scholarly journals Orthorexia nervosa and dieting in a non-clinical sample: a prospective study

2022 ◽  
Author(s):  
Caterina Novara ◽  
Susanna Pardini ◽  
Francesco Visioli ◽  
Nicola Meda
Keyword(s):  
Eating Disorders ◽  
Body Dissatisfaction ◽  
Clinical Sample ◽  
Critical Factor ◽  
Orthorexia Nervosa ◽  
Multiple Time ◽  
Level Of Evidence ◽  
Dietary Regimen ◽  
Previous Diagnosis ◽  
A Prospective Study

Abstract Purpose Orthorexia Nervosa (ON) is characterised by excessive attention to a dietary regimen perceived as healthy. A critical factor in the distinction between ON and other eating disorders (EDs) is the dichotomy of quality-versus-quantity of food intake. We investigated whether specific types of diet or dieting frequency are associated with orthorexic features, explored the overlap between ON and EDs symptoms, and examined which constructs are predictive of ON after 6 months. Methods A total of 1075 students (75.1% female, mean age 20.9) completed a set of questionnaires assessing Orthorexia, Eating Disorders, Obsessions and Compulsions, Anxiety and Depression; 358 individuals (79.9 female, mean age 20.9) agreed to participate in the study and completed the same questionnaires after 6 months. Different regression models were defined to investigate our hypothesis. Results Findings suggest that ON is associated with the number and type of diets followed over a lifetime. Moreover, participants with EDs, body dissatisfaction, or a dysfunctional idea of thinness are more likely to report a greater degree of ON features. After 6 months, the best predictors of ON characteristics are the same ON characteristics assessed at the first administration, with a significant role in the ideal of thinness. Conclusions ON is more frequent in individuals with a previous diagnosis of EDs and in individuals who followed a restrictive diet or a vegan/vegetarian one; the number of lifetime diets, beliefs, and behaviors related to the ideals of thinness or body dissatisfaction is common features of ON. Moreover, considering that having ON features in the past is the best ON predictor in the present, we can presume that ON is a construct stable over time. Level of evidence Level IV: Evidence obtained from multiple time series analysis such as case studies. (NB: Dramatic results in uncontrolled trials might also be regarded as this type of evidence).

scholarly journals Use of online and paper-and-pencil questionnaires to assess the distribution of orthorexia nervosa, muscle dysmorphia and eating disorders among university students: can different approaches lead to different results?

2021 ◽  
Author(s):  
Ilaria Silvia Rossella Gorrasi ◽  
Cinzia Ferraris ◽  
Raffaella Degan ◽  
Giovanni Abbate Daga ◽  
Simona Bo ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Test Scores ◽  
Response Rate ◽  
Muscle Dysmorphia ◽  
Orthorexia Nervosa ◽  
Eating Behaviours ◽  
Cross Sectional Survey ◽  
Level Of Evidence ◽  
Paper And Pencil ◽  
Eat 26

Abstract Purpose Administration of questionnaires to assess the diffusion of disordered eating behaviours via the web is becoming common today. The aim of this study is to assess whether two different approaches of administering a test to assess traits of eating disorders (EDs), orthorexia nervosa (ON) and muscle dysmorphia (MD) by email recruitment and online completion (web-based survey—WBS) and by in person recruitment and paper-and-pencil completion (paper-based survey—PBS), gives different results. Methods During 2 consecutive academic years, a self-reported questionnaire consisting of questions about personal characteristics and three tests for the evaluation of ON (ORTO-15), MD (MDDI-ITA), and EDs (EAT-26) were administered to two groups of undergraduates, respectively, as a WBS and a PBS. Results The WBS response rate was 6.7% (N = 137), and the PBS response rate was 86.5% (N = 372). The WBS group showed a statistically significant higher prevalence of students with eating disordered behaviours (21.2% vs 5.4%) and registered a higher mean score on the EAT-26 test (13.5 ± 11.1 vs 6.0 ± 8.0); no differences between the two groups emerged for ON and MD prevalence and test scores. Moreover, in the WBS group, the number of students with one or more tests with test scores above the cut-off values was significantly higher (46.0% vs 32.3%). Conclusion The choice of the approach to administer a questionnaire to assess the diffusion of EDs and related issues must take into account all the factors that can result in selection bias and that can affect the reliability of the results. Level of evidence Level V, descriptive cross-sectional survey.

scholarly journals Orthorexia Nervosa and Substance Use for the Purposes of Weight Control, Conformity, and Emotional Coping

2021 ◽  
Author(s):  
Crystal D. Oberle ◽  
Haley S. Marcell ◽  
Natalie A. Noebel
Keyword(s):  
Eating Disorders ◽  
Weight Control ◽  
Online Survey ◽  
Illicit Drugs ◽  
Cross Sectional Study ◽  
Orthorexia Nervosa ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Emotional Coping ◽  
And Coping

