Evidence map›Paper›PMID 41383009›Full record

ArticleCNS spectrums2025

Problematic usage of the internet is associated with orthorexia nervosa tendency in adults.

Sophie Boutouis, Jon E Grant

Abstract read
In one paragraph

Article in CNS spectrums, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

2 authors.

Sophie BoutouisPsychiatry and Behavioral Neuroscience, The University of Chicago Medicine, USA.ORCID 0000-0002-9556-3935
Jon E GrantPsychiatry and Behavioral Neuroscience, The University of Chicago Medicine, USA.ORCID 0000-0001-7784-7021

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe link between problematic usage of the internet (PUI) and eating disorder symptoms is well-established. However, less is known about this association in the context of orthorexia nervosa (ON), an excessive preoccupation with healthy eating. This study aimed to investigate the relationship between PUI, including various problematic online behaviors, and ON tendency in a sample of US adults.

methodsThree hundred adults completed an online survey via prolific (mean age = 37.40, 54.6% female). The survey included demographic questions, the ORTO-R to measure ON symptoms, and the Internet Severity and Activities Addiction Questionnaire (ISAAQ-10) to assess PUI and the extent of engagement in several online activities, such as gaming, shopping, social networking, cyberchondria, pornography, and cyberbullying.

resultsWomen had higher ORTO-R scores than men (

conclusionsResults indicate that PUI is associated with ON symptoms even after considering other predictors. Maladaptive use of nutrition and medical-related resources may play a significant role in this association. However, it remains unclear whether exposure to this content increases ON risk or if people with ON symptoms seek this information online. The directionality of this relationship is an important area for future research.

Indexed as

Behavior, AddictiveFeeding and Eating DisordersInternetInternet Addiction DisorderAdultFemaleHumansMaleMiddle AgedSurveys and QuestionnairesYoung Adulteating disorderInternet addictioninternet useorthorexiaorthorexia nervosa

Identifiers

PMID41383009
PMCPMC13064715

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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.