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흡연 및 음주 여자청소년에서의 정신병리와 식이행동

Other Titles
 Psychopathology and eating behavior in female adolescents with smoking drinking experiences 
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[한글] 일반 인구집단에서의 흡연율과 음주율이 지속적으로 감소 추세에 있음에도 불구하고 여자청소년에서의 흡연과 음주는 오히려 증가하고 있다. 여자청소년의 흡연과 음주가 심각한 사회문제로 대두됨에 따라 이와 관련된 정신병리와 식이행동이 서구에서 활발히 연구되고 있음에도 불구하고 국내에서의 연구는 전문한 실정이다. 본 연구에서는 흡연율과 음주율이 급격히 증가하고 있고 이상 식이행동이 발생할 가능성이 높은 여중생과 여고생을 대상으로 첫째, 흡연과 음주의 유병률을 조사하고 둘째, 흡연과 음주 여부, 한국어판 자기보고식 강점 난점 설문, 한국어판 3요인식이 설문, 그리고 체질량지수와 체형 차이를 조사하여 통계분석하였다. 그 결과, 흡연 여학생과 음주 여학생에서 과잉행동과 행실문제가 많았고 흡연 여중생에서 탈억제 점수가 낮고 체질량지수와 체형 차이가 높은 것으로 나타나, 체중조절을 위한 방법으로 흡연을 시작했을 가능성을 시사하였다. 또한 음주 여고생에서 탈억제와 배고픔 점수가 높았고 식이제한 점수는 낮았다. 여중새으이 경우 탈억제 점수가 낮을수록 흡연과 음주를 할 가능성이 증가하였으며 여고생에서는 식이제한이 적을수록 음주의 가능성이 증가하였다. 이는 여중생과 여고생은 흡연, 음주와 관련하여 서로 다른 식이행동 양상을 가지고 있음을 시사하였다. 마지막으로 탈억제, 배고픔 척도와 정신병리 사이에는 정상관계가 있었다. 결국, 흡연과 음주는 과잉행동과 행실문제 등 외현화 문제와 관련이 많았고 식이행동은 흡연보다는 주로 음주와 관련이 있었으며 이는 다양한 정신병리에 의해 매개될 가능성이 시사되었다.
[영문] Though smoking and drinking rate in the general population are on the decrease, smoking and drinking female adolescents are on the increase. As the problem of smoking/drinking female adolescents comes to the front as a serious social problem, the related researches on psychopathology and easting behavior are now actively underway in the western society but there are few related researchers in the country. This research applies to the girls at junior high school & high schools, who have shown a sharp increase in smoking and drinking and are liable to show abnormal eating behavior. It is the object of research that first is the prevalence of smoking and drinking among female adolescents and that second is the association of smoking, drinking and the related psychopathology and eating behavior. I've conducted a questionnaire survey of 864 girls at junior high school (405 persons) and high school (459 person). It includes the questions such as smoking or non-smoking/drinking or non-drinking, SDQ (Strengths and Difficulties Questionnaire) for psychopathology, TFEQ (Three Factor Eating Questionnaire) for eating behavior and Body Mass Index (BMI), perceived and ideal body image. I complied statistics on all that and analyzed the results. The result showed that hyperactivity and conduct problems are found in smoking and drinking female adolescents. Smoking junior high school girls got a low disinhibition score and high BMI score, and differed greatly between perceived and ideal body image. It hinted at the possibility of that they started smoking to reduce their weight. The drinking girls at high school got a high score in both disinhibition and hunger and on the other hand they got a low score in dietary restraint. For the girls at junior high school, the lower disinhibition score is, the higher the risk of smoking and drinking is, but for the girls at high school, the lower dietary restraint score is, the higher the risk of drinking is. For the last thing, statistically, disinhibition/hunger measures and psychopathology are positively correlated. In conclusion, smoking and drinking is closely related to externalizing problems like hyperactivity and conduct problems and eating behavior is mainly related to drinking rather than smoking. The association of eating behavior and drinking is likely correlated through the medium of various psychopathology.
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2. Thesis / Dissertation (학위논문) > 1. College of Medicine (의과대학) > Master's Degree (석사)
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