곡이 매개하는지, 마른 이상적 체형 내면화가 이러한 매개효과를 조절하는지 알아보기 위해 SPSS를 활용하여 조절된 매개모형을 분석하였다. 217명의 여자 대학생을 대상으로 사회부과 완벽주의, 섭식관련 인지왜곡, 이상섭식행동, 마른 이상적 체형의 내면화를 측정하였다. 그 결과, 첫째, 인지왜곡은 사회부과 완벽주의와 이상섭식행동 간의 관계를 완전 매개하였다. 둘째, 사회부과 완벽주의와 이상섭식행동의 관계에서 마른 이상적 체형의 내면화의 조절효과가 나타났다. 즉, 마른 이상적 체형에 대한 사회문화적 기준을 내면화할수록 사회부과 완벽주의가 이상섭식행동에 미치는 영향이 증가하였다. 셋째, 조절된 매개효과가 나타났는데, 마른 이상적 체형의 내면화 수준이 높은 사람은 사회부과 완벽주의 수준이 높을수록 인지왜곡을 발달시켜 이상섭식행동에 취약해지지만, 내면화 수준이 낮은 사람은 사회부과 완벽주의 수준이 높더라도 인지왜곡을 발달시키지 않아 이상섭식행동에 취약하지 않다는 것이다. 끝으로 본 연구의 의의, 제한점 및 후속연구를 위한 제언에 대해 논의하였다.

참고문헌 (Reference)

1 이민규, "한국판 식사태도검사-26(The Korean Version of Eating Attitudes Test-26 KEAT-26) 표준화 연구 I 신뢰도 및 요인분석" 한국정신신체의학회 6 (6): 155-175, 1998

2 이정애, "폭식 행동 집단의 인지적 특성" 高麗大學校 大學院 1998

3 남인순 국회의원실, "외모지상주의 탓? 식사(섭식)장애 환자 여성 4배"

4 신미연, "외모에 대한 지각된 사회문화적 영향과 다이어트 행동의 관계: 신체상과 인지왜곡의 매개효과" 한국인지행동치료학회 12 (12): 183-198, 2012

5 조희경, "외모에 대한 사회문화적 영향과 여자 청소년의 이상섭식행동의 관계: 신체 비교와 인지왜곡의 매개효과" 한국청소년상담복지개발원 18 (18): 43-58, 2010

6 이상선, "외모 관련 사회문화적 태도 설문지의 타당화 연구" 한국임상심리학회 22 (22): 913-926, 2003

7 손은정, "완벽주의, 자기비난, 자기의식, 신체불만족 및 신경성 폭식증 증상 간의 관계" 한국심리학회 30 (30): 165-183, 2011

8 최진주, "여자청소년의 외모에 대한 사회문화적 태도와 신체존중감이 섭식태도에 미치는 영향" 명지대학교 사회교육대학원 2013

9 김은하, "여자대학(원)생의 자아분화와 이상섭식행동 간의 관계: 정서표현양가성을 통한 심리적 수용의 조절된 매개효과 검증" 한국심리학회산하학교심리학회 13 (13): 181-204, 2016

10 박정수, "여대생의 절식 및 폭식행동에 대한 자기-평가의 신체 중요성 지각 모형" 한국임상심리학회 26 (26): 73-91, 2007

11 이다운, "여대생의 사회부과적 완벽주의와 이상 섭식 행동의 관계: 자기개념 명확성, 사회적 체형불안의 이중매개효과" 한국건강심리학회 22 (22): 925-941, 2017

12 김정민, "여고생의 섭식신념과 외모에 대한 사회문화적 태도가 섭식태도에 미치는 영향" 가정과삶의질학회 26 (26): 65-78, 2008

13 최경희, "사회지향성과 폭식행동의 관계:마른 이상적 체형의 내면화, 신체수치심, 섭식절제의 매개효과" 한국건강심리학회 24 (24): 927-945, 2019

14 韓奇娟, "다차원적 완벽성 : 개념, 측정 및 부적응과의 관련성" 高麗大學校 大學院 1994

15 박지연, "내현적 자기애 성향과 이상섭식행동의 관계에서 신체에 대한 수치심 매개효과 검증" 한국임상심리학회 30 (30): 663-679, 2011

16 김유숙, "구조적 가족치료이론의 한국적 적용에 관한 연구" 8 : 113-130, 2000

17 Dickie, L., "What components of perfectionism predict drive for thinness?" 20 (20): 232-247, 2012

18 Mizes, J. S., "Validity, reliability, and factor structure of the anorectic cognitions questionnaire" 14 (14): 589-594, 1989

19 Heinberg, L. J., "Validation and predictive utility of the sociocultural attitudes toward appearance questionnaire for eating disorders (SATAQ-ED): Internalization of sociocultural ideals predicts weight gain" 5 (5): 279-290, 2008

20 Cockell, S. J., "Trait and self-presentational dimensions of perfectionism among women with anorexia nervosa" 26 (26): 745-758, 2002

21 Thompson, J. K., "Thin-ideal internalization: Mounting evidence for a new risk factor for body-image disturbance and eating pathology" 10 (10): 181-183, 2001

22 Limburg, K., "The relationship between perfectionism and psychopathology: A meta‐analysis" 73 (73): 1301-1326, 2017

23 Sherry, S. B., "The perfectionism model of binge eating: Tests of an integrative model" 96 (96): 690-, 2009

24 Pearson, C. A., "The multiple dimensions of perfectionism and their relation with eating disorder features" 41 (41): 225-235, 2006

25 Baron, R. M., "The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations" 51 (51): 1173-, 1986

26 Garner, D. M., "The eating attitudes test: An index of the symptoms of anorexia nervosa" 9 (9): 273-279, 1979

27 Fouts, G., "Television situation comedies: Female weight, male negative comments, and audience reactions" 42 (42): 925-932, 2000

