Centre for Addictive Behaviours Research, School of Applied Sciences, London South Bank University, London, UK.
Centre for Addictive Behaviours Research, School of Applied Sciences, London South Bank University, London, UK.
Appetite. 2022 Nov 1;178:106261. doi: 10.1016/j.appet.2022.106261. Epub 2022 Aug 2.
Previous work identified the operation of an attentional bias (AB) towards healthy food related stimuli among those with increasing tendencies towards orthorexia nervosa (ON) using a modified Stroop task. The current work aimed to replicate and extend our understanding of this effect by incorporating alternative measures of AB (i.e., the dot probe task) and ON (i.e., the Teruel Orthorexia Scale [ToS]) in a sample of self-defined vegans/vegetarians. The theoretical assertion of the ToS is the conceptual broadening of orthorexia with differentiable dimensions - one characterised as a "healthy" preoccupation with healthy food/eating patterns (HeOr) and the other by a more underlying pathology (OrNe). This study also aimed to examine the pattern of responding across these two dimensions according to factors known to predict ON. Eighty-six participants (mean age = 33.0 years; 20 males, 66 females) completed measures of obsessive compulsivity, perfectionism, state/trait anxiety and ToS as well as a dot probe designed to measure AB for healthy and unhealthy-related food stimuli, threat ratings of each of words utilized and perceived identity centrality as a vegan/vegetarianism. Results showed a dissociation of predicted determinants for "healthy" ON (HeOr) and pathological ON (OrNe). HeOr was predicted by increasing identity centrality whereas OrNe was predicted by increased OCD and perfectionism, and increased interference for healthy-related food words (in particular slowed disengagement) and not unhealthy related food words. Threat-related ratings of unhealthy food words was shown to be common across both dimensions. This pattern highlights cognitive and individual differences-based correlates of pathological and non-pathological ON.
先前的研究使用改良版 Stroop 任务,发现有越来越多的厌食症倾向的人对健康食品相关刺激存在注意力偏差(AB)。本研究旨在通过在自我定义的素食者/素食主义者样本中纳入 AB 的替代测量方法(即点探测任务)和 ON(即特鲁埃尔厌食症量表[ToS])来复制和扩展我们对这种效应的理解。ToS 的理论假设是对厌食症的概念扩展,具有可区分的维度——一个以对健康食品/饮食模式的“健康”关注为特征(HeOr),另一个则由更深层次的病理(OrNe)决定。本研究还旨在根据已知预测 ON 的因素,检查这两个维度的反应模式。86 名参与者(平均年龄 33.0 岁;20 名男性,66 名女性)完成了强迫症、完美主义、状态/特质焦虑和 ToS 的测量,以及一个用于测量健康和不健康相关食物刺激的点探测任务,每个单词的威胁评分以及作为素食主义者/素食主义者的感知身份中心性。结果显示,“健康”厌食症(HeOr)和病理性厌食症(OrNe)的预测因素存在分离。HeOr 由身份中心性增加预测,而 OrNe 由 OCD 和完美主义增加以及对健康相关食物词汇的干扰增加(尤其是缓慢的脱离)而不是对不健康相关食物词汇的干扰增加预测。不健康食物词汇的威胁相关评分在两个维度上都很常见。这种模式突出了病理性和非病理性 ON 的认知和个体差异相关因素。