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[journal article]

dc.contributor.authorStrahler, Janade
dc.contributor.authorHermann, Andreade
dc.contributor.authorWalter, Bertramde
dc.contributor.authorStark, Rudolfde
dc.date.accessioned2025-02-26T12:08:28Z
dc.date.available2025-02-26T12:08:28Z
dc.date.issued2018de
dc.identifier.issn2062-5871de
dc.identifier.urihttps://www.ssoar.info/ssoar/handle/document/100374
dc.description.abstractBackground and aims: Numerous studies have provided evidence for orthorexia nervosa (ON), an eating pattern characterized by an almost manic obsession for and fixation on healthy eating, to be of epidemiological relevance. However, there is scientific debate on whether it is merely a behavioral or lifestyle phenomenon as compared to a mental disorder. Aim of this cross-sectional study was to explore whether ON is of epidemiological and clinical relevance, and whether ON can be distinguished from other mental health disorders and healthy lifestyle features. Methods: An online survey including a measure of orthorexic behaviors [Duesseldorf Orthorexia Scale (DOS)], well-being and distress, eating behaviors, pathological eating, anxiety and depression, addictive behaviors, obsessive-compulsive symptoms, personality, and health behaviors was completed by 713 subjects (79.8% women, 18-75 years, median age: 25 years). Results: Twenty-seven subjects (3.8%, 21 women) showed significant orthorexic eating (DOS ≥ 30). ON cases reported lower well-being, lower satisfaction with life, and higher current stress levels than non-ON cases. The highest percentage of variation in ON was explained by pathological eating (R2 = .380), followed by eating style, Mediterranean diet, compulsive symptoms, and subjective social status. Importantly, ON provided hardly any additional predictive value for well-being when also considering pathological eating. Discussion and conclusions: Our data confirmed the epidemiological and clinical relevance of orthorexic behaviors, but the strong conceptual overlap with other mental health problems and pathological eating raise initial doubts as to whether ON is a distinct mental health disorder category. This co-occurrence, unique symptoms, and underlying processes need further exploration by comparing ON cases with patients with other mental disorders.de
dc.languageende
dc.subject.ddcPsychologiede
dc.subject.ddcPsychologyen
dc.subject.otherorthorexia nervosa; obsessive–compulsive disorder; affective disorder; Kurzskala zur Erfassung der Allgemeinen Lebenszufriedenheit (L-1) (ZIS 229)de
dc.titleOrthorexia nervosa: A behavioral complex or a psychological condition?de
dc.description.reviewbegutachtet (peer reviewed)de
dc.description.reviewpeer revieweden
dc.source.journalJournal of Behavioral Addictions
dc.source.volume7de
dc.publisher.countryMISCde
dc.source.issue4de
dc.subject.classozpsychische Störungen, Behandlung und Präventionde
dc.subject.classozPsychological Disorders, Mental Health Treatment and Preventionen
dc.subject.thesozEssstörungde
dc.subject.thesozeating disorderen
dc.subject.thesozpsychische Störungde
dc.subject.thesozmental disorderen
dc.subject.thesozLebensstilde
dc.subject.thesozlife styleen
dc.subject.thesozVerhaltensmusterde
dc.subject.thesozbehavior patternen
dc.subject.thesozVerhaltensstörungde
dc.subject.thesozbehavior disorderen
dc.subject.thesozWohlbefindende
dc.subject.thesozwell-beingen
dc.subject.thesozStressde
dc.subject.thesozpsychophysical stressen
dc.subject.thesozAngstde
dc.subject.thesozanxietyen
dc.subject.thesozPersönlichkeitde
dc.subject.thesozpersonalityen
dc.subject.thesozDepressionde
dc.subject.thesozdepressionen
dc.subject.thesozSuchtde
dc.subject.thesozaddictionen
dc.subject.thesozGesundheitsverhaltende
dc.subject.thesozhealth behavioren
dc.identifier.urnurn:nbn:de:0168-ssoar-100374-9
dc.rights.licenceCreative Commons - Namensnennung, Nicht-kommerz. 4.0de
dc.rights.licenceCreative Commons - Attribution-NonCommercial 4.0en
ssoar.contributor.institutionFDBde
internal.statusformal und inhaltlich fertig erschlossende
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dc.type.stockarticlede
dc.type.documentZeitschriftenartikelde
dc.type.documentjournal articleen
dc.source.pageinfo1143-1156de
internal.identifier.classoz10708
internal.identifier.journal3286
internal.identifier.document32
internal.identifier.ddc150
dc.identifier.doihttps://doi.org/10.1556/2006.7.2018.129de
dc.description.pubstatusVeröffentlichungsversionde
dc.description.pubstatusPublished Versionen
internal.identifier.licence32
internal.identifier.pubstatus1
internal.identifier.review1
internal.pdf.validfalse
internal.pdf.wellformedtrue
internal.pdf.encryptedfalse


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