28 Howell, D. C., "Statistical Methods for psychology" Duxbury Press 2002

29 Wade, T. D., "Shared genetic and environmental risk factors between undue influence of body shape and weight on self-evaluation and dimensions of perfectionism" 37 (37): 635-644, 2007

30 Dunkley, D. M., "Self-critical perfectionism and daily affect: Dispositional and situational influences on stress and coping" 84 (84): 234-, 2003

31 Preacher, K. J., "SPSS and SAS procedures for estimating indirect effects in simple mediation models" 36 (36): 717-731, 2004

32 McVey, G. L., "Risk and protective factors associated with disordered eating during early adolescence" 22 (22): 75-95, 2002

33 McBride, O., "Profiling disordered eating patterns and body mass index (BMI) in the english general population" 48 (48): 783-793, 2013

34 Durkin, S. J., "Predictors of vulnerability to reduced body image satisfaction and psychological wellbeing in response to exposure to idealized female media images in adolescent girls" 53 (53): 995-1005, 2002

35 Bardone-Cone, A. M., "Predicting bulimic symptoms: An interactive model of self-efficacy, perfectionism, and perceived weight status" 44 (44): 27-42, 2006

36 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)" 44 (44): 63-84, 2006

37 Flett, G. L., "Perfectionistic automatic thoughts, trait perfectionism, and bulimic automatic thoughts in young women" 29 (29): 192-, 2011

38 Pratt, E. M., "Perfectionism in women with binge eating disorder" 29 (29): 177-186, 2001

39 Egan, S. J., "Perfectionism as a transdiagnostic process: A clinical review" 31 (31): 203-212, 2011

40 Bardone-Cone, A. M., "Perfectionism and eating disorders: Current status and future directions" 27 (27): 384-405, 2007

41 Sinclair, S. L., "Object lessons: A theoretical and empirical study of objectified body consciousness in women" 28 (28): 48-68, 2005

42 Bissell, K. L., "Must-see TV or ESPN: Entertainment and sports media exposure and body-image distortion in college women" 54 (54): 5-21, 2004

43 Watson, H. J., "Mediators between perfectionism and eating disorder psychopathology: Shape and weight overvaluation and conditional goal‐setting" 44 (44): 142-149, 2011

44 Joyce, F., "Mediators between perfectionism and eating disorder psychopathology in a community sample" 13 (13): 361-365, 2012

45 Shrout, P. E., "Mediation in experimental and nonexperimental studies: New procedures and recommendations" 7 (7): 422-, 2002

46 Coughlin, J. W., "Media literacy as a prevention intervention for college women at low-or high-risk for eating disorders" 3 (3): 35-43, 2006

47 Schutz, H. K., "Investigation of body comparison among adolescent girls" 32 (32): 1906-1937, 2002

48 Hayes, A. F., "Introduction to mediation, moderation, and conditional process analysis" Guilford 2013

49 Dalle Grave, R., "Inpatient cognitive behaviour therapy for anorexia nervosa: A randomized controlled trial" 82 (82): 390-398, 2013

50 Stice, E., "Handbook of eating disorders and obesity" Wiley 2004

51 Gunewardene, A., "Exposure to westernization and dieting: A cross‐cultural study" 29 (29): 289-293, 2001

52 West, S. G., "Experimental personality designs: Analyzing categorical by continuous variable interactions" 64 (64): 1-48, 1996

53 Tylka, T. L., "Examining a multidimensional model of eating disorder symptomatology among college women" 51 (51): 314-, 2004

54 Stice, E., "Eating disorder prevention programs: A meta-analytic review" 130 (130): 206-, 2004

55 Halliwell, E., "Does size matter? the impact of model's body size on women's body-focused anxiety and advertising effectiveness" 23 (23): 104-122, 2004

56 American Psychiatric Association, "Diagnostic and statistical manual of mental disorders (DSM-5®)" American Psychiatric Pub 2013

57 Van den Berg, P., "Development of body image, eating disturbance, and general psychological functioning in adolescent females: A replication using covariance structure modeling in an australian sample" 32 (32): 46-51, 2002

58 Heinberg, L. J., "Development and validation of the sociocultural attitudes towards appearance questionnaire" 17 (17): 81-89, 1995

59 Fairburn, C. G., "Cognitive behaviour therapy for eating disorders: A “transdiagnostic” theory and treatment" 41 (41): 509-528, 2003

60 Shafran, R., "Clinical perfectionism: A cognitive–behavioural analysis" 40 (40): 773-791, 2002

61 Polivy, J., "Causes of eating disorders" 53 (53): 187-213, 2002

62 Wardle, J., "Body image and weight control in young adults: International comparisons in university students from 22 countries" 30 (30): 644-, 2006

63 Halliwell, E., "Body dissatisfaction: Can a short media literacy message reduce negative media exposure effects amongst adolescent girls?" 16 (16): 396-403, 2011

64 Fairburn, C. G., "Binge Eating: Nature, assessment and treatment" Guilford Press 1993

65 Mizes, J. S., "Assessment of cognitive variables relevant to cognitive behavioral perspectives on anorexia nervosa and bulimia nervosa" 33 (33): 95-105, 1995

66 Preacher, K. J., "Addressing moderated mediation hypotheses: Theory, methods, and prescriptions" 42 (42): 185-227, 2007

67 Stice, E., "A randomized trial of a dissonance based eating disorder prevention program" 29 (29): 247-262, 2001

68 Fairweather-Schmidt, A. K., "A longitudinal study of midage women with indicators of disordered eating" 51 (51): 722-, 2015