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超越健康饮食:介绍ONI-Hu,即神经性正食症量表的匈牙利语版本。

Beyond healthy eating: introducing ONI-Hu, the Hungarian version of the Orthorexia Nervosa Inventory.

作者信息

Fodor Alexandra, Varga Balázs András, Rigó Adrien

机构信息

Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.

Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.

出版信息

Eat Weight Disord. 2025 Apr 29;30(1):38. doi: 10.1007/s40519-025-01745-0.

DOI:10.1007/s40519-025-01745-0
PMID:40299092
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12041154/
Abstract

PURPOSE

The aim of this study was to adapt the Orthorexia Nervosa Inventory for use in Hungarian (ONI-Hu), and explore its associations with disordered eating, intuitive eating and mental health measures.

METHODS

944 participants completed a test battery, including ONI-Hu, the Three Factor Eating Questionnaire, the Intuitive Eating Scale-2 and the Mental Health Continuum Short-Form. Confirmatory Factor Analysis (CFA) was used to assess the validity of ONI-Hu. Correlation and regression analyses were conducted to evaluate the convergent and discriminant validity.

RESULTS

CFA confirmed the original three-factor structure of ONI-Hu. Positive associations were found between ONI scores and restrictive eating behaviors, and negative associations with intuitive eating measures. Furthermore, the ONI composite factor score displayed no significant relationship with mental health indicators.

CONCLUSIONS

ONI-Hu exhibits strong reliability and validity, and provides a deeper understanding of ON. Results suggest that orthorexic behaviors may serve as a coping mechanism, offering an illusion of control and emotional security. Inconsistent findings about the relationship between ON tendencies and mental health indicators propose that the sense of control might provide a false sense of well-being to the individual, distorting their perceptions of their overall health. Level of evidence Level V, descriptive cross-sectional study.

摘要

目的

本研究旨在使《神经性正食症量表》适用于匈牙利语(ONI-Hu),并探讨其与饮食失调、直觉饮食和心理健康指标之间的关联。

方法

944名参与者完成了一组测试,包括ONI-Hu、三因素饮食问卷、直觉饮食量表-2和心理健康连续体简表。采用验证性因素分析(CFA)来评估ONI-Hu的效度。进行相关性和回归分析以评估聚合效度和区分效度。

结果

CFA证实了ONI-Hu最初的三因素结构。ONI得分与限制性饮食行为之间存在正相关,与直觉饮食指标之间存在负相关。此外,ONI综合因素得分与心理健康指标之间无显著关系。

结论

ONI-Hu具有很强的信度和效度,并能更深入地理解正食症。结果表明,正食症行为可能是一种应对机制,提供一种控制感和情绪安全感的错觉。关于正食症倾向与心理健康指标之间关系的不一致发现表明,控制感可能会给个体提供一种虚假的幸福感,扭曲他们对自身整体健康的认知。证据水平 五级,描述性横断面研究。

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本文引用的文献

1
The Intuitive Eating Scale-3: Development and psychometric evaluation.直观饮食量表-3:编制与心理测量学评估
Appetite. 2024 Aug 1;199:107407. doi: 10.1016/j.appet.2024.107407. Epub 2024 May 9.
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Orthorexia and Orthorexia Nervosa: A Comprehensive Examination of Prevalence, Risk Factors, Diagnosis, and Treatment.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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Psychometric properties of Turkish Orthorexia Nervosa Inventory in a clinical adolescent sample.土耳其饮食强迫症量表在临床青少年样本中的心理测量特性。
Eat Weight Disord. 2023 Sep 1;28(1):70. doi: 10.1007/s40519-023-01601-z.
4
Cross-cultural adaptation and psychometric properties of the Italian version of the Orthorexia Nervosa Inventory (ONI).《神经性正食症量表(ONI)》意大利语版本的跨文化适应与心理测量特性
J Eat Disord. 2023 Aug 24;11(1):144. doi: 10.1186/s40337-023-00858-0.
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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》。
Eat Weight Disord. 2022 Dec;27(8):3695-3711. doi: 10.1007/s40519-022-01512-5. Epub 2022 Nov 27.
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Dietary patterns and eating behaviors on the border between healthy and pathological orthorexia.介于健康与病理性正食癖之间的饮食模式和饮食行为。
Eat Weight Disord. 2022 Dec;27(8):3279-3288. doi: 10.1007/s40519-022-01457-9. Epub 2022 Aug 2.
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Orthorexia Nervosa and Disordered Eating Attitudes, Self-Esteem and Physical Activity among Young Adults.青年人群中的饮食失调症、自尊和体力活动与神经强迫症。
Nutrients. 2022 Mar 18;14(6):1289. doi: 10.3390/nu14061289.
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Orthorexia nervosa and executive dysfunction: symptomatology is related to difficulties with behavioral regulation.饮食失调症和执行功能障碍:症状与行为调节困难有关。
Eat Weight Disord. 2022 Aug;27(6):2019-2026. doi: 10.1007/s40519-021-01343-w. Epub 2022 Jan 8.
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Orthorexia nervosa and dieting in a non-clinical sample: a prospective study.神经性厌食症和非临床样本中的节食:一项前瞻性研究。
Eat Weight Disord. 2022 Aug;27(6):2081-2093. doi: 10.1007/s40519-021-01353-8. Epub 2022 Jan 7.
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Associations between orthorexia, disordered eating, and obsessive-compulsive symptoms: A systematic review and meta-analysis.饮食失调与强迫症状的关联:系统综述和荟萃分析。
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