Evidence map›Paper›PMID 35000187›Full record

ArticleEating and weight disorders : EWD2022

What do Italian healthcare professionals think about orthorexia nervosa? Results from a multicenter survey.

Carla Gramaglia, Eleonora Gattoni, Daniela Ferrante, Giovanni Abbate-Daga, Erika Baldissera, Simona Calugi, Giammarco Cascino, Giovanni Castellini, Enrico Collantoni, Angela Favaro and 11 more

Abstract readMulticenter Study
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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Carla GramagliaUniversità del Piemonte Orientale UPO, Novara, Italy.
Eleonora GattoniAzienda Ospedaliero Universitaria Maggiore della Carità, Via Solaroli 17, 28100, Novara, Italy.
Daniela FerranteUniversità del Piemonte Orientale UPO, Novara, Italy.
Giovanni Abbate-DagaDepartment of Neuroscience, University of Turin, Turin, Italy.
Erika BaldisseraEating Disorders Centre Portogruaro, AULSS 4 Veneto Orientale, Portogruaro, Italy.
Simona CalugiDepartment of Eating and Weight Disorders, Villa Garda Hospital, Garda, Verona, Italy.
Giammarco CascinoDepartment of Medicine, Surgery and Dentistry, "Scuola Medica Salernitana" University of Salerno, Salerno, Italy.
Giovanni CastelliniPsychiatric Unit, Department of Neurological and Psychiatric Sciences, University of Florence, Florence, Italy.
Enrico CollantoniDepartment of Neuroscience, University of Padova, Padova, Italy.
Angela FavaroDepartment of Neuroscience, University of Padova, Padova, Italy.
Enrica MarzolaDepartment of Neuroscience, University of Turin, Turin, Italy.
Alessio Maria MonteleoneDepartment of Psychiatry, University of Campania L. Vanvitelli, Napoli, Italy.
Palmiero MonteleoneDepartment of Medicine, Surgery and Dentistry, "Scuola Medica Salernitana" University of Salerno, Salerno, Italy.
Maria Ginevra OrianiMental Health Department, AV2 ASUR Marche, Jesi, Italy.
Caterina RennaCenter for the Treatment and Research On Eating Disorders, Mental Health Department, ASL Lecce, Lecce, Italy.
Valdo RiccaPsychiatric Unit, Department of Neurological and Psychiatric Sciences, University of Florence, Florence, Italy.
Pierandrea SalvoEating Disorders Centre Portogruaro, AULSS 4 Veneto Orientale, Portogruaro, Italy.
Paolo SantonastasoDepartment of Neuroscience, University of Padova, Padova, Italy.
Cristina Segura-GarciaDepartment of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy.
Umberto VolpeDepartment of Clinical Neurosciences/DIMSC, School of Medicine, Section of Psychiatry, Polytechnic University of Marche, Ancora, Italy.
Patrizia ZeppegnoUniversità del Piemonte Orientale UPO, Novara, Italy. patrizia.zeppegno@med.uniupo.it.ORCID http://orcid.org/0000-0002-1990-0346

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOrthorexia nervosa (ON) is an obsession for healthy and proper nutrition. Diagnostic criteria for ON are lacking and the psychopathology of ON is still a matter of debate in the clinical and scientific community. Our aim was to better understand the Italian clinical and scientific community's opinion about ON.

methodsAnonymous online survey for Italian healthcare professionals, implemented with the REDCap platform and spread through a multicenter collaboration. Information was gathered about socio-demographic, educational and occupational features, as well as about experience in the diagnosis and treatment of EDs. The main part of the survey focused on ON and its features, classification and sociocultural correlates.

resultsThe survey was completed by 343 participants. Most responders (68.2%) considered ON as a variant of Eating Disorders (EDs), and 58.6% a possible prodromal phase or evolution of Anorexia Nervosa (AN). Most participants (68.5%) thought the next DSM should include a specific diagnostic category for ON, preferably in the EDs macro-category (82.1%). Moreover, 77.3% of responders thought that ON deserves more attention on behalf of researchers and clinicians, and that its treatment should be similar to that for EDs (60.9%). Participants thinking that ON should have its own diagnostic category in the next DSM edition had greater odds of being younger (p = 0.004) and of considering ON a prodromic phase of another ED, such as AN (p = 0.039). DISCUSSION: Our survey suggests that the scientific community still seems split between those who consider ON as a separate disorder and those who do not. More research is still needed to better understand the construct of ON and its relationship with EDs; disadvantages and advantages of giving ON its own diagnosis should be balanced. LEVEL OF EVIDENCE: V (descriptive cohort study).

Indexed as

Feeding and Eating DisordersOrthorexia NervosaCohort StudiesHealth PersonnelHumansItalyObsessive BehaviorSurveys and QuestionnairesClassificationDiagnosisEating disordersHealth professionalsOrthorexia

Identifiers

PMID35000187
PMCPMC8742705

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.