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KMID : 0806120090390040459
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대한간호학회지
2009 Volume.39 No. 4 p.459 ~ p.468
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Impact of Eating Psychopathology, Obsessive-Compulsion and Depression on Self-Harm Behavior in Patients with Eating Disorders
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Kong Seong-Sook
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Abstract
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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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KEYWORD
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Eating disorders, Depression, Obsessive-compulsive, Self-harm
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