흡연 및 음주 여자청소년에서의 정신병리와 식이행

Psychopathology and Eating Behavior in Female Adolescents with Smoking·Drinking Experiences

Objective：Female adolescents with drinking and smoking problems have shown a sharp increase, and they are liable to show abnormal eating behaviors. The objects of this research are 1) to estimate the rate of smoking and drinking among female adolescents, and 2) to study their association with psychopatholoy and eating behavior. Method：We conducted a survey of 864 girls at one junior high school (n=405) and one high school (n= 459) with questionnaires of the general information related to smoking and drinking behaviors, the SDQ (Strengths and Difficulties Questionnaire) for psychopathology, and the TFEQ (Three Factor Eating Questionnaire) for eating patterns. In addition, the BMI and the discrepancy of perceived-ideal body image were calculated. Result：The prevalence of drinking and smoking were 35.1% and 11.5%, respectively. Hyperactivity and conduct problems were found in smoking and drinking female adolescents. Smoking girls at high school got a low disinhibition score and high BMI, and showed considerable discrepancy between perceived and ideal body image. Drinking girls at high school got a high score in both disinhibition and hunger of eating patterns and a low score in dietary restraint. For the junior high schoolgirls, the lower disinhibition score was, the higher the risk of smoking and drinking was, but for the high schoolgirls, the lower dietary restraint score was, the higher the risk of drinking was. And, disinhibition/hunger measures and psychopathology were positively correlated. Conclusion：Smoking and drinking in female adolescents is closely associated with externalizing beha-vioral problems, and eating pattern is mainly related to drinking rather than smoking.