Gomleksiz Mehtap, Yarasir Ezgi
School of Medicine, Department of Family Medicine, Firat University, Elazig, Türkiye.
Department of Therapy and Rehabilitation, Vocational School of Health Services, Firat University, Elazig, Turkey.
Brain Behav. 2025 Jul;15(7):e70583. doi: 10.1002/brb3.70583.
This study aimed to determine the psychosocial risk factors for orthorexia nervosa (ON) in university students and to evaluate the relationship between eating attitudes and behaviors and obsessive-compulsive disorder (OCD).
A cross-sectional study was conducted with 882 university students in an eastern Turkish province from October to December 2023. Data for the study were collected using a sociodemographic survey form, the Orthorexia Nervosa Test (ORTO-15), the Eating Attitude Test (EAT-40), and the Obsessive-Compulsive Inventory-Revised (OCI-R) assessments. Additionally, an online survey was administered to the participants using Google Forms. The collected data were analyzed using the SPSS 22.0 statistical software program.
The participants had a mean age of 20.9 ± 3.0 years (range: 17-45), and 73.1% (n = 645) were female. Orthorexic tendencies were observed in 14.7% of the participants, impaired eating behavior in 15.6%, and a risk of OCD in 58.7%. The mean ORTO-15 score for the participants was 37.3 ± 3.6, the mean EAT-40 score was 20.0 ± 15.5, and the mean OCI-R score was 25.9 ± 15.0. ORTO-15 scores were significantly higher among participants in their sixth year of study and those enrolled in evening education programs (p < 0.05). EAT-40 scores were significantly higher in students aged 20-22, those with poor socioeconomic status, and smokers (p < 0.05). OCI-R scores were notably higher in participants who lived in dormitories during their studies and those who had quit smoking (p < 0.05). While ORTO-15 scores were negatively correlated with EAT-40 scores (p < 0.05), a weak positive correlation was observed between OCI-R and EAT-40 scores (p < 0.05).
Although ON, OCD, and eating disorders seem to be different disorders, they both have similar characteristics. Further studies are needed to investigate possible risk factors of comorbidity.
本研究旨在确定大学生中神经性正食症（ON）的心理社会风险因素，并评估饮食态度和行为与强迫症（OCD）之间的关系。
2023年10月至12月，对土耳其东部某省的882名大学生进行了一项横断面研究。研究数据通过社会人口学调查问卷、神经性正食症测试（ORTO - 15）、饮食态度测试（EAT - 40）和强迫症量表修订版（OCI - R）评估收集。此外，使用谷歌表单对参与者进行了在线调查。使用SPSS 22.0统计软件程序对收集的数据进行分析。
参与者的平均年龄为20.9±3.0岁（范围：17 - 45岁），73.1%（n = 645）为女性。14.7%的参与者存在正食症倾向，15.6%的参与者存在饮食行为障碍，58.7%的参与者有患强迫症的风险。参与者的ORTO - 15平均得分为37.3±3.6，EAT - 40平均得分为20.0±15.5，OCI - R平均得分为25.9±15.0。在六年级学生和参加夜校教育项目的参与者中，ORTO - 15得分显著更高（p < 0.05）。20 - 22岁的学生、社会经济地位较低的学生和吸烟者的EAT - 40得分显著更高（p < 0.
