:, * - Tr iangul at i on -. 1.. (, 1993) (Moses, 1990), (Hogar, 1981).,,,,, (, 1995).,,, (Kaplans Wadden, 1986).,.,.,. 95% (, 1990).,... (Human model) Stunkard(1959) (Mckenna, 1972; Slochower Kaplan, 1980).,, * 1998 2 * * (tina@snjc.ac.kr ) - 1392 -
29 6 (, 1996). (Greeno Wing, 1994). (Individual Difference Model)..,.,.,...,....,.,.,. 3. 1) : (, 1990). [Body Mass Index ; [Wt (kg )/ Ht (m) 2 ]1 ] (James, 1988) 25.2kg/ m 2 (, 1995).,, 24kg/ m 2. 2) :, (, 1989),,, (Holmes Rahe, 1967). 58 1-5 Likert scale. 3) : (, 1991),, 1-5 Likert scale. II. 1. 2., - 1393 -
. (Bellisle, 1990).,.,, (Van Strien, 1986). Greeno Wing (1994) (General Effect Model) (Individual Difference Model). (General Effect Model).. (tail- pinch), (electric shock).. Bellisle (1990) 12 1. Michaud (1990) 225. (Individual Difference Model) (Greeno Wing, 1994).,., (psychosomatic accounts). (Kaplan Kaplan, 1957) (Bruch, 1961). Schachter (1968).., (Carlson, 1916)... Herman Mark(1975) (dietary restrain)' Schachter (1971) (external theory) Nisbett (1972) (set-point model). Schachter (internal cue),,,,,, (external cue)., Nisbett,., ( ) (biological deprevation)..,. - 1394 -
29 6 Grunberg Straub (1992),. (Schachter, 1968; Reznick Balch, 1977; Pine, 1985),.,. 2. Triangulation. 1950, (facts)., (Stainback Stainback, 1984).,...,,,,,, (Duffy, 1987).,. T riangulation. T riangulation (Campbell Fiske, 1959). Triangulation,, (Denzin, 1970). Triangulation,,, Triangulation (Denzin, 1970) T riangulation. Jick(1979) Triangulation, (dimension). Mitchell(1986) Triangulation 4,,,,. III. 1. 9 (convenience sampling ). 24kg/ m 2, 19kg/ m 2, 23.45kg/ m 2. 680 57 623 314, 309.. - 1395 -
30. 15 E.. 2. 1) : (life event) (, 1990;, 1994;, 1994;, 1996) 58. 2, 1, 2. 10,. Cronbach 's alpha 0.91. 2) : (1997)., ( ), ( ), ( ) 3 4 32. Cronbach 's alpha = 0.9393 Cronbach 's alpha = 0.8752. 3) : 15. 3., 1997 5 6 6 10. 4... 4 ( ) 5 ( ), 1 ( ) 2 ( ) paired t- test. t - test., 6 23 7 29 30 7 29 8 26. 1 40 120 60. 2... - 1396 -
29 6 IV. 1. (t=- 1.84, p=0.0662). 2. 1) (4,5 ). 3.0 85 3.0 229. (t=8.4229, p=0.0001) (t=- 14.9057, p=0.0001). 2) : ( ) (t=- 3.1597, p=0.0017), ( ) (t =- 3.1275, p=0.0019), ( ) (t=- 3.5878, p=0.0004).,,, < 1>. 3. 1) (5 ) (10 )..,... 30..........!.. 2) (1) 10 2. (2), < 1> t p 2.6068 0.5263-3.1275 0.0019 2.3946 0.5553 2.4380 0.5461-3.1597 0.0017 2.2166 0.5670 2.6944 0.5666-3.5878 0.0004 2.433 0.5891-1397 -
< 2> t p 2.89 0.39 2.42 0.60-13.62 0.0001 2.81 0.81 2.70 0.58-1.84 0.0662,.,,.. (3) Schachter (internal cue) (external cue).,. T V. (4).,,... 4. (t=- 13.62, p= 0.0001) < 2>. V. Schachter (1968)..,..,., Weinstein (1997)... - 1398 -
29 6 Baucom Aiken (1981)... Loro Orleans(1981),,..,. Schachter.,,. (, 1989).,..,, Schachter.,. VI.. (individual difference model), T riangulation.. 1.. 2.. 3.,,. 4. 5 10..,,. - 1399 -
5..... (1991). :., (1997). :,,., 27(2), 377-388. (1990).., 23, 337-340., (1993).., 26(2), 182-188. (1995).. :. (1996).. :. (1989)..,. (1989). :. (1990).., 31, 54-61., (1990).,,, - -., 20(3), 414-429. (1996).,.,. (1994)..,. (1994)... Baucom, D. H., & Aiken, P. A. (1981). Effect of depressed mood on eating among obese and nonobese dieting and nondieting persons. J ournal of Personality and Social Psychology, 41, 577-585. Bellisle, F., J. Louis - Sylvestre, N., Linet, B., Rocaboy, B., Dalle, F., Cheneau, D., L 'Hinoret, & L. Guyot (1990). Anxiety and food intake in men. P sy chosom atic M ed icine, 52, 452-457. Bruch, H. (1961). T ransform ation of oral im pulses in eating disorders : A conceptual approach. P sy chiatric Quarterly, 35, 458-481. Cowman, S. (1993). Triangulation : a means of reconciliation in nursing research. J ournal of A dvanced N ursing, 18, 788-792. Denzin, N. K. (1970). T he research act : A Theoretical introduction to sociolog ical m ethods. Chicago : Aldine publishing. Duffy, M. E. (1987). Methodological T riangulation : A Vehicle for Merging Quantitative and Qualitative Research Methods. Image, 19(3), 130-133. Greeno, C., & R. R. Wing (1994). Stress - induced eating. P sy cholog ical B ulletin, 115(3), 444-464. Grunberg, N. E., & R. O. Straub (1992). T he role of gender and taste class in the effects of stress on eating. H ealth P sy chology, 11, 97-100. Herm an, C. P., & D. Mark (1975). Restrained and unrestrained eating. J ournal of P ersonality, 43, 647-660. H olmes, T. H., & R. H. Rahe (1967). T he social readjustment rating scale. J ounal of psychosomatic research, 9, 213-218. Hogar, A. (1981). Nutritional problems in Adolescence obesity. N utrition Review, 39, 89-91. James, W. P. T., A. F erro- Luzzi, & J. C. W aterlow (1988). Definition of chronic energy deficiency in adults. Europ ean J ournal of Clinical N utrition, 43, 969-981. Jick, T. D. (1979). Mixing qualitative and quantitative methods : T riangulation in action. A dm inistrative S cience Quarterly, 24, 602-611. Kaplan, H. I., & H. S. Kaplan (1957). T he psychosom atic concept of obesity. J ournal of N ervous and M ental D isorders, 125, 181-201. Kaplan s, K. M., & T. A. W adden (1986). - 1400 -
