Evidence map›Paper›PMID 34351591›Full record

ArticleEating and weight disorders : EWD2022

Italian adaptation of the Düsseldorf Orthorexia Scale (I-DOS): psychometric properties and prevalence of orthorexia nervosa among an Italian sample.

Silvia Cerolini, Mariacarolina Vacca, Andrea Zagaria, Lorenzo Maria Donini, Claudio Barbaranelli, Caterina Lombardo

Open access · hybridAbstract read
In one paragraph

Article in Eating and weight disorders : EWD, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 26 citations in OpenAlex.

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  7. Food perception in Orthorexia nervosa: Craving or avoidance?Eating and weight disorders : EWD · 2026
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  11. Profile of maladaptive and normative eating behaviors in correlation with rumination: a cross-sectional study among Lebanese adults.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2025
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4 · The record

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5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Silvia CeroliniDepartment of Psychology, Sapienza University of Rome, via dei Marsi 78, 00185, Rome, Italy. silvia.cerolini@uniroma1.it.ORCID http://orcid.org/0000-0003-1447-7347
Mariacarolina VaccaDepartment of Psychology, Sapienza University of Rome, via dei Marsi 78, 00185, Rome, Italy.ORCID http://orcid.org/0000-0002-6549-8976
Andrea ZagariaDepartment of Psychology, Sapienza University of Rome, via dei Marsi 78, 00185, Rome, Italy.ORCID http://orcid.org/0000-0002-3930-7371
Lorenzo Maria DoniniDepartment of Experimental Medicine, Medical Pathophysiology, Food Science and Endocrinology Section, Food Science and Human Nutrition Research Unit, Sapienza University of Rome, Piazzale Aldo Moro, Rome, Italy.ORCID http://orcid.org/0000-0003-4692-4754
Claudio BarbaranelliDepartment of Psychology, Sapienza University of Rome, via dei Marsi 78, 00185, Rome, Italy.ORCID http://orcid.org/0000-0003-1597-0758
Caterina LombardoDepartment of Psychology, Sapienza University of Rome, via dei Marsi 78, 00185, Rome, Italy.ORCID http://orcid.org/0000-0002-5245-1757
Sapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOrthorexia Nervosa (ON) is described as an extreme level of preoccupation around healthy eating, accompanied by restrictive eating behaviors. During the years, different assessment instruments have been developed. The aim of the study is to adapt into Italian the Düsseldorf Orthorexia Scale (I-DOS) and to test its psychometric properties.

methodA total sample of 422 volunteer university students (mean age = 20.70 ± 3.44, women 71.8%) completed a group of self-report questionnaires in large group sessions during their lecture time. The scales assessed ON (the I-DOS and the Orhto-15), disordered eating (Disordered Eating Questionnaire, DEQ), depressive symptoms (Beck Depression Inventory-II, BDI-II), obsessive and compulsive symptoms (Obsessive Compulsive Inventory-Revised, OCI-R), and self-reported height and weight.

resultsThe fit of the unidimensional structure and reliability of the I-DOS was tested trough Confirmatory Factor Analysis (CFA) as well as its criterion validity computing correlation coefficients among Ortho-15, DEQ, BDI-II, OCI-R, BMI. Analyses confirmed the unidimensional structure of the I-DOS with acceptable or great fit indices (CFI = 0.984; TLI = 0.978; SRMR = 0.043; RMSEA = 0.076) and the strong internal consistency (α = 0.888). The correlations path supported the criterion validity of the scale. The estimated total prevalence of both ON and ON risk was 8.1%.

conclusionsThis 10-item scale appears to be a valid and reliable measure to assess orthorexic behaviors and attitudes. LEVEL OF EVIDENCE: Level V, descriptive cross-sectional study.

Indexed as

Feeding and Eating DisordersOrthorexia NervosaAdolescentCross-Sectional StudiesFeeding BehaviorFemaleHealth BehaviorHumansMalePrevalencePsychometricsReproducibility of ResultsSurveys and QuestionnairesYoung AdultConfirmatory analysisHealthy eatingOrthorexiaPsychometric propertiesScale validation

Identifiers

PMID34351591
PMCPMC9079031
OpenAlexW3176214929

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.