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研究生: 楊定燕
論文名稱: 護專學生生活壓力、完美主義與飲食異常之相關研究
Relationships among Life Stress, Perfectionism and Eating Disorders in College Nursing Students
指導教授: 蕭淑惠
學位類別: 碩士
Master
系所名稱: 教育心理與輔導學系
Department of Educational Psychology and Counseling
論文出版年: 2009
畢業學年度: 97
語文別: 中文
論文頁數: 93
中文關鍵詞: 護生生活壓力完美主義飲食異常
英文關鍵詞: college nursing students, stress, perfectionism, eating disorders
論文種類: 學術論文
相關次數: 點閱:160下載:0
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  • 本研究目的在瞭解護專學生在學期間之飲食異常現狀,並探討其與生活壓力、完美主義得分間之關係。本研究採結構式問卷調查法,以北部三所五年制護理科在籍學生為研究對象(共989名)。研究工具共有四部分,包括基本資料、生活壓力量表、多層面完美主義量表與飲食態度量表。所得資料以描述統計、單因子變異數分析、t考驗、積差相關、多元逐步迴歸等統計方法加以分析。本研究結果發現,整體上12.8%的護生有飲食異常傾向,且飲食異常與生活壓力及完美主義有顯著相關。將生活壓力及完美主義各層面對於飲食異常進行預測時,其中以「在乎失誤」(CM)、「感情問題」(RP)、「組織」(O)、「父母責難」(PC)、「重大生活事件」(MLE)、「經濟問題」(FP)、「課業壓力」(AD)等得分對飲食異常的預測力最佳。在背景變項方面,不同年級和不同運動參與程度的護生在飲食異常得分並無顯著差異;而BMI和不同程度的體重控制行為在飲食異常得分上有顯著差異。飲食異常高分組的護生在生活壓力與完美主義上的得分顯著高於飲食異常低分組的護生。根據以上研究結果,本研究提出對護專學生諮商輔導與未來研究之建議以供參考。

    The aim of the present study was to understand the prevalence of eating disorders among college nursing students and to investigate the relationship among stress, perfectionism and eating disorders. Participants of this study were 989 college nursing students enrolled in a five-year college program in the greater Taipei area. The instrument used is a structured questionnaire which comprised four parts: background information, the Life Stress Scale, the Multidimensional Perfectionism Scale (MPS), and the Eating Attitude Test (EAT). Data were analyzed using descriptive statistics, one-way ANOVA, t-test, Pearson’s correlation, and stepwise multiple regression. The results suggest that 12.8% of the college nursing students are at risk for eating disorders; and stress and perfectionism are positively correlated with eating disorders. When tested which dimensions of stress and perfectionism were most predictive of eating disorders, the results indicate that Concern over Mistakes, Relationship Problems, Organization, Parental Criticism, Major Life Events, Financial Problems and Academic Demands were shown to be the best predictors of eating disorders. There were significant differences in BMI and weight control behaviors with regard to eating disorders. However, there were no differences in different years of study and different levels of sports participation with regard to eating disorders. Nursing students in High EAT group have significantly higher stress and perfectionism than those in the Low EAT group. Suggestions on directions of future research and clinical implications were proposed based on the findings of current study.

    ACKNOWLEDGEMENTS .II LIST OF TABLES V ABSTRACT VI CHINESE ABSTRACT VII CHAPTER 1 – INTRODUCTION 1 Research Motives 1 Purpose of the Study 4 Research Goals 4 Research Questions 6 Hypotheses 6 Definition of Terms 7 CHAPTER 2 – LITERATURE REVIEW 8 Stress in Nursing Students 8 Eating Disorders 12 Stress and Eating Disorders 19 Perfectionism 24 Perfectionism and Eating Disorders 28 Perfectionism and Stress in Eating Disorders 33 CHAPTER 3 – METHODOLOGY 35 Participants 35 Procedure 35 Instrumentation 36 Data Screening 40 Data Analysis 41 CHAPTER 4 – RESULTS 42 Descriptive Statistics of Demographic Background 43 Eating Attitudes and Behaviors in College Nursing Students 45 Differences in Eating Disorders among College Nursing Students with Different Demographic Background Variables 48 Sources of Stress in the Lives of College Nursing Students 52 Perfectionism among College Nursing Students 53 Correlations among Stress, Perfectionism and Eating Disorders 54 Predictability of Stress and Perfectionism on Eating Disorders 57 Differences between High and Low EAT Groups on Stress and Perfectionism 59 CHAPTER 5 – DISCUSSIONS AND SUGGESTIONS 61 Discussion 61 Limitations and Suggestions 70 REFERENCES 74 APPENDIXES 86

    Ball, K., Lee, C., & Brown, W. (1999). Psychological stress and disordered eating: An exploratory study with young Australian women. Women and Health, 29(2), 1-15.
