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非临床样本中,与躯体症状障碍相关的饮食行为异常、疾病焦虑和认知功能障碍。

Orthorexic eating behaviour, illness anxiety and dysfunctional cognitions characteristic of somatic symptom disorders in a non-clinical sample.

机构信息

Department of Clinical Psychology, Institute of Experimental Psychology, Heinrich Heine University Düsseldorf, Universitätsstraße 1, 40225, Düsseldorf, Germany.

出版信息

Eat Weight Disord. 2021 Oct;26(7):2387-2391. doi: 10.1007/s40519-020-01091-3. Epub 2021 Jan 3.

DOI:10.1007/s40519-020-01091-3
PMID:33392953
Abstract

PURPOSE

To analyse the relation of illness anxiety, dysfunctional cognitions characteristic of somatic symptom disorders and orthorexic eating behaviour in a non-clinical sample.

METHODS

N = 445 participants (n = 363 females) completed an online survey with the following questionnaires: the Düsseldorf Orthorexia Scale to measure orthorexic eating behaviour, the Attitudes Towards Body and Health Questionnaire to assess dysfunctional cognitions concerning the perception and interpretation of bodily sensations and the Multidimensional Inventory of Hypochondriacal Traits to measure illness anxiety.

RESULTS

In the total sample, orthorexic eating behaviour was associated with the aforementioned variables to a very low extent. However, individuals with high levels of orthorexic eating behaviour (n = 19) displayed significantly higher levels of health habits and of perceptions of autonomic sensations, as well as higher levels of hypochondriacal worry and absorption than individuals with low levels of orthorexic eating behaviour (n = 19).

CONCLUSIONS

Orthorexic eating behaviour is associated to some characteristic features of illness anxiety and dysfunctional cognitions characteristic of somatic symptom disorders. Future studies should investigate whether illness anxiety serves as a risk factor for the development of orthorexic eating behaviour.

LEVEL OF EVIDENCE

III, case-control analytic study.

摘要

目的

分析非临床样本中疾病焦虑、躯体症状障碍特征性的认知障碍与健康型饮食行为之间的关系。

方法

共 445 名参与者(n=363 名女性)完成了一项在线调查,其中包括以下问卷:杜塞尔多夫健康饮食强迫症量表用于测量健康型饮食行为,对身体和健康的态度问卷用于评估对身体感觉的感知和解释的认知障碍,多维疑病症特征清单用于测量疾病焦虑。

结果

在总样本中,健康型饮食行为与上述变量的关联程度非常低。然而,高水平健康型饮食行为的个体(n=19)比低水平健康型饮食行为的个体(n=19)表现出更高的健康习惯水平、对自主感觉的感知水平、疑病症担忧和吸收水平。

结论

健康型饮食行为与疾病焦虑的某些特征以及躯体症状障碍特征性的认知障碍有关。未来的研究应调查疾病焦虑是否是健康型饮食行为发展的风险因素。

证据水平

III,病例对照分析研究。

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Eat Weight Disord. 2019 Jun;24(3):495-506. doi: 10.1007/s40519-019-00657-0. Epub 2019 Feb 22.
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Microthinking about micronutrients: a case of transition from obsessions about healthy eating to near-fatal "orthorexia nervosa" and proposed diagnostic criteria.关于微量营养素的微观思考:一个从痴迷健康饮食到近乎致命的“orthorexia nervosa”(直译为“健康食品强迫症”,一种过度追求健康饮食的心理障碍)的案例及诊断标准建议
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The various facets of orthorexic eating behavior: five case reports of individuals with supposed orthorexia nervosa.正食癖饮食行为的各个方面:五例疑似神经性正食癖个体的病例报告。
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A Systematic Review of Clinical Psychophysiology of Obsessive-Compulsive Disorders: Does the Obsession with Diet Also Alter the Autonomic Imbalance of Orthorexic Patients?饮食强迫症患者是否也会改变自主神经失衡?对强迫症的临床心理生理学的系统评价
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The relationship between orthorexia nervosa, anxiety, and self-esteem: a cross-sectional study in Turkish faculty members.正食症、焦虑与自尊之间的关系:一项针对土耳其教职员工的横断面研究。
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Psychological Correlates of Excessive Healthy and Orthorexic Eating: Emotion Regulation, Attachment, and Anxious-Depressive-Stress Symptomatology.过度健康饮食和正食癖的心理关联:情绪调节、依恋及焦虑-抑郁-压力症状学
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