Orthorexia Nervosa in China: An Exploration of Phenomenology and Clinical Correlates Among University Students

2020 ◽  
Vol 34 (3) ◽  
pp. 225-241 ◽  
Author(s):  
Xiaolu Zhou ◽  
Sophie C. Schneider ◽  
Sandra L. Cepeda ◽  
Eric A. Storch

Orthorexia nervosa, characterized by pathological preoccupation with healthy eating and food purity, is conceptualized as being linked to cultural concepts of health pervasive in contemporary Western societies. However, little is known about the phenomenology and clinical correlates of orthorexia nervosa in non-Western cultures. The current study examined symptoms of orthorexia nervosa, obsessive-compulsive disorder, depression, anxiety, and fear of negative evaluation among 418 Chinese university students. A minority of participants endorsed frequent or impairing orthorexia nervosa symptoms, and females reported slightly higher severity of orthorexia nervosa symptoms than males. Orthorexia nervosa symptom severity was moderately associated with obsessive-compulsive and anxiety symptoms, and weakly associated with depressive symptoms and fear of negative evaluation. Although this study generates initial data about orthorexia nervosa among Chinese students, further research is greatly needed to establish the prevalence and clinical characteristics of orthorexia nervosa in Western and Non-Western cultures.

Author(s):  
Anna Brytek-Matera ◽  
Susanna Pardini ◽  
Justyna Modrzejewska ◽  
Adriana Modrzejewska ◽  
Paulina Szymańska ◽  
...  

Abstract There is limited evidence of a link between Orthorexia Nervosa (ON) and Obsessive–Compulsive Disorder (OCD), and no definitive conclusions can be drawn. The interplay between socio-cultural context and ON has been poorly investigated as well. Therefore, the objectives of the present study were: (1) to investigate the differences in ON and OCD symptoms and (2) to assess the relationship between ON and OCD symptoms among university students. Six hundred and sixty-six university students participated in the present study: 286 from Poland and 320 from Italy. No age, gender and marital status differences were identified between two samples of university students. However, on average, Polish university students had a higher Body Mass Index than Italian ones. Our findings showed that Polish students present more problems related to obsessive symptomatology, core beliefs of OCD, perfectionism traits, and a major ON symptomatology than Italian ones. Also, Polish students with a higher level of ON exhibited higher levels of OCD symptoms and parental expectations/parental criticism. While Italian students with a higher level of ON showed higher levels of perfectionism features (organization and concern over mistakes). In general, correlations were low as confirmation of partial independence ON from OCD symptoms and core beliefs of OCD in both Polish and Italian university students. The present results highlight a need for further investigation of the correlates of ON across different cultural groups. Future research may screen individuals with ON to determine the comorbidity between ON and OCD symptomology to facilitate appropriate treatment choices. Level of evidence Level V, Opinions of respected authorities, based on descriptive studies, narrative reviews, clinical experience, or reports of expert committees.


2018 ◽  
Vol 9 (2) ◽  
pp. 67 ◽  
Author(s):  
Christine B. Costa ◽  
Kholoud Hardan-Khalil

Background/Objective: Orthorexia nervosa (ON) is a disordered eating pattern and obsessive-compulsive disorder (OCD) is an anxiety condition.  Although ON shares many similarities with OCD, their relationship remains unclear. The objective of this study was to investigate the prevalence of both ON behaviors and OCD behaviors and whether or not an association between ON behaviors and OCD behaviors exist among college/university students in the United States.Methods: Using a cross-sectional, descriptive research design, a convenience sample of 270 college undergraduate students provided data using self-administered questionnaires: ORTO-15 to detect orthorexia behaviors and Obsessive-Compulsive Inventory-Revised (OCI-R) to detect obsessive-compulsive behaviors. Additionally, the participants completed a demographic questionnaire designed by the authors.  Chi square, Pearson’s correlation coefficient and analysis of variance evaluated the variables of interest using a significance level of .05.Results: The prevalence rate for orthorexia nervosa behaviors was 37% and for obsessive-compulsive behaviors was 38.5%. There was a strong negative correlation (p < .001) between the scores of the ORTO-15 and the scores of the OCI-R. As orthorexia behaviors increased, obsessive-compulsive behaviors like-wise increased.Conclusions: It was concluded that college/university students are a high-risk group for orthorexia nervosa and obsessive-compulsive behaviors. Mental health professionals who encounter clients with orthorexic tendencies are encouraged to also screen for obsessive compulsive symptomology as a comorbid problem.


2021 ◽  
Vol 10 (2) ◽  
pp. 274
Author(s):  
Aline P. Vellozo ◽  
Leonardo F. Fontenelle ◽  
Ricardo C. Torresan ◽  
Roseli G. Shavitt ◽  
Ygor A. Ferrão ◽  
...  

Background: Obsessive–compulsive disorder (OCD) is a very heterogeneous condition that frequently includes symptoms of the “symmetry dimension” (i.e., obsessions and/or compulsions of symmetry, ordering, repetition, and counting), along with aggressive, sexual/religious, contamination/cleaning, and hoarding dimensions. Methods: This cross-sectional study aimed to investigate the prevalence, severity, and demographic and clinical correlates of the symmetry dimension among 1001 outpatients from the Brazilian Research Consortium on Obsessive–Compulsive Spectrum Disorders. The main assessment instruments used were the Dimensional Yale–Brown Obsessive–Compulsive Scale, the Yale–Brown Obsessive–Compulsive Scale, the USP-Sensory Phenomena Scale, the Beck Depression and Anxiety Inventories, the Brown Assessment of Beliefs Scale, and the Structured Clinical Interview for DSM-IV Axis I Disorders. Chi-square tests, Fisher’s exact tests, Student’s t-tests, and Mann–Whitney tests were used in the bivariate analyses to compare patients with and without symptoms of the symmetry dimension. Odds ratios (ORs) with confidence intervals and Cohen’s D were also calculated as effect size measures. Finally, a logistic regression was performed to control for confounders. Results: The symmetry dimension was highly prevalent (86.8%) in this large clinical sample and, in the logistic regression, it remained associated with earlier onset of obsessive–compulsive symptoms, insidious onset of compulsions, more severe depressive symptoms, and presence of sensory phenomena. Conclusions: A deeper knowledge about specific OCD dimensions is essential for a better understanding and management of this complex and multifaceted disorder.


2013 ◽  
Vol 212 (1) ◽  
pp. 7-13 ◽  
Author(s):  
Janardhanan C. Narayanaswamy ◽  
Dania A. Jose ◽  
Sunil V. Kalmady ◽  
Ganesan Venkatasubramanian ◽  
Y.C. Janardhana Reddy

2004 ◽  
Vol 20 (2) ◽  
pp. 86-91 ◽  
Author(s):  
Jin Pyo Hong ◽  
Jack Samuels ◽  
O. Joseph Bienvenu ◽  
Paul Cannistraro ◽  
Marco Grados ◽  
...  

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