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揭示正食症中的焦虑因素:对恐惧和应对策略的定性探索

Unveiling Anxiety Factors in Orthorexia Nervosa: A Qualitative Exploration of Fears and Coping Strategies.

作者信息

Tragantzopoulou Panagiota, Giannouli Vaitsa

机构信息

School of Social Sciences, University of Westminster, 115 New Cavendish Street, London W1W 6UW, UK.

School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.

出版信息

Healthcare (Basel). 2024 Apr 30;12(9):925. doi: 10.3390/healthcare12090925.

DOI:10.3390/healthcare12090925
PMID:38727482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11083721/
Abstract

Orthorexia nervosa represents a controversial phenomenon in the realm of eating practices, characterized by an obsessive fixation on consuming only foods deemed 'healthy', and a preoccupation with food purity. While the existing literature has identified the presence of stressful behaviors among individuals with orthorexia, the precise factors and circumstances eliciting these stress-inducing emotions remain the subject of ongoing inquiry. This study aims to explore the triggers and situations that precipitate stressful beliefs and emotions among individuals who self-identify as preoccupied with healthy eating, as well as the coping mechanisms developed to manage these feelings. Through conducting one-to-one interviews with thirteen individuals, thematic analysis was employed to elucidate the nuances of their experiences. Participants articulated concerns regarding the contamination of foods available in supermarkets and restaurants, thereby prompting the meticulous selection of food sources and aversion to dining out. The prospect of trying new foods and engaging in social gatherings involving food emerged as anxiety-inducing scenarios, prompting individuals to adhere to monotonous dietary patterns and impose self-isolation. Additionally, medical appointments were perceived as stressful, driven by health concerns underpinning the adoption of stringent dietary practices. These findings underscore the spectrum of fears and coping mechanisms exhibited by individuals with orthorexia nervosa, which hold profound implications for their overall well-being.

摘要

正食癖是饮食行为领域中一个颇具争议的现象,其特征是痴迷于只食用被认为“健康”的食物,并执着于食物的纯净度。虽然现有文献已经确定了正食癖患者中存在压力行为,但引发这些压力情绪的确切因素和情况仍是持续研究的主题。本研究旨在探索那些自认为痴迷于健康饮食的个体中,引发压力信念和情绪的触发因素和情境,以及为应对这些情绪而形成的应对机制。通过对13名个体进行一对一访谈,采用主题分析法来阐明他们经历的细微差别。参与者表达了对超市和餐馆中食物受污染的担忧,从而促使他们精心挑选食物来源并厌恶外出就餐。尝试新食物以及参加涉及食物的社交聚会的前景成为引发焦虑的情境,促使个体坚持单调的饮食习惯并自我隔离。此外,医疗预约也被视为有压力,这是由支持采取严格饮食习惯的健康担忧所驱动的。这些发现强调了神经性正食癖个体所表现出的恐惧范围和应对机制,这对他们的整体幸福感具有深远影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2356/11083721/3ef7597f67e3/healthcare-12-00925-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2356/11083721/3ef7597f67e3/healthcare-12-00925-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2356/11083721/3ef7597f67e3/healthcare-12-00925-g001.jpg

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本文引用的文献

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'You Are Not Alone, We've Got You': Power Plays, Devotion, and Punishment on Healthy Eating and Pro-Eating Disorder Websites.“你并不孤单,我们与你同在”:健康饮食和支持进食障碍网站中的权力博弈、奉献和惩罚。
Qual Health Res. 2024 Oct;34(12):1216-1230. doi: 10.1177/10497323241238628. Epub 2024 Mar 26.
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A Study of the Relationship between University Students' Food Neophobia and Their Tendencies towards Orthorexia Nervosa.大学生食物恐新症与他们的正食癖倾向之间的关系研究。
Behav Sci (Basel). 2023 Nov 21;13(12):958. doi: 10.3390/bs13120958.
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Orthorexia and Orthorexia Nervosa: A Comprehensive Examination of Prevalence, Risk Factors, Diagnosis, and Treatment.
中国和巴基斯坦大学生饮食行为与心理健康的心理测量评估:一项跨文化研究。
Nutrients. 2025 Feb 25;17(5):795. doi: 10.3390/nu17050795.
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The risk of believing that emotions are bad and uncontrollable: association with orthorexia nervosa.认为情绪有害且无法控制的风险:与神经性正食症的关联。
Eat Weight Disord. 2025 Jan 18;30(1):8. doi: 10.1007/s40519-024-01710-3.
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Opening Pandora's Box: Exploring Body Image Perceptions and Influencing Factors in Women-An Interpretative Phenomenological Analysis.打开潘多拉魔盒:探索女性的身体意象认知及其影响因素——一项诠释现象学分析
Healthcare (Basel). 2024 Dec 24;13(1):15. doi: 10.3390/healthcare13010015.
6
The Mediating Effect of Coping Strategies and Emotion Regulation in the Relationship between Impulsivity, Metacognition, and Eating Disorders.应对策略和情绪调节在冲动性、元认知与饮食失调关系中的中介作用。
Nutrients. 2024 Jun 14;16(12):1884. doi: 10.3390/nu16121884.
饮食失调与饮食神经症:患病率、风险因素、诊断和治疗的综合考察。
Nutrients. 2023 Sep 3;15(17):3851. doi: 10.3390/nu15173851.
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A consensus document on definition and diagnostic criteria for orthorexia nervosa.《关于厌食症定义和诊断标准的共识文件》。
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Conceptualisations of health in orthorexia nervosa: a mixed-methods study.对健体癖中健康概念的认知:一项混合方法研究。
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