饮食失调特征、精神病理学和防御机制在理解健康饮食倾向中的作用。
The role of eating disorders features, psychopathology, and defense mechanisms in the comprehension of orthorexic tendencies.
机构信息
Department of Psychology, Educational Science and Human Movement, University of Palermo, Palermo, Italy.
Department of Psychological, Health and Territorial Sciences, G. d'Annunzio University of Chieti-Pescara, Via dei Vestini, 66100, Chieti, Italy.
出版信息
Eat Weight Disord. 2022 Oct;27(7):2713-2724. doi: 10.1007/s40519-022-01417-3. Epub 2022 Jun 1.
PURPOSE
Recent studies pointed out the importance to distinguish orthorexia nervosa (ON) from non-problematic forms of interest with healthy eating. This distinction needs to be further explored since it may favor a better comprehension of the relationship between orthorexic behaviors and psychopathology and lead to an improved understanding of the psychological processes implicated in ON. Therefore, the aim of the current study was to investigate the associations between ON and the core features of eating disorders (EDs), psychopathological symptoms and defense mechanisms, by differentiating three groups of individuals: an ON symptoms group, a healthy-eating control group, and a normal-eating control group.
METHODS
College students (n = 270, M = 21.57, SD = 2.16) were recruited from Palermo's University, in the south of Italy, and were assigned to three groups: 52 in the ON symptoms group, 157 in the healthy-eating control group and 61 in the normal-eating control group. Participants completed four questionnaires assessing ON (EHQ-21), eating psychopathology (EDI-3), psychopathological symptoms (BSI) and defense mechanisms (DSQ-40).
RESULTS
Compared to the control groups, the ON symptoms group reported greater EDs' features, higher psychopathological symptoms and greater employment of different neurotic and immature defense mechanisms. No differences were found between groups with regard to obsessive-compulsive symptoms.
CONCLUSION
Our findings support the notion that ON behaviors should be carefully distinguished from non-problematic forms of interest with healthy eating. Indeed, results suggest that ON individuals are characterized by similar clinical features and defensive functioning as those observed in traditional EDs, indicating the importance of deepening our understanding of the relationship between these conditions.
LEVEL OF EVIDENCE
Level V, descriptive cross-sectional study.
目的
最近的研究指出，区分神经性食欲过正（ON）与健康饮食相关的非问题性兴趣形式非常重要。这种区分需要进一步探讨，因为它可能有助于更好地理解强迫症行为与精神病理学之间的关系，并深入了解 ON 所涉及的心理过程。因此，本研究旨在通过区分三个组别（ON 症状组、健康饮食对照组和正常饮食对照组），探究 ON 与饮食障碍（EDs）的核心特征、精神病理学症状和防御机制之间的关联。
方法
本研究在意大利南部的巴勒莫大学招募了 270 名大学生（M=21.57，SD=2.16），并将他们分配到三个组别：ON 症状组 52 人，健康饮食对照组 157 人，正常饮食对照组 61 人。参与者完成了四个问卷，分别评估 ON（EHQ-21）、饮食病理学（EDI-3）、精神病理学症状（BSI）和防御机制（DSQ-40）。
结果
与对照组相比，ON 症状组报告了更多的 ED 特征、更高的精神病理学症状和更多的神经症和不成熟防御机制的运用。在强迫症状方面，各组之间没有差异。
结论
我们的研究结果支持这样一种观点，即 ON 行为应该与健康饮食相关的非问题性兴趣形式区分开来。事实上，结果表明，ON 个体的特点与传统 EDs 观察到的临床特征和防御功能相似，这表明深入了解这些病症之间的关系的重要性。
证据水平
五级，描述性横断面研究。
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