    Bardone-Cone, A. M., Wonderlich, S. A., Frost, R. O., Bulik, C. M., Mitchell, J. E., Uppala, S., et al. (2007). Perfectionism and eating disorders: Current status and future directions. Clinical Psychology Review, 27, 384-405.
    Bastiani, A., Rao, R., Weltzin, T., & Kaye, W. (1995). Perfectionism in anorexia nervosa. International Journal of Eating Disorders, 17(2), 147-152.
    Beck, D. L., & Srivastava, R. (1991). Perceived level and sources of stress in baccalaureate nursing students. Journal of Nursing Education, 30(3), 127-133.
    Bittinger, J. N., & Smith, J. E. (2003). Mediating and moderating effects of stress perception and situation type on coping responses in women with disordered eating. Eating Behaviors, 4, 89-106.
    Bulik, C. M., Tozzi, F., Anderson, C., Mazzeo, S. E., Aggen, S., & Sullivan, P. F. (2003). The relation between eating disorders and components of perfectionism. American Journal of Psychiatry, 160(2), 366-368.
    Burns, D. D. (1980). The perfectionist’s script for self-defeat. Psychology Today, November, 34-52.
    Carr, K. P. (1989). Perceived stressors and symptoms of stress of students in generic baccalaureate nursing programs. Unpublished doctoral dissertation, Vanderbilt University, Tennessee.
    Cartwright, M., Wardle, J., Steggles, N., Simon, A. E., Croker, H., & Jarvis, M. J. (2003). Stress and dietary practices in adolescents. Health Psychology, 22(4), 362-369.
    Cassin, S. E., & von Ranson, K. M. (2005). Personality and eating disorders: A decade in review. Clinical Psychology Review, 25, 895-916.
    Cattanach, L., & Rodin, J. (1988). Psychosocial components of the stress process in bulimia. International Journal of Eating Disorders, 7(1), 75-88.
    Chang, E. C. (2006). Perfectionism and dimensions of psychological well-being in a college student sample: A test of a stress-mediation model. Journal of Social and Clinical Psychology, 25(9), 1001-1022.
    Chang, E. C. & Rand, K. L. (2000). Perfectionism as a predictor of subsequent adjustment: Evidence for a specific diathesis-stress mechanism among college students. Journal of Counseling Psychology, 47(11), 129-137.
    Chang, E. C., Ivezaj, V., Downey, C. A., Kashima, Y., & Morady, A. R. (2008). Complexities of measuring perfectionism: Three popular perfectionism measures and their relations with eating disturbances and health behaviors in a female college student sample. Eating Behaviors, 9, 102-110.
    Cheng, H.-M. & Wang, R.-H. (1999). Life stress events, stress symptoms and social support systems in third-year students of a nursing college. The Journal of Nursing, 46(6), 45-55. [Text in Chinese].
    Cheng, S. K. (2001). Life stress, problems solving, perfectionism, and depressive symptoms in Chinese. Cognitive Therapy and Research, 25(3), 303-310.
    Ching, C.-H., Shen, S.-S., Lin, H.-P., & Lin, W.-S. (2000). A study of junior college students' adjustment and psycho-physical health condition. Chia Nan Annual Bulletin, 26, 54-69. [Text in Chinese].
    Chung, I.-L. (2006). The effect of body image and self-esteem on eating disorder inclination among female college students– A Case study of Tamkang University. Unpublished master’s thesis, Tamkang Univeristy, Taiwan. [Text in Chinese].
    Cockell, S., Hewitt, P., Seal, B., Sherry, S., Goldner, E., Flett, G., et al. (2002). Trait and self-presentational dimensions of perfectionism among women with anorexia nervosa. Cognitive Therapy & Research, 26(6), 745-758.
    Conner, M., Fitter, M., & Fletcher, M. (1999). Stress and snacking: A diary study of daily hassles and between-meal snacking. Psychology and Health, 14, 51-63.
