Department of Nutrition & Food Science, California State University, Chico, CA 95929-0002, USA.
Department of Nutrition & Food Science, California State University, Chico, CA 95929-0002, USA.
Appetite. 2016 Jun 1;101:86-94. doi: 10.1016/j.appet.2016.02.144. Epub 2016 Feb 23.
Disordered eating is prevalent among college student populations, and Orthorexia nervosa (ON) is being explored as a new type of eating disorder. There is currently no standardized ON diagnostic tool, and the majority of ON research has been conducted among European populations. The present study explored the Bratman Orthorexia Test (BOT) for ON diagnosis, and its relationship to validated tools for assessing disordered eating, body dysmorphic, and obsessive-compulsive tendencies among college students attending a western university. A convenience sample of 448 college students with a mean age of 22 years was recruited to complete an online survey that included the BOT, Eating Attitudes Test-26 (EAT-26), Body Dysmorphic Disorder Questionnaire (BDDQ), Obsessive Compulsive Inventory, Revised (OCI-R) and demographics. Spearman correlation, Mann-Whitney U, Kruskal-Wallis, chi-square, and multiple linear regressions were used for analyses. The average BOT score was 4.71, near the "health fanatic" range, with Hispanic/Latino subjects and overweight/obese students having significantly higher median BOT scores. Gender, age, and college major were not significantly associated with BOT score. Significant positive correlations were observed between total BOT and EAT-26 scores (r = .47, p < 0.01), BOT and BDDQ scores (r = .25, p < 0.01), and BOT and OCI-R scores (r = .19, p < 0.01). ON tendencies may exist among college students and Hispanic/Latino and overweight/obese students may be at increased risk. Further research is needed to determine ON risk factors among diverse student populations in order to inform prevention and treatment approaches on college campuses.
饮食失调在大学生群体中很普遍，而神经强迫症（ON）正被探索为一种新的饮食障碍。目前还没有标准化的 ON 诊断工具，而且大多数 ON 研究都是在欧洲人群中进行的。本研究探讨了 Bratman 神经强迫症测试（BOT）在诊断 ON 方面的作用，以及其与评估大学生饮食失调、身体畸形和强迫倾向的有效工具的关系。在一所西部大学，通过方便抽样招募了 448 名年龄在 22 岁左右的大学生，完成了一项在线调查，其中包括 BOT、饮食态度测试-26 版（EAT-26）、身体畸形障碍问卷（BDDQ）、强迫症清单修订版（OCI-R）和人口统计学信息。采用 Spearman 相关分析、Mann-Whitney U 检验、Kruskal-Wallis 检验、卡方检验和多元线性回归进行分析。BOT 的平均得分为 4.71，接近“健康狂热者”的范围，西班牙裔/拉丁裔受试者和超重/肥胖学生的 BOT 得分中位数明显更高。性别、年龄和大学专业与 BOT 得分无显著相关性。BOT 总分与 EAT-26 得分呈显著正相关（r =.47，p < 0.01），与 BDDQ 得分呈显著正相关（r =.25，p < 0.01），与 OCI-R 得分呈显著正相关（r =.19，p < 0.01）。大学生可能存在 ON 倾向，西班牙裔/拉丁裔和超重/肥胖学生的风险可能更高。需要进一步研究以确定不同学生群体中的 ON 风险因素，以便为大学校园的预防和治疗方法提供信息。
