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예일음식중독척도 2.0(Yale Food Addiction Scale 2.0) 국내 타당화 연구

A Development and Validation of the Korean Version of the Yale Food Addiction Scale 2.0

한국심리학회지:여성
약어 : -
2018 vol.23, no.1, pp.25 - 49
DOI : 10.18205/kpa.2018.23.1.002
발행기관 : 한국여성심리학회
연구분야 : 심리과학
Copyright © 한국여성심리학회
720 회 열람

본 연구는 Gearhardt, Corbin과 Brownell(2016)이 음식중독의 측정을 위해 개발한 Yale Food Addiction Scale 2.0(YFAS 2.0)의 번안 및 타당화를 위해 실시되었다. 이를 위하여 인터넷 카페, 연구자 개인 SNS, 대구 소재 대학 1곳, 경북 소재 대학 1곳에서 성인 435명을 대상으로 연구대상자를 모집하였다. 예일음식중독척도 2.0의 문항별 진단을 위한 임계치를 ROC 곡선을 사용하여 국내 실정에 맞게 조정한 뒤, 요인구조의 적절성을 확보하기 위한 탐색적 요인분석과 확인적 요인분석을 실시하였고 타당도와 신뢰도를 분석하였다. 그 결과, 첫째 총 35문항 중 16개의 문항에서 임계치가 변경되었다. 둘째, 원척도와 마찬가지로 11개의 증상에 대한 단일 요인구조가 추출되었으며 내적 일치도는 적절한 것으로 나타났다. 또한, 확인적 요인분석 결과, 단일 요인이 적합한 것으로 나타났다. 예일음식중독척도 2.0은 폭식행동 척도(Binge Eating Scale; BES), 일반적 음식갈망-특질 척도(General-Food Cravings Questionnaire-Trait; G-FCQ-T)와 정적 상관을 보였다. 그러나 선행연구와는 달리 Three Factor Eating Questionnaire(TFEQ)의 하위요인 중 식이제한 및 BMI와는 부적 상관을 보였다. 종합적으로, 예일음식중독척도 2.0의 공인 타당도, 교차 타당도, 수렴 타당도는 유의미하였다. 마지막으로 본 연구결과를 바탕으로 연구의 시사점과 제한점에 대하여 논의하였다.

This study was conducted to validate the Yale Food Addiction Scale 2.0 (YFAS 2.0) developed by Gearhardt, Corbin and Brownell (2016) for the measurement of food addiction. For this purpose, 435 adults were recruited from internet cafes, researchers' personal SNS, one university in Daegu and one university in Kyungbuk. The ROC curve was used to adjust the thresholds for each item of the Yale food addiction scale 2.0 to fit the domestic situation. The exploratory factor analysis and the confirmatory factor analysis were conducted to ensure the appropriateness of the factor structure, and the validity and reliability respectively. As a result, first of all, the threshold was changed in 16 of the 35 items. Second, as with the original scale, the single factor structure for 11 symptoms was extracted and the internal consistency was found to be appropriate. As a result of confirmatory factor analysis, it was shown that they had better fit in single factor. Yale food addiction scale 2.0 showed a positive correlation with the Binge Eating Scale (BES) and the general food craving-trait scale (G-FCQ-T). However, unlike previous studies, sub-factors of Three Factor Eating Questionnaire (TFEQ) showed negative correlation with dietary restriction and BMI. Overall, the validated validity, cross validity, and convergent validity of the Yale Food Addiction Scale 2.0 were significant. Finally, the implications and limitations of the study were discussed based on the results of this study.

