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People behind unhealthy obsession to healthy food: the personality profile of tendency to orthorexia nervosa

  • Márton Kiss-Leizer
  • Adrien RigóEmail author
Original Article
Part of the following topical collections:
  1. Personality and eating and weight disorders

Abstract

Purpose

Our aim was to measure the personality profile of people with high orthorexic tendency using an assessment method which is acknowledged in the research of the classical eating disorders (anorexia nervosa, bulimia nervosa) and obsessive–compulsive disorder (OCD).

Methods

In our research, 739 participants completed a self-administered, online questionnaire consisting of two measures: Temperament and Character Inventory-56 (TCI-56) and Ortho-11-Hu.

Results

The orthorexia nervosa (ON) grouping variable has a significant effect on three factors of TCI: MANOVA revealed higher harm avoidance (F (2, 736) = 19.01, p < 0.001, η2 = 0.05), lower self-directedness (F (2, 736) = 22.55, p < 0.001, η2 = 0.06), and higher transcendence (F (2, 736) = 3.05, p = 0.048, η2 = 0.01) in the higher ON group, compared to the lower ON group, regardless of the effect of the risk groups.

Conclusions

According to earlier studies, high harm avoidance and low self-directedness are relevant factors of anorexia nervosa, bulimia nervosa, and OCD, but now it also seems to be an important parameter of orthorexia. Nevertheless, higher transcendence may be a unique feature, which suggests that orthorexia seems to be an independent phenomenon.

Level of evidence

V, descriptive cross-sectional study.

Keywords

Orthorexia nervosa Personality Eating disorders Temperament 

Notes

Compliance with ethical standards

Conflict of interest

The author declares that he has no conflict of interest.

Ethical approval

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.