    Davis, C. (1997). Normal and neurotic perfectionism in eating disorders: An interactive model. International Journal of Eating Disorders, 22(4), 421-426.
    Deary, I. J., Watson, R., & Hogston, R. (2003). A longitudinal cohort study of burnout and attrition in nursing students. Journal of Advanced Nursing, 43(1), 71-81.
    DiBartolo, P. M., Li, C. Y., & Frost, R. O. (2007). How do the dimensions of perfectionism relate to mental health? Cognitive Therapy and Research, 32(3), 401-417.
    Enns, M. W., Cox, B. J., & Clara, I. (2002). Adaptive and maladaptive perfectionism: developmental origins and association with depression proneness. Personality and Individual Differences, 33, 921-935.
    Fairburn, C. G. & Beglin, S. J. (1990). Studies of the epidemiology of bulimia nervosa. American Journal of Psychiatry, 147, 401-408.
    Fairburn, C.G., Cooper, Z., Doll, H.A & Welch, S.L. (1999). Risk factors for anorexia nervosa. Three integrated case-control comparisons. Archives of General Psychiatry, 56, 468-476.
    Flett, G. L., & Hewitt, P. L. (2002). Perfectionism and maladjustment: An overview of theoretical, definitional, and treatment issues. In G. L. Fleet & P. L. Hewitt (Eds.), Perfectionism: Theory, research, and treatment (pp. 5-31). Washington, DC: American Psychological Association.
    Fombonne, E. (1995). Anorexia nervosa: No evidence of an increase. British Journal of Psychiatry, 166, 462-471.
    Forbush, K., Heatherton, T., & Keel, P. (2007). Relationships between perfectionism and specific disordered eating behaviors. International Journal of Eating Disorders, 40(1), 37-41.
    Franco-Paredes, K., Mancilla-Díaz, J., Vázquez-Arévalo, R., López-Aguilar, X., & Álvarez-Rayón, G. (2005). Perfectionism and eating disorders: a review of the literature. . European Eating Disorders Review, 13(1), 61-70.
    Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14(5), 449-468.
    Fryer, S., Waller, G., & Kroese, B. S. (1997). Stress, coping and disturbed eating attitudes in teenage girls. International Journal of Eating Disorders, 22, 427-436.
    Gallagher, D. (1989). Is stress ripping our nurses apart? Imprint, 36(2), 59-63.
    Garner, D. M., Olmsted, M. P., Bohr, Y., & Garfinkel, P. E. (1982). The Eating Attitude Test: Psychometric features and clinical correlates. Psychological Medicine, 12, 871-878.
    Garner, D. M., Olmsted, M. P., & Polivy, J. (1983). Development and validation of multidimensional eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders, 2(2), 15-34.
    Goldner, E. M., Cockell, S. J., & Srikameswaran, S. (2002). Perfectionism and eating disorders. In G. L. Flett & P. L. Hewitt (Eds.), Perfectionism: Theory, research, and treatment (pp. 319-340). Washington, DC: American Psychology Association.
    Goldschmidt, A. B., Aspen, V. P., Sinton, M. M., Tanofsky-Kraff, M., & Wilfley, D. E. (2008). Disordered eating attitudes and behaviors in overweight youth. Obesity, 16, 257-264.
    Gowers, S. G., North, C. D., Byram, V., & Weaver, A. B. (1996). Life event precipitants of adolescent anorexia nervosa. Journal of Child Psychology and Psychiatry, 37(4), 469-477.
    Greeno, C. G., & Wing, R. R. (1994). Stress-induced eating. Psychological Bulletin, 115(3), 444-464.
    Gu, C.-W. (2003). A study of the relationship among body dissatisfaction, social physique anxiety and eating disorders among adolescent girls. Unpublished master’s thesis, National Taiwan Normal University, Taipei. [Text in Chinese].
    Halmi, K. A., Sunday, S. R., Strober, M., Kaplan, A., Woodside, D. B., Fichter, M., et al. (2000). Perfectionism in anorexia nervosa: Variation by clinical subtype, obsessionality, and pathological eating behavior. American Journal of Psychiatry, 157, 1799-1805.
    Halvarsson, K. (2000). Dieting and eating attitudes in girls: Development and prediction. Unpublished doctoral dissertation, Uppsala University, Sweden.
    Hamachek, D. E. (1978). Psychodynamics of normal and neurotic perfectionism. Psychology, 15, 27-33.