예일음식중독척도 2.0, 음식중독, 비만, 폭식장애, YFAS 2.0
food addiction, obesity, binge eating disorder, YFAS 2.0

  • 1. [학술지] 김민정 / 2006 / 자가미술치료가 신경성 폭식증 여성의 폭식행동 및 신체상과 자아존중감에 미치는 영향 / 미술치료연구 / 13 (4) : 813 ~ 4 kci
  • 2. [학술지] 김상만 / 1996 / 한국형 제한식이(Restraint of eating), 탈억제(Dishibition), 배고픔(Hunge)정도를 평가하는 설문지의 신뢰도 및 타당성 검증 / 대한지역사회비만학회지 / 5 (1) : 21 ~ 1
  • 3. [학술지] 김아름 / 2015 / 수용 전념 치료(ACT)가 폭식장애 경향이 있는 대학생의 폭식행동, 경험회피, 심리적 안녕감에 미치는 효과 / 한국심리학회지: 건강 / 20 (2) : 407 ~ 2 kci
  • 4. [학술지] 김인혜 / 2014 / 사회 문화적 영향, 신체불만족, 대처방식 및 이분법적 사고가 폭식행동과 절식행동에 미치는 영향 / Korean Journal of Clinical Psychology / 33 (2) : 315 ~ 2 kci
  • 5. [학술지] 노지혜 / 2008 / 일반적 음식갈망-특질 척도(G-FCQ-T)의 타당화 / Korean Journal of Clinical Psychology / 27 (4) : 1039 ~ 4 kci
  • 6. [보고서] 농림축산식품부 / 2017 / 2017 가공식품 세분시장 현황
  • 7. [기타] 보건복지부 / 2016 / 2015 국민건강통계 / 보건복지부
  • 8. [학술지] 손은정 / 2013 / 여대생의 폭식행동에 대한 다차원적 모형의 검증 / 한국심리학회지:여성 / 18 (1) : 109 ~ 1 kci
  • 9. [학술지] 신새론 / 2014 / 일부 농촌 지역 당뇨병, 고혈압, 고지혈증을 가진 성인들의 당지수에 대한 인식도 / 농촌의학.지역보건 / 39 (2) : 104 ~ 2 kci
  • 10. [학술지] 안재은 / 2017 / 신경성 폭식증과 폭식 장애 환자에서의 음식에 대한 선호도 차이 / 중독정신의학 / 21 (1) : 38 ~ 1 kci
  • 11. [학술지] 안경란 / 2016 / 간호대학생의 음식중독 예측요인의 융합적 연구 / 한국융합학회논문지 / 7 (5) : 69 ~ 5 kci
  • 12. [학술지] 이경희 / 2015 / 한국어판 음식중독 평가 도구(Yale Food Addiction Scale)의 타당도와 신뢰도 / 예술인문사회 융합 멀티미디어 논문지 / 5 (5) : 223 ~ 5 kci
  • 13. [학술지] 이선미 / 2013 / 행동활성화/억제체계가 폭식행동에 미치는 영향: 정서조절곤란의 매개효과 / 인지행동치료 / 13 (3) : 407 ~ 3 kci
  • 14. [학위논문] 이수현 / 2000 / 비만 여중생의 신체상 만족도 및 폭식행동이 우울에 미치는 영향
  • 15. [학술지] 이순묵 / 2016 / 탐색적 요인분석: 어떻게 달라지나? / 한국심리학회지:일반 / 35 (1) : 217 ~ 1 kci
  • 16. [학술지] 이재성 / 2002 / 식이장애 / 한방비만학회 / 2 (1) : 1 ~ 1
  • 17. [학술대회] 조혜현 / 2007 / 섭식제한, 탈억제, 스트레스가 폭식에 미치는 영향 / 한국심리학회 학술대회 자료집 / 2007 (1) : 544 ~ 1
  • 18. [학위논문] 허규진 / 2011 / 한국 소아·청소년의 과체중 및 비만 요인 분석
  • 19. [인터넷자료] 헬스조선 / 배만 볼록 ‘마른 비만’, 심혈관질환 주의
  • 20. [학술대회] 황보인 / 2017 / 폭식장애 집단의 체중에 따른 신체적․심리적 건강상태 / 한국심리학회 학술대회 자료집 / 2017 (8) : 386 ~ 8
  • 21. [학술지] al’Absi, M. / 2017 / Stress response pathways, appetite regulation, and drug addiction / Biological Psychology / 131 : 1 ~
  • 22. [학술지] Aloi, M. / 2017 / Validation of the Italian version of the Yale Food Addiction Scale 2.0 (I-YFAS 2.0) in a sample of undergraduate students / Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity / 22 (3) : 527 ~ 3
  • 23. [학술지] Alonso-Alonso, M. / 2015 / Food reward system : current perspectives and future research needs / Nutrition reviews / 73 (5) : 296 ~ 5
  • 24. [단행본] American Psychiatric Association. / 2000 / Diagnostic and statistical manual of mental disorders / American Psychiatric Association
  • 25. [학술지] Avena, N. M. / 2008 / Evidence for sugar addiction : behavioral and neurochemical effects of intermittent, excessive sugar intake / Neuroscience & Biobehavioral Reviews / 32 (1) : 20 ~ 1
  • 26. [학술지] Brunault, P. / 2017 / Validation of the French Version of the DSM-5 Yale Food Addiction Scale in a Nonclinical Sample / The Canadian Journal of Psychiatry / 62 (3) : 199 ~ 3
  • 27. [인터넷자료] Cevallos, M. / If food addiction exists, blame the brain - not the cookies / The Los Angeles Times
  • 28. [학술지] Chao, A. M. / 2017 / Prevalence and psychosocial correlates of food addiction in persons with obesity seeking weight reduction / Comprehensive psychiatry / 73 : 97 ~
  • 29. [학술지] Chen, J. A. / 2017 / Potential role for acupuncture in the treatment of food addiction and obesity / Acupuncture in Medicine : 1 ~