Informed consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Bratman S (1997) Revista Medico-Chiruricala A Societatii de Medici Si Naturalisti Din Iasi. Yoga J 136:42–46Google Scholar
  2. 2.
    Missbach B, Dunn TM, König JS (2017) 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 108:521–524.  https://doi.org/10.1016/j.appet.2016.07.010 Google Scholar
  3. 3.
    Donini LM, Marsili D, Graziani MP et al (2005) Orthorexia nervosa: Validation of a diagnosis questionnaire. Eat Weight Disord 10:28–32Google Scholar
  4. 4.
    Dunn TM, Bratman S (2016) On orthorexia nervosa: a review of the literature and proposed diagnostic criteria. Eat Behav 21:11–17.  https://doi.org/10.1016/j.eatbeh.2015.12.006 Google Scholar
  5. 5.
    Cinosi E, Matarazzo I, Marini S et al (2015) Prevalence of orthorexia nervosa in a population of young Italian adults. Eur Psychiatry 30:13–30.  https://doi.org/10.1016/S0924-9338(15)31038-5 Google Scholar
  6. 6.
    Dunn TM, Gibbs J, Whitney N, Starosta A (2017) Prevalence of orthorexia nervosa is less than 1%: data from a US sample. Eat Weight Disord 22:1–8.  https://doi.org/10.1007/s40519-016-0258-8 Google Scholar
  7. 7.
    Varga M, Thege BK, Dukay-Szabó S et al (2014) When eating healthy is not healthy: orthorexia nervosa and its measurement with the ORTO-15 in Hungary. BMC Psychiatry 14:1–11.  https://doi.org/10.1186/1471-244X-14-59 Google Scholar
  8. 8.
    Segura-García C, Papaianni MC, Caglioti F et al (2012) Orthorexia nervosa: a frequent eating disordered behavior in athletes. Eat Weight Disord 17:1–17.  https://doi.org/10.3275/8272 Google Scholar
  9. 9.
    Bağcı Bosi AT, Çamur D, Güler Ç (2007) Prevalence of orthorexia nervosa in resident medical doctors in the faculty of medicine (Ankara, Turkey). Appetite 49:661–666.  https://doi.org/10.1016/j.appet.2007.04.007 Google Scholar
  10. 10.
    Fidan T, Ertekin V, Işikay S, Kirpinar I (2010) Prevalence of orthorexia among medical students in Erzurum, Turkey. Compr Psychiatry 51:49–54.  https://doi.org/10.1016/j.comppsych.2009.03.001 Google Scholar
  11. 11.
    Alvarenga MDS, Martins MCT, Sato KSCJ et al (2012) Orthorexia nervosa behavior in a sample of Brazilian dietitians assessed by the Portuguese version of ORTO-15. Eat Weight Disord 17:29–35.  https://doi.org/10.1007/BF03325325 Google Scholar
  12. 12.
    Asil E, Sürücüoğlu MS (2015) Orthorexia nervosa in Turkish dietitians. Ecol Food Nutr 54:1–11.  https://doi.org/10.1080/03670244.2014.987920 Google Scholar
  13. 13.
    Kinzl JF, Hauer K, Traweger C, Kiefer I (2006) Orthorexia nervosa in dieticians. Psychother Psychosom 75:395–396.  https://doi.org/10.1159/000095447 Google Scholar
  14. 14.
    Aksoydan E, Camci N (2009) Prevalence of orthorexia nervosa among Turkish performance artists. Eat Weight Disord Stud Anorex Bulim Obes 14:33–37.  https://doi.org/10.1007/BF03327792 Google Scholar
  15. 15.
    Segura-Garcia C, Ramacciotti C, Rania M et al (2015) The prevalence of orthorexia nervosa among eating disorder patients after treatment. Eat Weight Disord 20:161–166.  https://doi.org/10.1007/s40519-014-0171-y Google Scholar
  16. 16.
    Arhire LI (2015) Orthorexia nervosa: the unhealthy obsession for healthy food. Rev Medico-Chiruricala Soc Medici Si Nat Din Iasi 119:632–638Google Scholar
  17. 17.
    Barnett MJ, Dripps WR, Blomquist KK (2016) Organivore or organorexic? Examining the relationship between alternative food network engagement, disordered eating, and special diets. Appetite 105:713–720.  https://doi.org/10.1016/j.appet.2016.07.008 Google Scholar
  18. 18.
    Herranz VJ, Acuña RP, Romero VB, Visioli F (2014) Prevalence of orthorexia nervosa among ashtanga yoga practitioners: a pilot study. Eat Weight Disord 19:469–472.  https://doi.org/10.1007/s40519-014-0131-6 Google Scholar
  19. 19.
    Barnes MA, Caltabiano ML (2017) The interrelationship between orthorexia nervosa, perfectionism, body image and attachment style. Eat Weight Disord 22:177–184.  https://doi.org/10.1007/s40519-016-0280-x Google Scholar
  20. 20.
    Poyraz C, Tufekcioglu E, Ozdemir A et al (2015) Relationship between orthorexia and obsessive–compulsive symptoms in patients with generalised anxiety disorder, panic disorder and obsessive compulsive disorder. Yeni Symp 53:22.  https://doi.org/10.5455/NYS.20160324065040 Google Scholar
  21. 21.
    Arusoglu G, Kabakçi E, Köksal G, Kutluay Merdol T (2008) Orthorexia Nervosa and Adaptation of ORTO-11 into Turkish. Turk J Psychiatry 19:1–9Google Scholar
  22. 22.
    Gleaves DH, Graham EC, Ambwani S (2013) Measuring “Orthorexia”. Development of the Eating Habits Questionnaire. Int J Educ Psychol Assess 1–18Google Scholar
  23. 23.
    Svrakic DM, Draganic S, Hill K et al (2002) Temperament, character, and personality disorders: etiologic, diagnostic, treatment issues. Acta Psychiatr Scand 106:189–195Google Scholar
  24. 24.
    Cloninger CR, Svrakic DM (1997) Integrative psychobiological approach to psychiatric assessment and treatment. Psychiatry 60:120–141.  https://doi.org/10.1080/00332747.1997.11024793 Google Scholar
  25. 25.
    Amianto F, Abbate-Daga G, Morando S et al (2011) Personality development characteristics of women with anorexia nervosa, their healthy siblings and healthy controls: what prevents and what relates to psychopathology? Psychiatry Res 187:401–408.  https://doi.org/10.1016/j.psychres.2010.10.028 Google Scholar
