Yılmaz Maide Nur, Dundar Cihad
Department of Public Health, Faculty of Medicine, Ondokuz Mayis University, 55139, Atakum, Samsun, Turkey.
BMC Psychol. 2022 Mar 31;10(1):82. doi: 10.1186/s40359-022-00796-7.
Orthorexia nervosa (ON) may be a disorder on the spectrum of obsessive-compulsive disorders, maybe a separate eating disorder, or it may be an eating disorder on the spectrum of other eating disorders. We aimed to explore how anxiety and self-esteem affect the orthorectic tendency among higher-educated groups.
This cross-sectional study was conducted on 248 faculty members selected by stratified sampling method from Ondokuz Mayis University in Samsun, Turkey. Data were collected by face-to-face interview method using Ortho-15, Rosenberg self-esteem, and Beck Anxiety scales.
The study group consisted of 144 (58.1%) males and 104 (41.9%) females, and the mean age was 42.5 ± 6.3 years. We found a tendency for orthorexia nervosa in 47 (19%) participants. The mean scores were 41.0 ± 2.6 for the Ortho-15 scale, 0.7 ± 1.2 for the Self-esteem scale, and 5.9 ± 5.8 for the Beck Anxiety Scale. Self-esteem scores were low, and anxiety scores were high in participants who tended to orthorexia (p < 0.001). Logistic regression analysis showed that the high self-esteem scores decrease the orthorectic tendency, while high anxiety scores increase the tendency.
We found a significant relationship between anxiety, low self-esteem and orthorexia nervosa. This result can be considered as a preliminary finding leading to further research. Further clinical and longitudinal studies are needed to determine the characteristics of individuals with orthorexia nervosa and identify the cause and effect relationship with psychiatric comorbidities.
正食症（ON）可能是强迫症谱系中的一种障碍，可能是一种独立的饮食失调症，也可能是其他饮食失调症谱系中的一种饮食失调症。我们旨在探讨焦虑和自尊如何影响高学历人群的正食倾向。
本横断面研究对通过分层抽样方法从土耳其萨姆松的于尔杜兹·梅伊斯大学选取的248名教职员工进行。使用正食症15项量表、罗森伯格自尊量表和贝克焦虑量表，通过面对面访谈的方式收集数据。
研究组由144名（58.1%）男性和104名（41.9%）女性组成，平均年龄为42.5±6.3岁。我们发现47名（19%）参与者有正食症倾向。正食症15项量表的平均得分为41.0±2.6，自尊量表的平均得分为0.7±1.2，贝克焦虑量表的平均得分为5.9±5.8。有正食倾向的参与者自尊得分低而焦虑得分高（p<0.001）。逻辑回归分析表明，高自尊得分会降低正食倾向，而高焦虑得分会增加这种倾向。
我们发现焦虑、低自尊与正食症之间存在显著关系。这一结果可被视为一项初步发现，有待进一步研究。需要进一步的临床和纵向研究来确定正食症患者的特征，并确定与精神共病的因果关系。