  • 30. [학술지] Clouston, T. S. / 1890 / Diseased cravings and paralyzed control: dipsomania; morphinomania;chloralism; cocainism / Journal of Inebriety / 12 : 203 ~
  • 31. [학술지] Davis, C. / 2011 / Evidence that ‘food addiction’is a valid phenotype of obesity / Appetite / 57 (3) : 711 ~ 3
  • 32. [학술지] Dawe, S. / 2004 / The role of impulsivity in the development of substance use and eating disorders / Neuroscience &Biobehavioral Reviews / 28 (3) : 343 ~ 3
  • 33. [학술지] DiLeone, R. J. / 2012 / The drive to eat : comparisons and distinctions between mechanisms of food reward and drug addiction / Nature neuroscience / 15 (10) : 1330 ~ 10
  • 34. [학술지] Epstein, D. H. / 2010 / Tobacco, cocaine, and heroin : craving and use during daily life / Addictive behaviors / 35 (4) : 318 ~ 4
  • 35. [학술지] Field, M. / 2008 / Rapid approach responses to alcohol cues in heavy drinkers / Journal of behavior therapy and experimental psychiatry / 39 (3) : 209 ~ 3
  • 36. [학술지] Foster-Powell, K. / 1995 / International tables of glycemic index / The American journal of clinical nutrition / 62 (4) : 871 ~ 4
  • 37. [학술지] Fuentes, M. / 2017 / Relation between food addiction and nutritional status in patients candidates for bariatric surgery / European Neuropsychopharmacology / 27 : S1086 ~
  • 38. [학술지] Gearhardt, A. N. / 2009 / Preliminary validation of the Yale food addiction scale / Appetite / 52 (2) : 430 ~ 2
  • 39. [학술지] Gearhardt, A. N. / 2016 / Development of the Yale Food Addiction Scale Version 2. 0 / Psychology of Addictive Behaviors / 30 (1) : 113 ~ 1
  • 40. [학술지] Gearhardt, A. N. / 2011 / Binge eating disorder and food addiction / Current drug abuse reviews / 4 (3) : 201 ~ 3
  • 41. [학술지] Gearhardt, A. N. / 2012 / An examination of the food addiction construct in obese patients with binge eating disorder / International Journal of Eating Disorders / 45 (5) : 657 ~ 5
  • 42. [학술지] Gerdeman, G. L. / 2003 / It could be habit forming : drugs of abuse and striatal synaptic plasticity / Trends in neurosciences / 26 (4) : 184 ~ 4
  • 43. [학술지] Gold, M. S. / 2003 / Overeating, binge eating, and eating disorders as addictions / Psychiatric Annals / 33 (2) : 117 ~ 2
  • 44. [학술지] Gormally, J. / 1982 / The assessment of binge eating severity among obese persons / Addictive behaviors / 7 (1) : 47 ~ 1
  • 45. [학술지] Grilo, C. M. / 2009 / Overvaluation of shape and weight in binge eating disorder, bulimia nervosa, and sub-threshold bulimia nervosa / Behaviour Research and Therapy / 47 (8) : 692 ~ 8
  • 46. [학술지] Hebebrand, J. / 2014 / “Eating addiction”, rather than “food addiction”, better captures addictive-like eating behavior / Neuroscience & Biobehavioral Reviews / 47 : 295 ~
  • 47. [학술지] Henningfield, J. E. / 1983 / Nicotine as a reinforcer in human subjects and laboratory animals / Pharmacology Biochemistry and Behavior / 19 (6) : 989 ~ 6
  • 48. [학술지] Hoebel, B. / 1999 / Neural systems for reinforcement and inhibition of behavior: relevance to eating, addiction and depression / Wellbeing: Foundations of Hedonic Psychology : 558 ~
  • 49. [학술지] Ifland, J. R. / 2009 / Refined food addiction : a classic substance use disorder / Medical hypotheses / 72 (5) : 518 ~ 5
  • 50. [학술지] Imperatori, C. / 2017 / The Association between Food Addiction and Early Maladaptive Schemas in Overweight and Obese Women : A Preliminary Investigation / Nutrients / 9 (11) : 1259
  • 51. [학술지] 제갈윤석 / 2010 / The Relationship between the Level of Fatness and Fitness during Adolescence and the Risk Factors of Metabolic Disorders in Adulthood / Diabetes and Metabolism Journal / 34 (2) : 126 ~ 2 kci
