Orthorexic eating behaviour as a coping strategy in patients with anorexia nervosa
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Orthorexia nervosa is defined as the fixation on health-conscious eating behaviour and has recently been discussed as a new variant of disordered eating. The aim of the present study was to analyse orthorexic eating behaviour in an inpatient treatment sample of female anorexics to investigate the relation between anorexic and orthorexic eating behaviour.
Female anorexic patients with low (n = 29) and pronounced (n = 13) orthorexic eating behaviour as well as a matched control group composed of healthy females (n = 30) were compared with regard to several aspects of disordered eating, hypochondriacal traits, food consumption frequency and fulfilment of basic psychological needs in terms of eating. Orthorexic eating behaviour was assessed using the Düsseldorfer Orthorexie Skala.
Fulfilment of basic psychological needs with respect to autonomy and competence is higher in anorexic individuals with pronounced orthorexic eating behaviour compared to patients with low orthorexic eating behaviour. Furthermore, patients with pronounced orthorexic eating behaviour state eating healthy food regardless of calorie content more often. No difference was found for hypochondriacal traits and eating disordered symptoms in general.
Orthorexic eating behaviour enhances self-perception of eating behaviour as autonomous and competent, indicating that it might serve as a coping strategy in anorexic individuals. Further research is needed to investigate if this tendency in food selection strategy leads to positive effects in the long term.
KeywordsOrthorexia Anorexia nervosa Eating disorders Coping strategy Self-determination theory
The authors sincerely thank Karsten Braks, Sonia Livia Arianna Belfiore, Eva Henkemeier, Leoni Braun and Karolina Friese for their valuable support.
Compliance with ethical standards
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Conflict of interest
On behalf of all authors, the corresponding author states that there is no conflict of interest.
Informed consent was obtained from all individual participants included in the study.
- 1.Bratman S (1997) The health food eating disorder. http://www.orthorexia.com/. Accessed 10 June 2016
- 4.Ramacciotti CE, Perrone P, Coli E, Burgalassi A, Conversano C, Massimetti G, Dell’Osso L (2011) Orthorexia nervosa in the general population: a preliminary screening using a self-administered questionnaire (ORTO-15). Eat Weight Disord 16:e127–e130. doi: 10.1007/BF03325318 CrossRefPubMedGoogle Scholar
- 6.Missbach B, Dunn TM, König JS (2016) We need new tools to assess orthorexia nervosa. A commentary on “Prevalence of Orthorexia Nervosa among College Students Based on Bratman’s Test and Associated Tendencies”. Appetite. doi:http://dx.doi.org/10.1016/j.appet.2016.07.010
- 9.Moroze RM, Dunn TM, Holland C, 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 56:397–403. doi: 10.1016/j.psym.2014.03.003 CrossRefPubMedGoogle Scholar
- 11.Bratman S, Knight D (2000) Health food junkies: overcoming the obsession with healthful eating. Broadway Books, New YorkGoogle Scholar
- 16.Garner DM (1991) Eating disorder inventory-2 manual. Psychological Assessment Resources Odessa, FLGoogle Scholar
- 17.Paul T, Thiel A (2005) Eating disorder inventory-2. Deutsche version. Hogrefe, GöttingenGoogle Scholar
- 24.Field A (2013) Discovering statistics using IBM SPSS statistics, 4th edn. Sage, LondonGoogle Scholar
- 28.Cuzzolaro M, Donini LM (2016) Orthorexia nervosa by proxy? Eat Weight Disord:1-3. doi: 10.1007/s40519-016-0310-8
- 30.American Psychiatric Association (ed) (2013) Diagnostic and statistical manual of mental disorders (DSM-5). 5 edn. American Psychiatric Publishing, WashingtonGoogle Scholar