    Hewitt, P. L & Flett, G. L. (2002). Perfectionism and stress processes in psychopathology. In G. L. Flett & P. L. Hewitt (Eds.), Perfectionism: Theory, research, and treatment (pp. 319-340). Washington, DC: American Psychology Association.
    Hewitt, P., Flett, G., & Ediger, E. (1995). Perfectionism traits and perfectionistic self-presentation in eating disorder attitudes, characteristics, and symptoms. International Journal of Eating Disorders, 18(4), 317-326.
    Ho, H.-J. (1997). Life stress, social support, suicidal tendency, and depression. Unpublished mater’s thesis, Kaohsiung Medical University, Taiwan. [Text in Chinese].
    Holm-Denoma, J. M., Scaringi, V., Gordon, K. H., Van Orden, K. A., & Joiner Jr., T. E. (2009). Eating disorder symptoms among undergraduate varsity athletes, club athletes, independent exercisers, and nonexercisers. International Journal of Eating Disorders, 42(1), 47-53.
    Hong, J.-F. & Li, Z. (2008). Health-promoting life style and perceived health self-efficacy among nursing students during clinical practice. Chinese Mental Health Journal, 22(3), 210-213.
    Hsieh, C.-J., Tsai, S.-L., Chen, K.-Y., & Hsiung, P.-C. (2003). A study of bulimia nervosa among nursing students at two universities in Taipei. Tzu Chi Medical Journal, 15(5), 327-335. [Text in Chinese].
    Hsu, L. K. (1996). Epidemiology of the eating disorders. Psychiatric Clinical of North America, 19(4), 681-700.
    Jenkins, S. K., Rew, L., & Sternglanz, R. W. (2005). Eating behaviors among school-age children associated with perceptions of stress. Issues in Comprehensive Pediatric Nursing, 28, 175-191.
    Joiner, J., Thomas E., Heatherton, T. F., Rudd, M. D., & Schmidt, N. B. (1997). Perfectionism, perceived weight status, and bulimic symptoms: Two studies testing a diathesis-stress model. Journal of Abnormal Psychology, 106(1), 145-153.
    Jones, M. C., & Johnston, D. W. (1997). Distress, stress and coping in first-year student nurses. Journal of Advanced Nursing, 26, 475-482.
    Jones, M. J., Bennett, S., Olmsted, M. P., Lawson, M. L. & Rodin, G. (2001). Disordered eating attitudes and behaviours in teenaged girls: A school-based study. Canadian Medical Association Journal, 165(5), 547-552.
    Kane, L. J. (1997). Perceived sources and level of stress experienced by student nurses in associate and baccalaureate degree programs. Unpublished master’s thesis, Grand Valley State University.
    Kirk, G., Singh, K., & Getz, H. (2001). Risk of eating disorders among female college athletes and nonathletes. Journal of College Counseling, 4(2), 122-132.
    Kjelsås, E., Bjørnstrøm, C., & Götestam, K.G. (2004). Prevalence of eating disorders in female and male adolescents (14-15 years). Eating Behaviors, 5(1), 13-25.
    Kohn, M. & Golden, N. H. (2001). Eating disorders in children and adolescents: Epidemiology, diagnosis and treatment. Paediatric Drugs, 3(2), 91-99.
    Lai, C.-W. (2002). A study of the relationship between locus of control and eating behavior inclination among adolescents. Unpublished master’s thesis, National Yang-Ming University, Taiwan. [Text in Chinese].
    Lai, H.-C. & Lee, H.-H. (2004). The relationship among life stress, family and social support/alienation in nursing students. Guidance Quarterly, 40(2), 35-41.
    Levine, M.P., Smolak, L., Moodey, A.F., Shuman, M.D., & Hessen, L.D. (1994). Normative developmental challenges and dieting and eating disturbances in middle school girls. International Journal of Eating Disorders, 15, 11-20.
    Lin, Z.-C. & Chang, M.-C. (2001). Perceived sources of stress and coping strategies in nursing students. Journal of Tzu Chi College of Technology, 3, 131-150. [Text in Chinese].
    Liu, R.-L., Chen, S.-H., & Hsu, L.-M. (2000). The relationships among stress, coping strategies, and anxiety/depression of students in a nursing college. Journal of Chang Gung Institute of Nursing, 2, 153-177. [Text in Chinese].