  • 52. [학술지] Jenkins, D. J. / 1981 / Glycemic index of foods : a physiological basis for carbohydrate exchange / The American journal of clinical nutrition / 34 (3) : 362 ~ 3
  • 53. [학술지] Jellinek, E. M. / 1952 / Phases of alcohol addiction / Quarterly journal of studies on alcohol / 13 (4) : 673 ~ 4
  • 54. [학술지] Leigh, S. J. / 2016 / The role of reward circuitry and food addiction in the obesity epidemic : An update / Biological psychology / 131 : 31 ~
  • 55. [학술지] Lennerz, B. S. / 2013 / Effects of dietary glycemic index on brain regions related to reward and craving in men / The American journal of clinical nutrition / 98 (3) : 641 ~ 3
  • 56. [단행본] Martin, C. K. / 2011 / International Handbook of Behavior, Diet, and Nutrition / Springer
  • 57. [학술지] Masheb, R. M. / 2008 / Prognostic significance of two sub-categorization methods for the treatment of binge eating disorder : Negative affect and overvaluation predict, but do not moderate, specific outcomes / Behaviour Research and Therapy / 46 (4) : 428 ~ 4
  • 58. [학술지] Mckeown, N. M. / 2014 / Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013 : a systematic analysis for the Global Burden of Disease Study 2013 / The Lancet / 384 (9945) : 766 ~ 9945
  • 59. [학술지] Meule, A. / 2015 / Focus : addiction : back by popular demand : a narrative review on the history of food addiction research / The Yale journal of biology and medicine / 88 (3) : 295 ~ 3
  • 60. [학술지] Meule, A. / 2017 / German version of the Yale Food Addiction Scale 2. 0 : Prevalence and correlates of ‘food addiction’in students and obese individuals / Appetite / 115 : 54 ~
  • 61. [학술지] Nieto, M. / 2002 / Chronic morphine treatment modulates the extracellular levels of endogenous enkephalins in rat brain structures involved in opiate dependence : a microdialysis study / Journal of Neuroscience / 22 : 1034 ~
  • 62. [학술지] Nijs, I. M. / 2007 / The modified Trait and State Food-Cravings Questionnaires : development and validation of a general index of food craving / Appetite / 49 (1) : 38 ~ 1
  • 63. [학술지] Randolph, T. G. / 1956 / The descriptive features of food addiction. Addictive eating and drinking / Quarterly Journal of Studies on Alcohol / 17 : 198 ~
  • 64. [학술지] Schulte, E. M. / 2015 / Which foods may be addictive? The roles of processing, fat content, and glycemic load / PloS one / 10 (2) : e0117959
  • 65. [학술지] Schulte, E. M. / 2017 / A commentary on the"eating addiction"versus"food addiction"perspectives on addictive-like food consumption / Appetite / 115 : 9 ~
  • 66. [학술지] Schulte, E. M. / 2016 / Neural systems implicated in obesity as an addictive disorder : from biological to behavioral mechanisms / Progress in Brain Research / 223 (17) : 329 ~ 17
  • 67. [학술지] Stunkard, A. J. / 1985 / The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger / Journal of psychosomatic research / 29 (1) : 71 ~ 1
  • 68. [학술지] Tuomisto, T. / 1997 / Affective, physiological and overt behavioral responses to chocolate in self-identified ‘chocolate addicts’ / International Journal of Psychophysiology / 25 : 38 ~
  • 69. [학술지] Wang, G. J. / 2011 / Enhanced striatal dopamine release during food stimulation in binge eating disorder / Obesity / 19 (8) : 1601 ~ 8
  • 70. [학술지] White, M. A. / 2005 / Psychometric properties of the Food Craving Inventory among obese patients with binge eating disorder / Eating behaviors / 6 (3) : 239 ~ 3