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Orthorexic eating behaviour as a coping strategy in patients with anorexia nervosa.
Eat Weight Disord. 2017 Jun; 22(2):269-276.EW

Abstract

PURPOSE

Orthorexia nervosa is defined as the fixation on health-conscious eating behaviour and has recently been discussed as a new variant of disordered eating. The aim of the present study was to analyse orthorexic eating behaviour in an inpatient treatment sample of female anorexics to investigate the relation between anorexic and orthorexic eating behaviour.

METHOD

Female anorexic patients with low (n = 29) and pronounced (n = 13) orthorexic eating behaviour as well as a matched control group composed of healthy females (n = 30) were compared with regard to several aspects of disordered eating, hypochondriacal traits, food consumption frequency and fulfilment of basic psychological needs in terms of eating. Orthorexic eating behaviour was assessed using the Düsseldorfer Orthorexie Skala.

RESULTS

Fulfilment of basic psychological needs with respect to autonomy and competence is higher in anorexic individuals with pronounced orthorexic eating behaviour compared to patients with low orthorexic eating behaviour. Furthermore, patients with pronounced orthorexic eating behaviour state eating healthy food regardless of calorie content more often. No difference was found for hypochondriacal traits and eating disordered symptoms in general.

CONCLUSIONS

Orthorexic eating behaviour enhances self-perception of eating behaviour as autonomous and competent, indicating that it might serve as a coping strategy in anorexic individuals. Further research is needed to investigate if this tendency in food selection strategy leads to positive effects in the long term.

Authors+Show Affiliations

Department of Clinical Psychology, Institute of Experimental Psychology, Heinrich-Heine-Universität Düsseldorf, Universitätsstraβe 1, 40225, Düsseldorf, Germany. friederike.barthels@uni-duesseldorf.de.Department of Clinical Psychology, Institute of Experimental Psychology, Heinrich-Heine-Universität Düsseldorf, Universitätsstraβe 1, 40225, Düsseldorf, Germany.Centre for Eating Disorders, Klinik am Korso, Bad Oeynhausen, Germany.Department of Clinical Psychology, Institute of Experimental Psychology, Heinrich-Heine-Universität Düsseldorf, Universitätsstraβe 1, 40225, Düsseldorf, Germany.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27778196

Citation

Barthels, Friederike, et al. "Orthorexic Eating Behaviour as a Coping Strategy in Patients With Anorexia Nervosa." Eating and Weight Disorders : EWD, vol. 22, no. 2, 2017, pp. 269-276.
Barthels F, Meyer F, Huber T, et al. Orthorexic eating behaviour as a coping strategy in patients with anorexia nervosa. Eat Weight Disord. 2017;22(2):269-276.
Barthels, F., Meyer, F., Huber, T., & Pietrowsky, R. (2017). Orthorexic eating behaviour as a coping strategy in patients with anorexia nervosa. Eating and Weight Disorders : EWD, 22(2), 269-276. https://doi.org/10.1007/s40519-016-0329-x
Barthels F, et al. Orthorexic Eating Behaviour as a Coping Strategy in Patients With Anorexia Nervosa. Eat Weight Disord. 2017;22(2):269-276. PubMed PMID: 27778196.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Orthorexic eating behaviour as a coping strategy in patients with anorexia nervosa. AU - Barthels,Friederike, AU - Meyer,Frank, AU - Huber,Thomas, AU - Pietrowsky,Reinhard, Y1 - 2016/10/24/ PY - 2016/06/29/received PY - 2016/10/01/accepted PY - 2016/10/26/pubmed PY - 2018/3/27/medline PY - 2016/10/26/entrez KW - Anorexia nervosa KW - Coping strategy KW - Eating disorders KW - Orthorexia KW - Self-determination theory SP - 269 EP - 276 JF - Eating and weight disorders : EWD JO - Eat Weight Disord VL - 22 IS - 2 N2 - PURPOSE: Orthorexia nervosa is defined as the fixation on health-conscious eating behaviour and has recently been discussed as a new variant of disordered eating. The aim of the present study was to analyse orthorexic eating behaviour in an inpatient treatment sample of female anorexics to investigate the relation between anorexic and orthorexic eating behaviour. METHOD: Female anorexic patients with low (n = 29) and pronounced (n = 13) orthorexic eating behaviour as well as a matched control group composed of healthy females (n = 30) were compared with regard to several aspects of disordered eating, hypochondriacal traits, food consumption frequency and fulfilment of basic psychological needs in terms of eating. Orthorexic eating behaviour was assessed using the Düsseldorfer Orthorexie Skala. RESULTS: Fulfilment of basic psychological needs with respect to autonomy and competence is higher in anorexic individuals with pronounced orthorexic eating behaviour compared to patients with low orthorexic eating behaviour. Furthermore, patients with pronounced orthorexic eating behaviour state eating healthy food regardless of calorie content more often. No difference was found for hypochondriacal traits and eating disordered symptoms in general. CONCLUSIONS: Orthorexic eating behaviour enhances self-perception of eating behaviour as autonomous and competent, indicating that it might serve as a coping strategy in anorexic individuals. Further research is needed to investigate if this tendency in food selection strategy leads to positive effects in the long term. SN - 1590-1262 UR - https://www.unboundmedicine.com/medline/citation/27778196/Orthorexic_eating_behaviour_as_a_coping_strategy_in_patients_with_anorexia_nervosa_ DB - PRIME DP - Unbound Medicine ER -