功能性胃肠症状与厌食症风险增加相关。
Functional gastrointestinal symptoms and increased risk for orthorexia nervosa.
机构信息
Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.
Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.
出版信息
Eat Weight Disord. 2022 Apr;27(3):1113-1121. doi: 10.1007/s40519-021-01242-0. Epub 2021 Jun 25.
PURPOSE
Recent guidelines point out the possible risk for orthorexia nervosa in functional gastrointestinal disorders, however, to date, no study has investigated this association. The present study aimed to explore the potential relationship between irritable bowel syndrome-related functional gastrointestinal symptoms and certain maladaptive eating behaviours, such as symptoms of orthorexia nervosa and emotional eating.
METHODS
A sample of 644 Hungarian volunteers (M = 22.37; SD = 3.95) completed a survey with the following questionnaires: the Rome IV Diagnostic Questionnaire (R4DQ) for adults-Irritable bowel syndrome module for the measurement of functional gastrointestinal symptoms, the Hungarian version of the ORTO-15 questionnaire (ORTO-11-Hu) to assess symptoms of orthorexia nervosa, the Three-Factor Eating Questionnaire (TFEQ) Emotional Eating subscale to measure symptoms of emotional eating and the Short Health Anxiety Inventory (SHAI) for the assessment of health anxiety. Spearman's rank correlation was used to explore the associations between the measured variables, and structural equation modeling was used to test the proposed mediation models.
RESULTS
Functional gastrointestinal symptoms were positively related to symptoms of orthorexia nervosa and emotional eating. The relationship between functional gastrointestinal symptoms and symptoms of orthorexia nervosa was partially mediated by health anxiety, while the association between functional gastrointestinal symptoms and symptoms of emotional eating was partially mediated by symptoms of orthorexia nervosa.
CONCLUSION
Our findings highlight the possible risk for developing orthorexic symptoms in functional gastrointestinal symptoms, which could lead to other types of disordered eating patterns, such as emotional eating. The results also underscore the potential role of health anxiety in these relationships.
LEVEL OF EVIDENCE
Level V (descriptive cross-sectional study).
目的
最近的指南指出，功能性胃肠疾病患者可能存在厌食症的风险，但迄今为止，尚无研究调查这种关联。本研究旨在探讨肠易激综合征相关功能性胃肠症状与某些适应不良的饮食行为（如厌食症和情绪性进食的症状）之间的潜在关系。
方法
一个由 644 名匈牙利志愿者组成的样本（M=22.37，SD=3.95）完成了一项调查，使用的问卷包括：罗马 IV 成人诊断问卷（R4DQ）-肠易激综合征模块，用于测量功能性胃肠症状；匈牙利版的 ORTO-15 问卷（ORTO-11-Hu），用于评估厌食症的症状；三因素饮食问卷（TFEQ）的情绪性进食分量表，用于测量情绪性进食的症状；以及短健康焦虑量表（SHAI），用于评估健康焦虑。使用 Spearman 等级相关分析来探索测量变量之间的关联，并用结构方程模型来检验所提出的中介模型。
结果
功能性胃肠症状与厌食症和情绪性进食的症状呈正相关。功能性胃肠症状与厌食症症状之间的关系部分通过健康焦虑来介导，而功能性胃肠症状与情绪性进食症状之间的关系部分通过厌食症症状来介导。
结论
我们的研究结果强调了功能性胃肠症状可能导致厌食症症状的风险，进而可能导致其他类型的饮食障碍模式，如情绪性进食。研究结果还强调了健康焦虑在这些关系中的潜在作用。
证据水平
V 级（描述性横断面研究）。
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