The Korean Journal of Health Psychology
- KOREAN
- P-ISSN1229-070X
- E-ISSN2713-9581
- KCI
Diagnosis of Orthorexia Nervosa: A Literature Review
Abstract
This article introduces a recently increasing disorder, Orthorexia Nervosa(ON), reviews the current literature about its clinical features and diagnostic criteria, and suggests future directions for research. ON is a condition characterized by excessive fixation on eating healthy food, such that it dominates one’s life. These consequences reflect in ON being considered a psychosocial disorder that results in underweight or unbalanced physical states. ON is usually considered similar to anorexia nervosa(AN) or obsessive compulsive disorders (OCD). In this review, the clinical features of ON are compared to AN and OCD, focusing on their similarities and differences. As there are no agreed formal diagnostic criteria, this review further introduces recently proposed criteria and controversies regarding the diagnosis. In particular, it criticizes ORTO-15, the most widely used instrument prevalent, and suggests considerations for future research.
- keywords
- 오소렉시아, 건강음식집착증, 신경성식욕부진증. 강박장애, Bratman-test, ORTO-15, DOS, Orthorexia, Orthorexia nervosa, Anorexia nervosa, obsessive-compulsive disorder, Bratman-test, ORTO-15, DOS
Reference
Aksoydan, E., & Camci, N. (2009). Prevalence of orthorexia nervosa among Turkish performance artists. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 14(1), 33–37.
American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorder-5th Edition(DSM-5). Washington DC: Author.
Arhire, L. (2015). Orthorexia nervosa: The unhealthy obsession for healthy food. The Medical-Surgical Journal, 119(3), 632-638.
Arusoğlu, G., Kabakçi, E., Köksal, G., & Merdol, T. K. (2008). Orthorexia nervosa and adaptation of ORTO-11 into Turkish. Turkish Journal of Psychiatry, 19(3), 283–291.
Asil, E., & Sürücüoğlu, M. S. (2015). Orthorexia nervosa in Turkish dietitians. Ecology of Food and Nutrition, 54(4), 303-313.
Bağcı Bosi, A. T., Çamur, D., & Güler, Ç. (2007). Prevalence of orthorexia nervosa in resident medical doctors in the faculty of medicine (Ankara, Turkey). Appetite, 49(3), 661-666.
Barthels, F., Meyer, F., Huber, T., & Pietrowsky, R. (2016). Orthorexic eating behaviour as a coping strategy in patients with anorexia nervosa. Eating And Weight Disorders - Studies On Anorexia, Bulimia And Obesity, 1-8.
Barthels, F., Meyer, F., & Pietrowsky, R. (2015a). Duesseldorf Orthorexia Scale: Construction and evaluation of a questionnaire measuring orthorexic eating behavior. Zeitschrift fűr Klinische Psychologie und Psychotherapie, 44, 97–105.
Barthels, F., Meyer, F., & Pietrowsky, R. (2015b). Orthorexic eating behaviour. A new type of disordered Eating. Ernahrungs Umschau, 62(10), 156-161.
Bartrina, J. A. (2007). Orthorexia or when a healthy diet becomes an obsession. Archivos Latinoamericanos De Nutrición, 57(4), 313-315.
Bratman, S. (1997). The health food eating disorder. Yoga Journal, 42–50 (September/October).
Bratman, S., & Knight, D. (2000). Health food junkies: Orthorexia nervosa: Overcoming the obsession with healthful eating. New York:Broadway.
Brytek-Matera, A., Krupa, M., Poggiogalle, E., & Donini, L. M. (2014). Adaptation of the ORTHO-15 test to polish women and men. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 19(1), 69-76.
Brytek-Matera, A., Donini, L., Poggiogalle, E., Krupa, M., & Hay, P. (2015). Orthorexia nervosa and self-attitudinal aspects of body image in female and male university students. Journal Of Eating Disorders, 3(2). 1-8.
Brytek-Matera, A., Rogoza, R., Gramaglia, C., & Zeppegno, P. (2015). Predictors of orthorexic behaviours in patients with eating disorders: A preliminary study. BMC Psychiatry, 15(1), 252-259.
Cartwright, M. M. (2004). Eating disorder emergencies: Understanding the medical complexities of the hospitalized eating disordered patient. Critical Care Nursing Clinics of North America, 16(4), 515-530.
Depa, J., Schweizer, J., Bekers, S., Hilzendegen, C., & Stroebele-Benschop, N. (2017). Prevalence and predictors of orthorexia nervosa among German students using the 21-item-DOS. Eating And Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 22(1), 193-199.
de Souza, Q. J. O. V., & Rodrigues, A. M. (2014). Risk behavior for orthorexia nervosa in nutrition students. Revista Chilena de Nutricion, 63(3), 200–204.
Donini, L. M., Marsili, D., Gaziani, M. P., Imbriale, M., & Cannella, C. (2004). Orthorexia nervosa: A preliminary study with a proposal for diagnosis and an attempt to measure the dimension of the phenomenon. Eating and Weight Disorders -Studies on Anorexia, Bulimia and Obesity, 9, 151–157.
