Dolapoglu Nazan, Ozcan Duygu, Tulaci Rıza Gokcer
Department of Psychiatry, Balikesir University Faculty of Medicine, Balıkesir, TUR.
Department of Psychiatry, Balikesir University Faculty of Medicine, Balikesir, TUR.
Cureus. 2023 May 2;15(5):e38451. doi: 10.7759/cureus.38451. eCollection 2023 May.
In recent years, there has been a dramatic increase in awareness in society that healthy nutrition has positive effects on health. However, obsession with these behaviors towards healthy foods causes negative effects on health and quality of life.
The aim of this study was to elucidate the relationship between the incidence of orthorexia nervosa (ON) in medical school students and the level of conscious awareness, obsessive-compulsive disorder, eating attitudes and behaviors, health anxiety, and body image to clarify the unclear issues in the literature, such as whether orthorexia nervosa is among the psychological disorders, "where" it will take place, and which diagnoses it can be associated with.
Students between the 1 and 6 grades of medical school were invited to participate in this research. The Sociodemographic Data Form, Maudsley Obsessive-Compulsive Question Index (MOCI), Eating Attitude Test Short Form (EAT SF-26), Health Anxiety Inventory-Weekly Short Form (HAI-SF), ORTO-11 scale, Body Perception Scale, and Conscious Awareness Scale have been applied to the students.
In univariate analysis, the eating disorder scale, body image scale, and awareness scale total scores all had an impact on orthorexia. Each increase in the eating disorder scale score increased the diagnosis of orthorexia 1.07 times, while each increase in the body image scale score increased the diagnosis of orthorexia 1.09 times. Additionally, each increase in the conscious awareness scale score decreased the diagnosis of orthorexia by 0.92 times. When all variables were re-evaluated in the multivariate analysis, it was seen that the total scores of the body image scale and conscious awareness scale affected the diagnosis of orthorexia. There was a weak inverse relationship between the orthorexia scale score and only the health anxiety inventory total score (p<0.05).
Regarding the outcomes of this research, one can say that orthorexia affected the eating disorder scale, body image scale, and awareness scale total scores. While the increase in the eating disorder and body image scale scores increased orthorexia, the increase in the conscious awareness scale score had a decreasing effect.
近年来，社会对健康营养对健康有积极影响的认识显著提高。然而，对这些健康食品行为的痴迷会对健康和生活质量产生负面影响。
本研究的目的是阐明医学院学生中神经性正食症（ON）的发病率与意识水平、强迫症、饮食态度和行为、健康焦虑以及身体形象之间的关系，以澄清文献中尚不清楚的问题，如神经性正食症是否属于心理障碍、“在何处”发生以及可能与哪些诊断相关。
邀请医学院1至6年级的学生参与本研究。向学生应用了社会人口统计学数据表、莫兹利强迫症问卷指数（MOCI）、饮食态度测试简表（EAT SF - 26）、健康焦虑量表 - 每周简表（HAI - SF）、ORTO - 11量表、身体感知量表和意识量表。
在单因素分析中，饮食失调量表、身体形象量表和意识量表总分均对正食症有影响。饮食失调量表得分每增加一分，正食症诊断增加1.07倍，而身体形象量表得分每增加一分，正食症诊断增加1.09倍。此外，意识量表得分每增加一分，正食症诊断降低0.92倍。在多因素分析中重新评估所有变量时，发现身体形象量表和意识量表总分影响正食症诊断。正食症量表得分与仅健康焦虑量表总分之间存在微弱的负相关（p < 0.05）。
关于本研究的结果，可以说正食症影响了饮食失调量表、身体形象量表和意识量表总分。饮食失调和身体形象量表得分的增加会增加正食症，而意识量表得分的增加则有降低作用。