  26. 26.
    Atiye M, Miettunen J, Raevuori-Helkamaa A (2015) A meta-analysis of temperament in eating disorders. Eur Eat Disord Rev 23:89–99.  https://doi.org/10.1002/erv.2342 Google Scholar
  27. 27.
    Fassino S, Abbate-Daga G, Amianto F et al (2002) Temperament and character profile of eating disorders: a controlled study with the temperament and character inventory. Int J Eat Disord 32:412–425.  https://doi.org/10.1002/eat.10099 Google Scholar
  28. 28.
    Fassino S, Amianto F, Gramaglia C et al (2004) Temperament and character in eating disorders: ten years of studies. Eat Weight Disord Stud Anorex Bulim Obes 9:81–90.  https://doi.org/10.1007/BF03325050 Google Scholar
  29. 29.
    Klump K, Bulik C, Pollice C et al (2000) Temperament and character in women with anorexia nervosa. Nerv Ment Dis 188:559–567.  https://doi.org/10.1097/00005053-200009000-00001 doiGoogle Scholar
  30. 30.
    Brytek-Matera A (2012) Orthorexia nervosa-an eating disorder, obsessive–compulsive disorder or disturbed eating habit? Arch Psychiatry Psychother 1:55–60Google Scholar
  31. 31.
    Alonso P, Menchón JM, Jiménez S et al (2008) Personality dimensions in obsessive–compulsive disorder: relation to clinical variables. Psychiatry Res 157:159–168.  https://doi.org/10.1016/j.psychres.2006.06.003 Google Scholar
  32. 32.
    Cruz-Fuentes C, Blas C, Gonzalez L et al (2004) Severity of obsessive–compulsive symptoms is related to self-directedness character trait in obsessive–compulsive disorder. CNS Spectr 9:607–612.  https://doi.org/10.1017/S1092852900002789 Google Scholar
  33. 33.
    Ettelt S, Joergen H, Ruhrmann S et al (2008) Harm avoidance in subjects with obsessive–compulsive disorder and their families. J Affect Disord 107:265–269.  https://doi.org/10.1016/j.jad.2007.08.017 Google Scholar
  34. 34.
    Kim SJ, Kang JI, Kim CH (2009) Temperament and character in subjects with obsessive–compulsive disorder. Compr Psychiatry 50:567–572.  https://doi.org/10.1016/j.comppsych.2008.11.009 Google Scholar
  35. 35.
    Cloninger CR (1987) A systematic method for clinical description and classification of personality variants. A proposal. Arch Gen Psychiatry 44:573–588.  https://doi.org/10.1001/archpsyc.1987.01800180093014 Google Scholar
  36. 36.
    Cloninger CR (1993) A psychobiological model of temperament and character. Arch Gen Psychiatry 50:975.  https://doi.org/10.1001/archpsyc.1993.01820240059008 Google Scholar
  37. 37.
    Rózsa S, Kállai J, Osváth A, Bánki MC (2005) Temperamentum és karakter: Cloninger pszichobiológiai modellje. Medicina, BudapestGoogle Scholar
  38. 38.
    Eriksson L, Baigi A, Marklund B, Lindgren EC (2008) Social physique anxiety and sociocultural attitudes toward appearance impact on orthorexia test in fitness participants. Scand J Med Sci Sports 18:389–394.  https://doi.org/10.1111/j.1600-0838.2007.00723.x Google Scholar
  39. 39.
    Koven N, Abry A (2015) The clinical basis of orthorexia nervosa: emerging perspectives. Neuropsychiatr Dis Treat 11:385–394.  https://doi.org/10.2147/NDT.S61665 Google Scholar
  40. 40.
    Barnes MA, Caltabiano ML (2017) The interrelationship between orthorexia nervosa, perfectionism, body image and attachment style. Eat Weight Disord Stud Anorex Bulim Obes 22:177–184.  https://doi.org/10.1007/s40519-016-0280-x Google Scholar
  41. 41.
    Mathieu J (2005) What is orthorexia? J Am Diet Assoc 105:1510–1512.  https://doi.org/10.1016/j.jada.2005.08.021 Google Scholar
  42. 42.
    Oberle CD, Samaghabadi RO, Hughes EM (2017) Orthorexia nervosa: assessment and correlates with gender, BMI, and personality. Appetite 108:303–310Google Scholar
  43. 43.
    Dell’Osso L, Carpita B, Gesi C et al (2017) Subthreshold autism spectrum disorder in patients with eating disorders. Compr Psychiatry 8:66–72.  https://doi.org/10.1016/j.comppsych.2017.11.007 Google Scholar
  44. 44.
    Dell’Osso L, Carpita B, Muti D et al (2017) Prevalence and characteristics of orthorexia nervosa in a sample of university students in Italy. Eat Weight Disord 23:55–65.  https://doi.org/10.1007/s40519-017-0460-3 Google Scholar
  45. 45.
    Dell’Osso L, Abelli M, Carpita B et al (2016) Historical evolution of the concept of anorexia nervosa and relationships with orthorexia nervosa, autism and obsessive–compulsive spectrum. Neuropsychiatr Dis Treat 12:1651–1660Google Scholar
  46. 46.
    Fairburn C, Harrison P (2003) Eating disorders. Lancet 361:407–416Google Scholar
  47. 47.
    Coveney J (1999) The science and spirituality of nutrition. Crit Public Health 9:23–37.  https://doi.org/10.1080/0958199908409217 Google Scholar
  48. 48.
    Nath J (2010) ‘God is a vegetarian’: the food, health and bio-spirituality of Hare Krishna, Buddhist and Seventh-Day Adventist devotees. Health Sociol Rev 19:356–368.  https://doi.org/10.5172/hesr.2010.19.3.356 Google Scholar
  49. 49.
    Piko BF, Brassai L (2016) A reason to eat healthy: the role of meaning in life in maintaining homeostasis in modern society. Health Psychol Open 3:1–4.  https://doi.org/10.1177/2055102916634360 Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Personality and Health PsychologyEötvös Loránd UniversityBudapestHungary

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