건강음식집착증(Orthorexia Nervosa)의 진단기준에 대한 문헌고찰 연구
Diagnosis of Orthorexia Nervosa: A Literature Review
조혜현 (중앙대학교)
현명호 (중앙대학교)
초록
본 연구에서는 새롭게 부상하고 있는 개념인 건강음식집착증(orthorexia nervosa)의 개념 및 임상적 특성과 진단기준에 대한 기존 연구를 소개하고, 추후 연구를 위한 방향성을 제안하였다. 건강음식집착증은 건강한 음식을 섭취하는 것에 과도하게 몰두하고 이에 일상생활이 지배되는 증상을말하며, 결과적으로 저체중이나 신체의 불균형 상태를 초래하는 심리사회적 장애로 여겨지고 있다. 임상적 특성의 이해를 위해 유사한 장애로 보이는 신경성식욕부진증 및 강박장애와 증상학적공통점과 차이점을 중심으로 살펴보았다. 아직까지 합의된 공식적 진단준거는 없지만, 최근 제안된 진단준거를 중심으로 소개하고, 이에 대한 논란의 쟁점을 언급하였다. 특히 유병률 추정을 위해 가장 많이 활용되어 왔던 측정도구인 ORTO-15의 심리측정적 속성에 대해 비평하였고, 추후연구를 위한 고려사항을 제시하고자 하였다.
- keywords
- 오소렉시아, 건강음식집착증, 신경성식욕부진증. 강박장애, Bratman-test, ORTO-15, DOS, Orthorexia, Orthorexia nervosa, Anorexia nervosa, obsessive-compulsive disorder, Bratman-test, ORTO-15, DOS
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
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