ArticleFrontiers in nutrition2022
Psychological Correlates of Excessive Healthy and Orthorexic Eating: Emotion Regulation, Attachment, and Anxious-Depressive-Stress Symptomatology.
Article in Frontiers in nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 20 citations in OpenAlex.
- Comparing Questionnaires for Assessing Orthorexic Thoughts and Behaviors in College Students.The journal of behavioral health services & research · 2026Article
- Is dieting a double-edged sword? Orthorexia in celiac disease.BMC psychiatry · 2026Article
- Psychological and motivational correlates of orthorexia nervosa: the role of perfectionism, emotion regulation, and health attitudes.Eating and weight disorders : EWD · 2026Article
- Individual and contextual factors associated with orthorexia nervosa tendency during pregnancy.BMC pregnancy and childbirth · 2026Article
- Cross-cultural adaptation and psychometric validation of the Turkish Düsseldorf Orthorexia Scale in adolescents.Eating and weight disorders : EWD · 2026Article
- Exploring early maladaptive schemas in healthy eating and orthorexia nervosa tendencies: a structural equation modeling approach.Journal of eating disorders · 2026Article
- Orthorexia nervosa and exercise addiction: distinct entities beyond restrictive and muscularity-oriented disordered eating behaviours?Journal of eating disorders · 2026Article
- Affect, Disordered Eating Attitudes and Behaviors, and Orthorexia Nervosa Among Women: Mediation Through Intuitive Eating.Behavioral sciences (Basel, Switzerland) · 2025Article
- Assessing Orthorexia Nervosa Among University Students: An Observational Study Analyzing Prevalence and Psychological Characteristics.Nutrients · 2025Observational
- Examining Associations Among Orthorexia Nervosa and Anthropometric Factors and Lifestyle Habits in an Italian University Community.Nutrients · 2025Article
- The relationship between healthy eating obsessions, clinical eating disorder, and health anxiety: the dark side of the pursuit of healthy eating.Frontiers in psychology · 2025Article
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Orthorexia nervosa, the pathological obsession with eating healthy, shares risks and significant comorbidity with other mental disorders. Based on a behavioral conceptualization of the overlap, emotion regulation, attachment style, and anxious-depressive-stress symptomatology are prominent but insufficiently researched endophenotypes for orthorexia nervosa. This study aimed at identifying ways in which difficulties in emotion regulation and attachment-related anxiety and avoidance become apparent in orthorexia nervosa and healthy orthorexia. Additionally, the moderating role of anxious, depressive, and stress symptoms was explored. A convenience sample of 399 adults (266 women) completed questionnaires to measure orthorexia nervosa and healthy orthorexia, difficulties in emotion regulation, partnership-related bond, and anxious-depressive-stress symptomatology. The healthy orthorexia subscale was negatively associated with lack of emotional awareness but no other subscale of difficulties in emotion regulation or attachment-related anxiety and avoidance. Orthorexia nervosa scores were positively linked to difficulties in emotion regulation as well as attachment-related anxiety and avoidance. Multiple linear regression indicated non-acceptance of emotional responses and impulse control difficulties to be the strongest predictors for orthorexia nervosa. Both subscales also mediated the effects of attachment style on orthorexia nervosa with anxious-depressive-stress symptomatology moderating some of these effects. Individuals with higher orthorexia nervosa tendencies showed difficulties in emotion regulation, a common feature also of affective and eating disorders. Improvement in understanding the psychological features of orthorexia nervosa can enable a better differentiation from other disorders, advances in the development of treatment approaches and treatment planning, and outlines directions for future research on mechanisms.
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