    Lo, R. (2002). A longitudinal study of perceived level of stress, coping and self-esteem of undergraduate nursing students: An Australian case study. Journal of Advanced Nursing, 39(2), 119-126.
    Loth, K., Van den Berg, P., Eisenberg, M. E., & Neumark-Sztainer, D. (2008). Stressful life events and disordered eating behaviors: Findings from Project EAT. Journal of Adolescent Health, 43, 514-516.
    Lu, F. J.-H., Tseng, H.-H., Chao, W.-C., & Huang, Y.-J. (1999). An exploratory study of the concept of perfectionism and perfectionism scales. The University of Physical Education and Sports, 43, 43-51. [Text in Chinese].
    Macedo, A., Soares, M., Azevedo, M., Gomes, A., Pereira, A., Maia, B., et al. (2007). Perfectionism and eating attitudes in Portuguese university students. European Eating Disorders Review, 15, 196-304.
    Mahaffey, E. A. H. (1992). Coping resources for stress and assertiveness training, previous nursing experience, race, and gender among traditional and non-traditional associate degree nursing students. Unpulished doctoral dissertation, University of Southern Mississippi.
    Mutterperl, J. A. & Sanderson, C. A. (2002). Mind over matter: Internalization of the thinness norm as a moderator of responsiveness to norm misperception education in college women. Health Psychology, 21, 519–523.
    Omigbodun, O. O., Onibokun, A. C., Yusuf, B. O., Odukogbe, A. A., & Omigbodun, A. O. (2004). Stressors and counseling needs of undergraduate nursing students in Ibadan, Nigeria. Journal of Nursing Education, 43(9), 412-415.
    Parker, W. D. & Adkin, K. K. (1995). A psychometric examination of the Multidimensional Perfectionism Scale. Journal of Psychopathology and Behavioral Assessment, 17(4), 323-334.
    Patton, G. C., Selzer, R., Coffey, C., Carlin, J. B., & Wolfe, R. (1999). Onset of adolescent eating disorders: population based cohort study over 3 years. BMJ, 318, 765-768.
    Paxton, S.J., Wertheim, E.H., Gibbons, K., Szmukler, G.I., Hillier, L., Petrovich, J.L. (1991). Body imagesatisfaction, dieting beliefs, and weight loss behaviors in adolescent girls and boys. Journal of Youth and Adolescence, 20, 361-379.
    Peng, L.-M. (2005). The study of nursing high school students’ stress, coping strategies, career self-efficacy and career commitment. Unpublished master’s thesis, Chang Gung University, Tao Yuan. [Text in Chinese].
    Pliner, P., & Haddock, G. (1996). Perfectionism in weight-concerned and -unconcerned women: An experimental approach. International Journal of Eating Disorders, 19(4), 381-389.
    Polivy, J., & Herman, C. P. (2002). Causes of eating diorders. Annual Review of Psychology, 53, 187-213.
    Purcell, C., Moyle, W., & Evans, K. (2006). An exploration of modifiable health associated risk factors within a cohort of undergraduate nursing students. Contemporary Nurse, 23(1), 100-110.
    Robert-McComb, J. J. (2000). Eating disorders in women and children - prevention, stress management, and treatment. Boca Raton: CRC Press LLC.
    Rosen, J. C., Compas, B. E., & Tacy, B. (1993). The relation among stress, psychological symptoms, and eating disorder symptoms: a prospective analysis. International Journal of Eating Disorders, 14(2), 153-162.
    Ruggiero, G. M., Levi, D., Ciuna, A., & Sassaroli, S. (2003). Stress situation reveals an association between perfectionism and drive for thinness. International Journal of Eating Disorders, 34, 220-226.
    Sassaroli, S., & Ruggiero, G. M. (2005). The role of stress in the association between low self-esteem, perfectionism, and worry, and eating disorders. International Journal of Eating Disorders, 37, 135-141.
    Shafran, R., Lee, M., Payne, E., & Fairburn, C. G. (2006 ). The impact of manipulating personal standards on eating attitudes and behaviour. Behaviour Research and Therapy, 44(6), 897-906.
    Shatford, L. A., & Evans, D. R. (1986). Bulimia as a manifestation of the stress process: A LISREL causal modeling analysis. International Journal of Eating Disorders, 5(3), 451-473.
    Slade, P. D. (1982). Towards a functional analysis of anorexia nervosa and bulimia nervosa. British Journal of Clinical Psychology, 21(3), 167-179.
