Sezer Katar Kübra, Şahin Başak, Kurtoğlu Mustafa Batuhan
Department of Psychiatry, University of Health Sciences, Ankara Training and Research Hospital, Ankara, Turkey.
Department of Psychiatry, Ankara Etlik City Hospital, Ankara, Turkey.
Int J Psychiatry Med. 2024 Jan;59(1):83-100. doi: 10.1177/00912174231194745. Epub 2023 Aug 5.
Orthorexia nervosa is an eating disorder characterized by a rigid preoccupation with a perceived healthy diet. However, little is known about healthy orthorexia compared to orthorexia nervosa. The current study examined the relationship between healthy orthorexia and orthorexia nervosa and personality traits in a Turkish sample.
Three hundred fifty participants from a community sample aged 18-65 were included in the study. Participants completed a sociodemographic data collection form, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Teruel Orthorexia Scale (TOS), and the 10-Item Personality Inventory (TIPI).
The frequency of healthy orthorexia was 32.3% and orthorexia nervosa was 10.2%. There were no differences between genders regarding healthy orthorexia and orthorexia nervosa scores. Healthy orthorexia symptoms were negatively correlated with depression and anxiety (r = -0.11 and r = -0.20, respectively, < .05), while they were positively correlated with agreeableness (r = 0.17), conscientiousness (r = 0.14), and extraversion (r = 0.15). Orthorexia nervosa symptoms were positively associated with anxiety (r = 0.12), depression (r = 0.10), and healthy orthorexia (r = 0.55). Hierarchical regression analyses demonstrated that depression was negatively associated with healthy orthorexia symptoms, explaining 4% of the variance. The agreeableness trait was positively associated with healthy orthorexia symptoms, explaining 4% of the variance. However, no specific personality trait was associated with orthorexia nervosa symptoms.
To our knowledge, the present study is the first to examine the relationships between personality traits, healthy orthorexia, and orthorexia nervosa symptoms in a Turkish sample. Sociocultural factors may be important for understanding orthorexia nervosa and healthy eating behaviors in this population.
正食癖是一种饮食失调症，其特征是对所谓的健康饮食有着刻板的执着。然而，与神经性正食癖相比，人们对健康正食癖知之甚少。本研究在一个土耳其样本中考察了健康正食癖与神经性正食癖及人格特质之间的关系。
研究纳入了350名年龄在18至65岁之间的社区样本参与者。参与者填写了一份社会人口统计学数据收集表、贝克抑郁量表（BDI）、贝克焦虑量表（BAI）、特鲁埃尔正食癖量表（TOS）以及10项人格量表（TIPI）。
健康正食癖的发生率为32.3%，神经性正食癖的发生率为10.2%。在健康正食癖和神经性正食癖得分方面，性别之间没有差异。健康正食癖症状与抑郁和焦虑呈负相关（分别为r = -0.11和r = -0.20，p <.05），而与宜人性（r = 0.17）、尽责性（r = 0.14）和外向性（r = 0.15）呈正相关。神经性正食癖症状与焦虑（r = 0.12）、抑郁（r = 0.10）和健康正食癖（r = 0.55）呈正相关。分层回归分析表明，抑郁与健康正食癖症状呈负相关，解释了4%的变异。宜人性特质与健康正食癖症状呈正相关，解释了4%的变异。然而，没有特定的人格特质与神经性正食癖症状相关。
据我们所知，本研究是首次在一个土耳其样本中考察人格特质、健康正食癖和神经性正食癖症状之间的关系。社会文化因素对于理解该人群中的神经性正食癖和健康饮食行为可能很重要。