Donini, L. M., Marsili, D., Gaziani, M. P., Imbriale, M., & Cannella, C. (2005). Orthorexia nervosa:Validation of a diagnosis questionnaire. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 10, 28–32.
Dunn, T. M., & Bratman, S. (2016). On orthorexia nervosa: A review of the literature and proposed diagnostic criteria. Eating Behaviors, 21, 11-17.
Fidan, T., Ertekin, V., Işikay, S., & Kirpinar, I. (2010). Prevalence of orthorexia among medical students in Erzurum, Turkey. Comprehensive Psychiatry, 51(1), 49–54.
Gubiec, E., Stetkiewicz-Lewandowicz, A., Rasmus, P., & Sobów, T. (2015). Problem ortoreksji w grupie studentów kierunku dietetyka [orthorexia in a group of dietetics students]. Medycyna Ogólna i Nauki o Zdrowiu, 21(1), 95–100.
Håman, L., Barker-Ruchti, N., Patriksson, G., & Lindgren, E. (2015). Orthorexia nervosa: An integrative literature review of a lifestyle syndrome. International Journal of Qualitative Studies on Health and Well-Being, 10, 1-15.
Kinzl, J. F., Hauer, K., Traweger, C., & Kiefer, I. (2006). Orthorexia nervosa: Eine häufige Essstörung bei Diätassistentinnen? [Orthorexia nervosa in dieticians]. Ernahrungs-Umschau, 11, 436–439.
Koven, N. S., & Abry, A. W. (2015). The clinical basis of orthorexia nervosa: Emerging perspectives. Neuropsychiatric Disease and Treatment, 11, 385-394.
Mathieu, J. (2005). What is orthorexia?. Journal of the American Dietetic Association, 105(10), 1510-1512.
Missbach, B., Hinterbuchinger, B., Dreiseitl, V., Zellhofer, S., Kurz, C., & König, J. (2015). When eating right, is measured wrong!. A validation and critical examination of the ORTO-15questionnaire in German. PLoS One, 10(8), e0135772.
Moroze, R. M., Dunn, T. M., Craig Holland, J., Yager, J., & Weintraub, P. (2015). Microthinking about micronutrients: A case of transition from obsessions about healthy eating to near-fatal "orthorexia nervosa" and proposed diagnostic criteria. Psychosomatics, 56(4), 397-403.
Oberle, C. D., Samaghabadi, R. O., & Hughes, E. M. (2017). Orthorexia nervosa: Assessment and correlates with gender, BMI, and personality. Appetite, 108, 303-310.
Park, S., Kim, J., Go, G., Jeon, E., Pyo, H., & Kwon, Y. (2011). Orthorexia nervosa with hyponatremia, subcutaneous emphysema, pneumomediastinum, pneumothorax, and pancytopenia. Electrolyte And Blood Pressure, 9(1), 32-37.
Poyraz, C., Baş, A., Kani, A., Duran, A., Tüfekçioğlu, E., Erginöz, E., & Özdemir, A. (2015). Relationship between orthorexia and obsessivecompulsive symptoms in patients with generalised anxiety disorder, panic disorder and obsessive compulsive disorder. Yeni Symposium, 53(4), 22-26.
Ramacciotti, C., Coli, E., Marcacci, G., Polese, L., Gabbriellini, G., & Bianchi, M. (2005). Different pathways towards anorexia nervosa. In P. I. Swain (Ed.), Trends in eating disorders research (pp.10-12). NY: Nova Publishers.
Sanlier, N., Yassibas, E., Bilici, S., Sahin, G., & Celik, B. (2016). Does the rise in eating disorders lead to increasing risk of orthorexia nervosa?. Correlations with gender, education, and body mass index. Ecology of Food and Nutrition, 55(3), 266-278.
Segura-García, C., Papaianni, M. C., Caglioti, F., Procopio, L., Nisticò, C. G., Bombardiere, L., ... Capranica, L. (2012). Orthorexia nervosa: A frequent eating disordered behavior in athletes. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 17(4), 226–233.
Segura-Garcia, C., Ramacciotti, C., Rania, M., Aloi, M., Caroleo, M., Bruni, A., ... De Fazio, P. (2015). The prevalence of orthorexia nervosa among eating disorder patients after treatment. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 20(2), 161-166.
Valera, J. H., Ruiz, P. A., Valdespino, B. R., & Visioli, F. (2014). Prevalence of orthorexia nervosa among ashtanga yoga practitioners: A pilot study. Eating and Weight Disorders -Studies on Anorexia, Bulimia and Obesity, 19(4), 469–472.
Varga, M., Dukay-Szabó, S., Túry, F., & van Furth, E. F. (2013). Evidence and gaps in the literature on orthorexia nervosa. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 18(2), 103-111.
Varga, M., Thege, B. K., Dukay-Szabó, S., Túry, F., & van Furth, E. F. (2014). When eating healthy is not healthy: Orthorexia nervosa and its measurement with the ORTO-15 in Hungary. BMC Psychiatry, 14(1), 59.
Zamora, M. L. C., Bonaechea, B. B., Sánchez, F. G., & Rial, B. R. (2005). Orthorexia nervosa. A new eating behavior disorder?. Actas Españolas de Psiquiatría, 33(1), 66–68.
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