Abstract Purpose: Orthorexia nervosa (ON), characterized by extreme behaviors driven by the goal of eating only healthy and pure foods, could plausibly be associated with avoidance of nicotine, alcohol, and illicit drugs. However, findings from the limited research on these relationships are mixed, and other eating disorders are associated with greater substance abuse. Method: An online survey was completed by 471 participants (86% women, mean age = 20) recruited from undergraduate courses and through an Instagram advertisement. The questionnaires assessed ON symptomatology; frequency of smoking, alcohol consumption, and illicit drug use; abuse of these substances; and motivations for using these substances. Results: ON scores were not significantly related to the level of use or abuse of nicotine, alcohol, or most illicit drugs. Yet, ON scores were positively correlated with frequency of using illicit depressant drugs. Further, among substance users, ON scores were positively associated with smoking or vaping for the purpose of weight control, and with consuming alcohol and using illicit drugs for the purposes of conformity and coping with such negative emotions as anxiety and depression. Conclusion: Although people who are high in ON symptomatology may be at least partly driven by a strong desire to be as healthy as possible, they are not less likely to use potentially harmful drugs. Instead, many of them may even turn to certain drugs for the same weight-control and emotional-coping motives that guide the behaviors of individuals with other eating disorders.Level of evidence: Level V, descriptive cross-sectional study

scholarly journals Measuring body satisfaction in women with eating disorders and healthy women: appearance-related and functional components in the Body Cathexis Scale (Dutch version)

2021 ◽  
Author(s):  
Marlies E. Rekkers ◽  
Mia Scheffers ◽  
Jooske T. van Busschbach ◽  
Annemarie A. van Elburg
Keyword(s):  
Eating Disorders ◽  
Factor Analysis ◽  
Body Satisfaction ◽  
Clinical Sample ◽  
The Body ◽  
Clinical Samples ◽  
Dutch Version ◽  
Level Of Evidence ◽  
Functional Components ◽  
Body Cathexis

Abstract Purpose Differentiating the concept of body satisfaction, especially the functional component, is important in clinical and research context. The aim of the present study is to contribute to further refinement of the concept by evaluating the psychometric properties of the Dutch version of the Body Cathexis Scale (BCS). Differences in body satisfaction between clinical and non-clinical respondents are also explored. Method Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to investigate whether functional body satisfaction can be distinguished as a separate factor, using data from 238 adult female patients from a clinical sample and 1060 women from two non-clinical samples in the Netherlands. Univariate tests were used to identify differences between non-clinical and clinical samples. Results EFA identified functionality as one of three factors, which was confirmed by CFA. CFA showed the best fit for a three-factor model, where functionality, non-weight, and weight were identified as separate factors in both populations. Internal consistency was good and correlations between factors were low. Women in the non-clinical sample scored significantly higher on the BCS than women with eating disorders on all three subscales, with high effect sizes. Conclusions The three factors of the BCS may be used as subscales, enabling researchers and practitioners to use one scale to measure different aspects of body satisfaction, including body functionality. Use of the BCS may help to achieve a more complete understanding of how people evaluate body satisfaction and contribute to further research on the effectiveness of interventions focussing on body functionality. Level of evidence Cross-sectional descriptive study, Level V.

Internal Structure of the Spanish Adaptation of the Eating Disorder Inventory-3

2012 ◽  
Vol 28 (1) ◽  
pp. 25-31 ◽  
Author(s):  
Paula Elosua ◽  
Alicia López-Jáuregui
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Internal Structure ◽  
Internal Consistency ◽  
Clinical Sample ◽  
Temporal Stability ◽  
Second Order ◽  
Order Structure ◽  
Eating Disorder Inventory ◽  
High Internal Consistency

In this study the Eating Disorder Inventory-3 was adapted to Spanish and analyzed the internal psychometric properties of the test in a clinical sample of females with eating disorders. The results showed a high internal consistency of the scores as well as high temporal stability. The factor structure of the scale composites was analyzed using confirmatory factor analysis. The results supported the existence of a second-order structure beyond the psychological composites. The second-order factor showed high correlation with the factor related to eating disorders. Overall, the Spanish version of the EDI-3 showed good psychometric qualities in terms of internal consistency, temporal stability and internal structure.

Improving Body Satisfaction

2015 ◽  
Vol 20 (1) ◽  
pp. 62-71 ◽  
Author(s):  
Carolien Martijn ◽  
Jessica M. Alleva ◽  
Anita Jansen
Keyword(s):  
Eating Disorders ◽  
Body Dissatisfaction ◽  
Automatic System ◽  
Body Satisfaction ◽  
Western Society ◽  
Related Information ◽  
Current Article ◽  
Women And Girls

Feelings of body dissatisfaction are common in Western society, especially in women and girls. More than innocent discontent, body dissatisfaction can have serious consequences such as depression and eating disorders. The current article discusses the nature of body dissatisfaction, how it develops and how it is currently being treated. We also discuss novel strategies to increase body satisfaction that work on the automatic system (e.g., by retraining attentional and conditioning processes), since recent research suggests that appearance-related information is processed automatically. We suggest that extant methods should be combined with these novel strategies, in order to optimally improve body dissatisfaction and to prevent its detrimental consequences.

