섭식장애 환자의 섭식장애 증상, 우울, 강박성이 자해행동에 미치는 영향 = Impact of Eating Psychopathology, Obsessive-Compulsion and Depression on Self-Harm Behavior in Patients with Eating Disorders

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of the study was to investigate psychological factors such as eating psychopathology, depression,
and obsessive-compulsion that might influence self-harm behavior in patients with eating disorders. Methods: Patients
with eating disorders (n=135) who visited “M” clinic for eating disorders participated in the study. Data were collected from
March to August 2007 using the Eating Disorder Inventory-2, Beck Depression Inventory, Maudsley Obsessional-Compulsive
Inventory, and Self-Harm Inventory (SHI). Results: The participants scored high on self-harm as well as on depression
and obsessive-compulsion. On the SHI, a high frequency of self harm behavior such as ‘torturing self with self-defeating
thoughts’, ‘abused alcohol’, ‘hit self’, and ‘suicide attempt’ were found for the participants. There were significant correlations
between most eating psychopathology variables, depression, obsessive-compulsion, and self-harm behavior. ‘Interoceptive
awareness’ (eating psychopathology), depression, and ‘checking’ (obsessive-compulsion) were significant predictors
of self-harm behavior. Conclusion: Future interventions for patients with eating disorders should focus on assessing
the possibility of self-harm and suicidal attempts, especially in those patients with high levels of eating psychopathology,
depression, or obsessive-compulsion. Early intervention for depression and obsessive-compulsion could contribute to
preventing self-harm and suicide in patients with eating disorders.

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of the study was to investigate psychological factors such as eating psychopathology, depression,
and obsessive-compulsion that might influence self-harm behavior in patients with eating disorders. Methods: Patients
with eating disorders (n=135) who visited “M” clinic for eating disorders participated in the study. Data were collected from
March to August 2007 using the Eating Disorder Inventory-2, Beck Depression Inventory, Maudsley Obsessional-Compulsive
Inventory, and Self-Harm Inventory (SHI). Results: The participants scored high on self-harm as well as on depression
and obsessive-compulsion. On the SHI, a high frequency of self harm behavior such as ‘torturing self with self-defeating
thoughts’, ‘abused alcohol’, ‘hit self’, and ‘suicide attempt’ were found for the participants. There were significant correlations
between most eating psychopathology variables, depression, obsessive-compulsion, and self-harm behavior. ‘Interoceptive
awareness’ (eating psychopathology), depression, and ‘checking’ (obsessive-compulsion) were significant predictors
of self-harm behavior. Conclusion: Future interventions for patients with eating disorders should focus on assessing
the possibility of self-harm and suicidal attempts, especially in those patients with high levels of eating psychopathology,
depression, or obsessive-compulsion. Early intervention for depression and obsessive-compulsion could contribute to
preventing self-harm and suicide in patients with eating disorders.

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