    Smolak, L., Murnen, S. K., & Ruble, A. E. (2000). Female Athletes and Eating Problems: A Meta-Analysis. International Journal of Eating Disorders, 27(4).
    Srinivasagam, N. M., Kaye, W. H., Plotnicov, K. H., Greeno, C., Weltzin, T. E., & Rao, R. (1995). Persistent perfectionism, symmetry, and exactness after long-term recovery from anorexia nervosa. American Journal of Psychiatry, 152(11), 1630-1634.
    Stice, E. (2002). Risk and maintenance factors for eating pathology: A meta-analytic review. Psychological Bulletin, 128(5), 825-848.
    Stice, E., Shupak-Neuberg, E., Shaw, H.E., & Stein, R.I. (1994b). Relation of media exposure to eating disorder symptomatology: An examination of mediating mechanisms. Journal of Abnormal Psychology, 103, 836-840.
    Stone, A. A., & Brownell, K. D. (1994). The stress-eating paradox: Multiple daily measurements in adult males and females. Psychology & Health, 9(6), 425-436.
    Striegel-Moore, R. H., & Bulik, C. M. (2007). Risk factors for eating disorders. American Pychologist, 62(3), 181-198.
    Strober, M. (1984). Stressful life events associated with bulimia in anorexia nervosa: Empirical findings and theoretical speculations. International Journal of Eating Disorders, 3(2), 3-16.
    Strober, M. (1991). Disorders of the self in anorexia nervosa: An organismic-developmental paradigm. In C. Johnson (Ed.), Psychodynamic treatment of anorexia nervosa and bulimia nervosa (pp. 354-373). New York: Guilford.
    Szweda, S., & Thorne, P. (2002). The prevalence of eating disorders in female health care students. Occupational Medicine, 52(3), 113-119.
    Taub, D. E., & Blinde, E. M. (1992). Eating disorders among adolescent female athletes: Influence of athletic participation and sport team membership. Adolescence, 27(108), 833-848.
    Taub, D. E., & Blinde, E. M. (1994). Disordered eating and weight control among adolescent female athletes and performance squad members. Journal of Adolescent Research, 9(4), 483-497.
    Thomas, C. L., James, Anthony C.A., & Bachmann, M. O. (2002). Eating attitude in English secondary school students: Influences of ethnicity, gender, mood, and social class. International Journal of Eating Disorders, 31(1), 92-96.
    Troop, N. A. (1998). Eating disorders as coping strategies: A critique. European Eating Disorders Review, 6, 229-237.
    Troop, N. A., Holbrey, A., & Treasure, J. L. (1998). Stress, coping and crisis support in eating disorders. International Journal of Eating Disorders, 24, 157-166.
    Wade, T. D., Tiggemann, M., Bulik, C. M., Fairburn, C. G., Wray, N. R., & Martin, N. G. (2008). Shared temperament risk factors for anorexia nervosa: A twin study. Psychosomatic Medicine, 70(2).
    Walton, R. L. (2002). A comparison of perceived stress levels and coping styles of junior and senior students in nursing and social work programs. Unpublished doctoral dissertation, Marshall University, Huntington, West Virginia.
    Welch, S. L., Doll, H. A., & Fairburn, C. G. (1997). Life events and the onset of bulimia nervosa: A controlled study. Psychological Medicine, 27(3), 515-522.
    Westerberg, J., Edlund, B., & Ghaderi, A. (2008). A 2-year longitudinal study of eating attitudes, BMI, perfectionism, asceticism and family climate in adolescent girls and their parents. Eating and Weight Disorders, 13(2), 64-72.
    World Health Organization (2006). BMI classification. Retrieved , April 15, 2009, from http://apps.who.int/bmi/index.jsp?introPage=intro_3.html
    Worobey, J. & Schoenfeld, D. (1999). Eating disordered behavior in dietetics students and students in other majors. Journal of the American Dietetic Association, 99(9), 1100–1102.
    Wu, C. Y. (2006). A study of the relationship among the life stress, social support and the depressive degree of the college nursing students in the northern Taiwan. Unpublished master’s thesis, National Taiwan Normal University, Taipei. [Text in Chinese].
    Xiao, F. H. (1995). The relationships among body image, anorexia nervosa, and bulimia of senior high school female students in Taipei. Unpublished mater’s thesis, National Taiwan Normal University, Taiwan. [Text in Chinese].

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