Psychotherapy and Systems Neuroscience, Justus-Liebig-University, Giessen, Germany.
Adv Nutr. 2020 Jul 1;11(4):784-789. doi: 10.1093/advances/nmaa012.
Significant prevalence rates of pathological healthful eating and its extreme form, orthorexia nervosa (ON), the pathological obsession with healthy eating, have led to increased efforts to understand this phenomenon's clinical relevance. This narrative review qualitatively summarizes existing evidence on the (psycho-)pathology and consequences of ON and offers an interpretation within the frame of existing theories and models of psychiatric disease. Adding to the controversy in the field of ON, this review offers important critiques and identifies gaps in our current understanding of ON as a (distinct) mental illness.
病理性健康饮食的高发率及其极端形式,即饮食失调(ON),即对健康饮食的病态痴迷,促使人们加大了对这一现象临床相关性的理解力度。本综述定性总结了现有关于 ON 的(精神)病理学及其后果的证据,并在现有的精神病学疾病理论和模型框架内对其进行了解释。鉴于 ON 领域的争议,本综述提出了重要的批评意见,并指出了我们目前对 ON 作为一种(独特的)精神疾病的理解存在的差距。