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Orthorexia nervosa - a separate clinical entity, a part of eating disorder spectrum or another manifestation of obsessive-compulsive disorder?
Psychiatr Pol. 2019 Apr 30; 53(2):371-382.PP

Abstract

OBJECTIVES

The aim of the study was to determine the prevalence of orthorexia nervosa in the population of adolescents and young adults, as well as to determine whether orthorexia is a separate clinical entity, a part of eating disorder or another manifestation of obsessivecompulsive disorder.

METHODS

The study group consisted of 864 subjects (599 females and 265 males). The mean age of female participants was 20.21±3.27 years, and of male participants 18.93±3.67 years. As a part of the study, we used a proprietary questionnaire to collect patient data, as well as following diagnostic questionnaires: ORTO-15 by Donini et al. (Polish version validated by Janas-Kozik et al.), EAT-26 by Garner and Garfinkel, and MOCI (Maudsley Obsessive Compulsive Inventory) by Hodgson and Rachman. The results were analysed statistically.

RESULTS

27% of subjects were found to be at risk of orthorexia nervosa (score of 35 was considered a cut-off point). These subjects achieved significantly higher scores in the EAT-26. There were no statistically significant differences in the MOCI scores. The highest risk of orthorexia was observed in subjects aged 13-16 years old (junior secondary school) and the lowest in 16-19-year-olds (senior secondary school). Individuals with suspected orthorexia tended to have significantly higher BMI. Specific analysis of environmental features will be exposed in the next issue.

CONCLUSIONS

Orthorexia nervosa is not a separate clinical entity. It does not belong to the OCD spectrum, but meets the criteria of eating disorder spectrum.

Authors+Show Affiliations

Klinika Psychiatrii Rozwojowej, Zaburzeń Psychotycznych i Wieku Podeszłego Gdańskiego Uniwersytetu Medycznego.Wojewódzki Szpital Reumatologiczny w Sopocie.Klinika Psychiatrii Rozwojowej, Zaburzeń Psychotycznych i Wieku Podeszłego Gdańskiego Uniwersytetu Medycznego.Uniwersytet Gdański, Wydział Zarządzania.Uniwersytet Gdański, Wydział Nauk Społecznych.

Pub Type(s)

Journal Article

Language

eng pol

PubMed ID

31317964

Citation

Łucka, Izabela, et al. "Orthorexia Nervosa - a Separate Clinical Entity, a Part of Eating Disorder Spectrum or Another Manifestation of Obsessive-compulsive Disorder?" Psychiatria Polska, vol. 53, no. 2, 2019, pp. 371-382.
Łucka I, Janikowska-Hołoweńko D, Domarecki P, et al. Orthorexia nervosa - a separate clinical entity, a part of eating disorder spectrum or another manifestation of obsessive-compulsive disorder? Psychiatr Pol. 2019;53(2):371-382.
Łucka, I., Janikowska-Hołoweńko, D., Domarecki, P., Plenikowska-Ślusarz, T., & Domarecka, M. (2019). Orthorexia nervosa - a separate clinical entity, a part of eating disorder spectrum or another manifestation of obsessive-compulsive disorder? Psychiatria Polska, 53(2), 371-382. https://doi.org/10.12740/PP/OnlineFirst/85729
Łucka I, et al. Orthorexia Nervosa - a Separate Clinical Entity, a Part of Eating Disorder Spectrum or Another Manifestation of Obsessive-compulsive Disorder. Psychiatr Pol. 2019 Apr 30;53(2):371-382. PubMed PMID: 31317964.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Orthorexia nervosa - a separate clinical entity, a part of eating disorder spectrum or another manifestation of obsessive-compulsive disorder? AU - Łucka,Izabela, AU - Janikowska-Hołoweńko,Dorota, AU - Domarecki,Patryk, AU - Plenikowska-Ślusarz,Teresa, AU - Domarecka,Małgorzata, Y1 - 2019/04/30/ PY - 2019/7/19/entrez PY - 2019/7/19/pubmed PY - 2020/1/21/medline KW - eating disorders KW - obsessive-compulsive disorders KW - orthorexia nervosa SP - 371 EP - 382 JF - Psychiatria polska JO - Psychiatr Pol VL - 53 IS - 2 N2 - OBJECTIVES: The aim of the study was to determine the prevalence of orthorexia nervosa in the population of adolescents and young adults, as well as to determine whether orthorexia is a separate clinical entity, a part of eating disorder or another manifestation of obsessivecompulsive disorder. METHODS: The study group consisted of 864 subjects (599 females and 265 males). The mean age of female participants was 20.21±3.27 years, and of male participants 18.93±3.67 years. As a part of the study, we used a proprietary questionnaire to collect patient data, as well as following diagnostic questionnaires: ORTO-15 by Donini et al. (Polish version validated by Janas-Kozik et al.), EAT-26 by Garner and Garfinkel, and MOCI (Maudsley Obsessive Compulsive Inventory) by Hodgson and Rachman. The results were analysed statistically. RESULTS: 27% of subjects were found to be at risk of orthorexia nervosa (score of 35 was considered a cut-off point). These subjects achieved significantly higher scores in the EAT-26. There were no statistically significant differences in the MOCI scores. The highest risk of orthorexia was observed in subjects aged 13-16 years old (junior secondary school) and the lowest in 16-19-year-olds (senior secondary school). Individuals with suspected orthorexia tended to have significantly higher BMI. Specific analysis of environmental features will be exposed in the next issue. CONCLUSIONS: Orthorexia nervosa is not a separate clinical entity. It does not belong to the OCD spectrum, but meets the criteria of eating disorder spectrum. SN - 2391-5854 UR - https://www.unboundmedicine.com/medline/citation/31317964/Orthorexia_nervosa___a_separate_clinical_entity_a_part_of_eating_disorder_spectrum_or_another_manifestation_of_obsessive_compulsive_disorder L2 - https://doi.org/10.12740/PP/OnlineFirst/85729 DB - PRIME DP - Unbound Medicine ER -