Evaluation of a German version of a brief diagnosis questionnaire of symptoms of orthorexia nervosa in patients with mental disorders ... View Full Text


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Article Info

DATE

2018-01-02

AUTHORS

Sylke Andreas, Kirsten Schedler, Holger Schulz, Detlev O. Nutzinger

ABSTRACT

PurposeIn recent years, a new term—orthorexia nervosa (ON)—has been introduced in the field of clinical assessment and psychotherapy. Orthorexia nervosa is defined as a fixation on healthy food and a pathological obsession to eat food with more natural, higher quality ingredients. Although instruments to measure ON are available, no study on the psychometric properties of the original developed instrument by Bratman (Orthorexia nervosa: Overcoming the obsession with healthful eating, Broadway Books, New York, 2000) in a large clinical sample exists until now.MethodsThe study was conducted in a large clinic in Germany. The study sample consisted of N = 1122 inpatients, 70% were female, and the mean age was 41 years (SD = 14 years). The main diagnoses at the end of treatment were affective disorders (46%), followed by eating disorders (13%), anxiety disorders (10%), and personality disorders (10%). The patients filled out several instruments, like the Ortho-10, the 10-item version of the orthorexia nervosa instrument, and other construct-related, disorder-specific and construct-distant instruments.ResultsThe exploratory factor analysis revealed a two-factor structure: an eating disorder-specific factor and an orthorexia-nervosa specific factor. The eating disorder factor showed good convergent and discriminative validity in which patients with eating disorders and those without could correctly be classified. However, the orthorexia-nervosa specific factor revealed no informational gain compared to the eating disorder-specific factor in this clinical sample.ConclusionsFurther investigation is necessary to approach the concept of ON and its sense in clinical samples.Level of evidenceLevel II: evidence obtained from well-designed controlled trials without randomization. More... »

PAGES

75-85

References to SciGraph publications

  • 2000-03. The Symptom Check-List-90-R (SCL-90-R): A German validation study in QUALITY OF LIFE RESEARCH
  • 2005-06. Orthorexia nervosa: Validation of a diagnosis questionnaire in EATING AND WEIGHT DISORDERS - STUDIES ON ANOREXIA, BULIMIA AND OBESITY
  • 2014-01-22. Adaptation of the ORTHO-15 test to Polish women and men in EATING AND WEIGHT DISORDERS - STUDIES ON ANOREXIA, BULIMIA AND OBESITY
  • 2017-02-21. Orthorexia and anorexia nervosa: two distinct phenomena? A cross-cultural comparison of orthorexic behaviours in clinical and non-clinical samples in BMC PSYCHIATRY
  • 2014-02-28. When eating healthy is not healthy: orthorexia nervosa and its measurement with the ORTO-15 in Hungary in BMC PSYCHIATRY
  • 1990-10. The dimensions of perfectionism in COGNITIVE THERAPY AND RESEARCH
  • 2004-06. Orthorexia nervosa: A preliminary study with a proposal for diagnosis and an attempt to measure the dimension of the phenomenon in EATING AND WEIGHT DISORDERS - STUDIES ON ANOREXIA, BULIMIA AND OBESITY
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    URI

    http://scigraph.springernature.com/pub.10.1007/s40519-017-0473-y

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    http://dx.doi.org/10.1007/s40519-017-0473-y

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1100156655

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/29294251


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