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Orthorexia Nervosa: over concern or obsession about healthy food?

PURPOSE: Orthorexia Nervosa is characterized by specific behaviors frequently related to other psychopathological conditions, such as Obsessive–Compulsive Disorder (OCD) and Eating Disorders (EDs). Whereas ON can mainly be described as an excessive concern regarding healthy food, the study’s princip...

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Autores principales: Novara, Caterina, Pardini, Susanna, Maggio, Eleonora, Mattioli, Sofia, Piasentin, Sara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8602217/
https://www.ncbi.nlm.nih.gov/pubmed/33566324
http://dx.doi.org/10.1007/s40519-021-01110-x
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author Novara, Caterina
Pardini, Susanna
Maggio, Eleonora
Mattioli, Sofia
Piasentin, Sara
author_facet Novara, Caterina
Pardini, Susanna
Maggio, Eleonora
Mattioli, Sofia
Piasentin, Sara
author_sort Novara, Caterina
collection PubMed
description PURPOSE: Orthorexia Nervosa is characterized by specific behaviors frequently related to other psychopathological conditions, such as Obsessive–Compulsive Disorder (OCD) and Eating Disorders (EDs). Whereas ON can mainly be described as an excessive concern regarding healthy food, the study’s principal aim was to investigate if ON could be considered a condition related and differentiated from worry, other than OCD, EDs, perfectionism, anxiety, and depression. METHOD: To achieve these aims, 302 individuals from the general population were enrolled and were divided into two groups named “High EHQ” and “Low EHQ”, based on their Eating Habits Questionnaire’s score (EHQ-21). RESULTS: Correlations of ON with EDs and non-adaptive perfectionism constructs emerged independently from Obsessive-Compulsive (OC) symptoms, and the same pattern was observed when comparing the High and the Low EHQ groups. The two groups also differ in the worry anxiety and depression constructs and are not affected by OC symptoms removal. DISCUSSION: Our results confirm a relationship between ON with the typical ED, perfectionistic, anxious, and depressive symptomatology, mainly when the OC features are controlled; moreover, worry constructs could be considered characteristic of the ON phenomenology. This study does not entirely exclude the relationship with obsessive and compulsive characteristics, which could be associated with or serve as a mediator of the orthorexic behavior. Future research could explore the potential mediating or collateral role of OC symptoms. LEVEL OF EVIDENCE: Level III, evidence obtained from well-designed cohort or case–control analytic studies.
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spelling pubmed-86022172021-12-03 Orthorexia Nervosa: over concern or obsession about healthy food? Novara, Caterina Pardini, Susanna Maggio, Eleonora Mattioli, Sofia Piasentin, Sara Eat Weight Disord Original Article PURPOSE: Orthorexia Nervosa is characterized by specific behaviors frequently related to other psychopathological conditions, such as Obsessive–Compulsive Disorder (OCD) and Eating Disorders (EDs). Whereas ON can mainly be described as an excessive concern regarding healthy food, the study’s principal aim was to investigate if ON could be considered a condition related and differentiated from worry, other than OCD, EDs, perfectionism, anxiety, and depression. METHOD: To achieve these aims, 302 individuals from the general population were enrolled and were divided into two groups named “High EHQ” and “Low EHQ”, based on their Eating Habits Questionnaire’s score (EHQ-21). RESULTS: Correlations of ON with EDs and non-adaptive perfectionism constructs emerged independently from Obsessive-Compulsive (OC) symptoms, and the same pattern was observed when comparing the High and the Low EHQ groups. The two groups also differ in the worry anxiety and depression constructs and are not affected by OC symptoms removal. DISCUSSION: Our results confirm a relationship between ON with the typical ED, perfectionistic, anxious, and depressive symptomatology, mainly when the OC features are controlled; moreover, worry constructs could be considered characteristic of the ON phenomenology. This study does not entirely exclude the relationship with obsessive and compulsive characteristics, which could be associated with or serve as a mediator of the orthorexic behavior. Future research could explore the potential mediating or collateral role of OC symptoms. LEVEL OF EVIDENCE: Level III, evidence obtained from well-designed cohort or case–control analytic studies. Springer International Publishing 2021-02-10 2021 /pmc/articles/PMC8602217/ /pubmed/33566324 http://dx.doi.org/10.1007/s40519-021-01110-x Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Novara, Caterina
Pardini, Susanna
Maggio, Eleonora
Mattioli, Sofia
Piasentin, Sara
Orthorexia Nervosa: over concern or obsession about healthy food?
title Orthorexia Nervosa: over concern or obsession about healthy food?
title_full Orthorexia Nervosa: over concern or obsession about healthy food?
title_fullStr Orthorexia Nervosa: over concern or obsession about healthy food?
title_full_unstemmed Orthorexia Nervosa: over concern or obsession about healthy food?
title_short Orthorexia Nervosa: over concern or obsession about healthy food?
title_sort orthorexia nervosa: over concern or obsession about healthy food?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8602217/
https://www.ncbi.nlm.nih.gov/pubmed/33566324
http://dx.doi.org/10.1007/s40519-021-01110-x
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