scholarly journals Orthorexia nervosa and Instagram: exploring the Russian-speaking conversation around #opтopeкcия

2021 ◽  
Author(s):  
Yana Zemlyanskaya ◽  
Martina Valente ◽  
Elena V. Syurina
Keyword(s):  
Orthorexia Nervosa ◽  
Online Questionnaire ◽  
Level Of Evidence ◽  
Russian Speakers ◽  
Global North ◽  
Harmful Content ◽  
English Speaking ◽  
Comparative Content ◽  
The Relationship ◽  
Informative Text

AbstractThis mixed-methods study explored the conversation around orthorexia nervosa (ON) on Instagram from a Russian-speaking perspective. Two quantitative data sources were implemented; a comparative content analysis of posts tagged with #opтopeкcия (n = 234) and #orthorexia (n = 243), and an online questionnaire completed by Russian-speakers (n = 96) sharing ON-related content on Instagram. Additionally, five questionnaire participants were interviewed, four of which identified with having (had) ON. Russian-speakers who share ON-related content on Instagram are primarily female, around their late-twenties, and prefer Instagram over other platforms. They describe people with ON as obsessed with correct eating, rather than healthy or clean eating. Instagram appears to have a dual effect; it has the potential to both trigger the onset of ON and encourage recovery. Positive content encourages a healthy relationship with food, promotes intuitive eating, and spread recovery advice. Harmful content, in turn, emphasizes specific diet and beauty ideals. Russian-speaking users mainly post pictures of food, followed by largely informative text that explains what ON is, and what recovery may look like. Their reasons for posting ON-related content are to share personal experiences, support others in recovery, and raise awareness about ON. Two main target audiences were people unaware of ON and people seeking recovery support. The relationship between ON and social media is not strictly limited to the global north. Thus, it may be valuable to further investigate non-English-speaking populations currently underrepresented in ON research.Level of evidence: Level V, descriptive study.

Celebrity influence on body image and eating disorders: A review

2021 ◽  
pp. 135910532098831
Author(s):  
Zoe Brown ◽  
Marika Tiggemann
Keyword(s):  
Eating Disorders ◽  
Body Image ◽  
Big Data ◽  
Body Dissatisfaction ◽  
Disordered Eating ◽  
Research Articles ◽  
Inclusion Criteria ◽  
Media Attention ◽  
Research Findings ◽  
Appearance Comparison

Celebrities are well-known individuals who receive extensive public and media attention. There is an increasing body of research on the effect of celebrities on body dissatisfaction and disordered eating. Yet, there has been no synthesis of the research findings. A systematic search for research articles on celebrities and body image or eating disorders resulted in 36 studies meeting inclusion criteria. Overall, the qualitative, correlational, big data, and experimental methodologies used in these studies demonstrated that exposure to celebrity images, appearance comparison, and celebrity worship are associated with maladaptive consequences for individuals’ body image.

The 17‐year outcome of 62 adult patients with longstanding eating disorders—A prospective study

2021 ◽  
Author(s):  
Hanna Punsvik Eielsen ◽  
KariAnne Vrabel ◽  
Asle Hoffart ◽  
Øyvind Rø ◽  
Jan H. Rosenvinge
Keyword(s):  
Eating Disorders ◽  
Prospective Study ◽  
Adult Patients ◽  
A Prospective Study

scholarly journals Cost-of-illness for non-underweight binge-eating disorders

2021 ◽  
Author(s):  
Paul E. Jenkins
Keyword(s):  
Eating Disorders ◽  
Binge Eating ◽  
Economic Impact ◽  
Indirect Costs ◽  
Cost Effective ◽  
Level Of Evidence ◽  
Academic Impairment ◽  
The United Kingdom ◽  
Binge Eating Disorders ◽  
Low Weight

Abstract Purpose This study examined economic costs associated with untreated eating disorders (EDs) characterised by regular binge eating in the absence of low weight. Both direct and indirect costs were assessed, reporting a limited societal perspective of economic impact as some costs were not included. Methods One hundred and twenty six adults seeking treatment for recurrent binge eating were asked to report impairment associated with an ED. Costs were calculated using 2017 prices, including an examination of variables associated with costs. Results Estimated societal costs for the year preceding assessment were £3268.47 (€3758.54) per person. In multivariate analyses, no reliable baseline associates of cost were identified. Conclusion The economic burden of EDs characterised by regular binge eating is significant, and underscores the need for efficacious and cost-effective treatments. Individuals with binge-eating disorders report work impairment and healthcare use that may cost the United Kingdom economy upwards of £3.5 billion (€4bn) per annum. Further studies should consider academic impairment and the economic impact of EDs on families. Level of evidence III: evidence obtained from well-designed cohort or case–control analytic studies.

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