Orthorexic eating behaviour, illness anxiety and dysfunctional cognitions characteristic of somatic symptom disorders in a non-clinical sample

Barthels, Friederike; Horn, Stefanie; Pietrowsky, Reinhard

doi:10.1007/s40519-020-01091-3

Cited by 19 publications

(20 citation statements)

References 7 publications

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“…The possible role of health anxiety in the onset of orthorexic symptoms has been suggested by previous theories [ 23 ], some indirect results [ 24 , 25 ] and also supported by recent empirical studies [ 26 – 28 ]. Dietary restraint and orthorexic tendencies may be associated with other types of maladaptive eating behaviours such as emotional eating (overeating induced by negative emotions; [ 28 , 29 ]), and orthorexic eating patterns can also be regarded as risk factors for eating disorders [ 31 ].…”

Section: Introductionsupporting

confidence: 55%

“…The field also lacks consistent results regarding prevalence rates and sex-related differences in orthorexic eating behaviours, however some studies imply a greater tendency for developing symptoms of orthorexia nervosa among women [22]. The possible role of health anxiety in the onset of orthorexic symptoms has been suggested by previous theories [23], some indirect results [24,25] and also supported by recent empirical studies [26][27][28]. Dietary restraint and orthorexic tendencies may be associated with other types of maladaptive eating behaviours such as emotional eating (overeating induced by negative emotions; [28,29]), and orthorexic eating patterns can also be regarded as risk factors for eating disorders [31].…”

Section: Introductionmentioning

confidence: 95%

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Functional gastrointestinal symptoms and increased risk for orthorexia nervosa

et al. 2021

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Purpose Recent guidelines point out the possible risk for orthorexia nervosa in functional gastrointestinal disorders, however, to date, no study has investigated this association. The present study aimed to explore the potential relationship between irritable bowel syndrome-related functional gastrointestinal symptoms and certain maladaptive eating behaviours, such as symptoms of orthorexia nervosa and emotional eating. Methods A sample of 644 Hungarian volunteers (Mage = 22.37; SDage = 3.95) completed a survey with the following questionnaires: the Rome IV Diagnostic Questionnaire (R4DQ) for adults—Irritable bowel syndrome module for the measurement of functional gastrointestinal symptoms, the Hungarian version of the ORTO-15 questionnaire (ORTO-11-Hu) to assess symptoms of orthorexia nervosa, the Three-Factor Eating Questionnaire (TFEQ) Emotional Eating subscale to measure symptoms of emotional eating and the Short Health Anxiety Inventory (SHAI) for the assessment of health anxiety. Spearman’s rank correlation was used to explore the associations between the measured variables, and structural equation modeling was used to test the proposed mediation models. Results Functional gastrointestinal symptoms were positively related to symptoms of orthorexia nervosa and emotional eating. The relationship between functional gastrointestinal symptoms and symptoms of orthorexia nervosa was partially mediated by health anxiety, while the association between functional gastrointestinal symptoms and symptoms of emotional eating was partially mediated by symptoms of orthorexia nervosa. Conclusion Our findings highlight the possible risk for developing orthorexic symptoms in functional gastrointestinal symptoms, which could lead to other types of disordered eating patterns, such as emotional eating. The results also underscore the potential role of health anxiety in these relationships. Level of evidence Level V (descriptive cross-sectional study).

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Section: Introductionsupporting

confidence: 55%

Section: Introductionmentioning

confidence: 95%

Functional gastrointestinal symptoms and increased risk for orthorexia nervosa

et al. 2021

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“…This proposed two-factor structure has been replicated in follow-up studies showing opposite associations of OrNe and HeOr with disordered eating attitudes, food choices and affective measures (4). In line, orthorexic eating is often accompanied by other disorders, such as eating disorders, obsessive-compulsive as well as affective psychopathology (5)(6)(7). These comorbidities substantiate the debate whether OrNe is actually a diagnostic entity that is distinct from established mental disorders (8).…”

Section: Introductionmentioning

confidence: 95%

Psychological Correlates of Excessive Healthy and Orthorexic Eating: Emotion Regulation, Attachment, and Anxious-Depressive-Stress Symptomatology

et al. 2022

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Orthorexia nervosa, the pathological obsession with eating healthy, shares risks and significant comorbidity with other mental disorders. Based on a behavioral conceptualization of the overlap, emotion regulation, attachment style, and anxious-depressive-stress symptomatology are prominent but insufficiently researched endophenotypes for orthorexia nervosa. This study aimed at identifying ways in which difficulties in emotion regulation and attachment-related anxiety and avoidance become apparent in orthorexia nervosa and healthy orthorexia. Additionally, the moderating role of anxious, depressive, and stress symptoms was explored. A convenience sample of 399 adults (266 women) completed questionnaires to measure orthorexia nervosa and healthy orthorexia, difficulties in emotion regulation, partnership-related bond, and anxious-depressive-stress symptomatology. The healthy orthorexia subscale was negatively associated with lack of emotional awareness but no other subscale of difficulties in emotion regulation or attachment-related anxiety and avoidance. Orthorexia nervosa scores were positively linked to difficulties in emotion regulation as well as attachment-related anxiety and avoidance. Multiple linear regression indicated non-acceptance of emotional responses and impulse control difficulties to be the strongest predictors for orthorexia nervosa. Both subscales also mediated the effects of attachment style on orthorexia nervosa with anxious-depressive-stress symptomatology moderating some of these effects. Individuals with higher orthorexia nervosa tendencies showed difficulties in emotion regulation, a common feature also of affective and eating disorders. Improvement in understanding the psychological features of orthorexia nervosa can enable a better differentiation from other disorders, advances in the development of treatment approaches and treatment planning, and outlines directions for future research on mechanisms.

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“…Bisherige Studien deuten darauf hin, dass orthorektisches Ernährungsverhalten nur in geringem Ausmaß mit ich-dystonem Zwangsverhalten in Verbindung steht 3 . Deutlichere Zusammenhänge konnten mit krankheitsängstlichen Gedanken beobachtet werden; diese sind bei Personen mit hohen Orthorexie-Werten stärker ausgeprägt als bei Personen mit niedrigen Orthorexie-Werten 9 .…”

Section: Aktueller Forschungsstandunclassified

Orthorektisches Ernährungsverhalten – Fallbeispiele und Charakterisierung eines möglichen neuen Störungsbilde

Barthels¹

2022

PiD - Psychotherapie im Dialog

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Orthorektisches Ernährungsverhalten wird in den letzten Jahren als weitere Variante der bisher klassifizierten Essstörungen diskutiert. Doch wie äußert sich dieses Phänomen in der Praxis und inwiefern kann es tatsächlich als klinisch relevantes Störungsbild eingeordnet werden? Im Folgenden sollen anhand von Fallbeispielen verschiedene Ausprägungen der Orthorexie charakterisiert sowie der aktuelle Forschungsstand im Überblick dargestellt werden.

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Orthorexic eating behaviour, illness anxiety and dysfunctional cognitions characteristic of somatic symptom disorders in a non-clinical sample

Cited by 19 publications

References 7 publications

Functional gastrointestinal symptoms and increased risk for orthorexia nervosa

Functional gastrointestinal symptoms and increased risk for orthorexia nervosa

Psychological Correlates of Excessive Healthy and Orthorexic Eating: Emotion Regulation, Attachment, and Anxious-Depressive-Stress Symptomatology

Orthorektisches Ernährungsverhalten – Fallbeispiele und Charakterisierung eines möglichen neuen Störungsbilde

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