29 6 Childhood obesity and self esteem. J ournal of P ediatrics, 109, 367-370. Loro, A. D., & C. S. Orlean s (1981). Binge eating in obesity : Preliminary findings and guildlines for behavioral analysis and treatment. A ddictive B ehaviors, 6, 155-166. Michaud, C. J., P. Kahn, N. Musse, C. Burlet, J. P. Nicolas, & L. Mejean (1990). Relationships betw een a critical life event and eating behavior in high school students. S tress M edicine, 6, 57-64. Mitchell, E. S. (1986). Multiple T riangulation : A Methodology for nursing science. A dvanced N ursing S cience, 8(3), 18-26. Nisbett, R. E. (1972). Hunger, obesity, and ventromedial hypothalamus. Psycholog ical R eview, 79, 433-453. Schachter, S. (1971). Some extraordinary facts about obese human and rats. A merican Psychology, 26, 129-144., Goldm an and A. Gordon (1968). Effects of fear, food depriv ation an obesity on eating. J ournal of P ersonality and S ocial P sy chology, 10, 91-97. Slochow er, J., S. Kaplan, & L. M ann (1981). T he effect of life stress and w eight on m ood and eating. A pp etite, 2, 115-125. Stainback, S., & W. Stainback (1984). Broadening the research perspective in education. Excep tional children, 50, 400-408. Stunkard, A. J. (1959). Eating patterns and obesity. P sy chiatric Quarterly, 33, 284-292. Van Strien, T., M. A. Rookus, G. P. A. Bergers, J. E. R. Frijters, & P. B. Defares (1986). Life events, em otional eating and change in body mass index. International J ournal of Obes ity, 10, 29-35. Weinstein, S., D. J. Shide, & B. J. Rolls (1997). Changes in F ood Intake in Response to Stress in Men and Women : psychological F actors. A pp etite, 28, 7-18. -Abstract - Key concept : Stress, Eating A Study of Eating in Obese High School Gi r l s dur ing St r ess ful Si t uat ions Kim, Sook Young * T his study w as carried out to find out stress - eating relationship in obese high school girls and to investig ate the factors related to stress - induced eating. T he conceptual framew ork used in this study w as individu al difference m odel. The research method was methodological triangulation. The data of the study were collected from purposively sampled 309 norm al high school girls and 314 obese high school girls in S city. 15 volunteers, obese high school girls, enrolled in this qu alitative research. Quantitative data w as collected from M ay 6 to June 10, 1997 through questionn aires about stress and stress- related eating changes and from June 23 to August w as collected. 26, 1997, qualitative data T he results of the study w ere as follow s : 1. Obese high school girls w ere unaffected by stress (t =- 1.84, p=0.0662). 2. T hrough quantitative analysis, obese people divided into tw o groups in their response to stress. One group w as composed of stress - eater. T he other group w as composed of non - stress eater. 3. Disinhibition (t=- 3.1275, p=0.0019), cognitive restrain (t=- 3.1597, p=0.0017), hunger (t=- 3.5878, p=0.0004) were significantly different between stress- eaters and non- stress eaters. 4. According to the interview, 5 subjects of obese girls w ere stress eaters, and 10 subjects w ere non - stress eaters. T hrough qu alitative research, * Seoul W om en ' s College of Nursing, - 1401 -
the related factors of eating were eating attitude & behavior, stimuli situations on eating, and personality. In stress- eater group, they constantly went on a diet, however, they were prompted to eat when an uneasy feeling such as anxiety, depression, annoyance developed. T heir personality were entirely optimistic. Whereas non- stress eater group had no interest in diet and didn 't appear to have psychological factors to stimulate eating in stressful situations. T heir personality was not only optimistic but also keenly characteristic. 5. T o com pare obese - norm al high school girls on the effect of stress in eating. N orm al w eigh high school girls decreased their eating w hen stressed (t = - 13.62, p =0.0001). In conclusion, this study suggests that there are tw o different groups in obese high school girls in reg ards to eating responses on stressful situations. A s a result of these finding, clinical and school nurses can detect the stress - eaters w ho need stress m anagem ent intervention, and can apply appropriate m an agement program according to the individual needs. - 1402 -