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Orthorexia - current approach. A review.

Joanna Hyrnik1, Ida Zasada1, Krzysztof M Wilczyński1

  • 1Śląski Uniwersytet Medyczny w Katowicach, Katedra Psychiatrii i Psychoterapii, Oddział Kliniczny Psychiatrii i Psychoterapii Wieku Rozwojowego, Centrum Pediatrii im. Jana Pawła II w Sosnowcu.

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Summary

Orthorexia nervosa (ON) requires further study due to unclear diagnostic criteria and varying prevalence rates. Developing standardized assessment tools and targeted prevention/therapy programs is crucial for this emerging clinical entity.

Keywords:
orthorexia nervosa

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Eating Disorders Research

Background:

  • Orthorexia nervosa (ON) is a debated clinical entity with unclear origins.
  • Its relationship with other disorders like anorexia nervosa (AN), bulimia nervosa (BN), obsessive-compulsive disorder (OCD), and autism spectrum disorder (ASD) is under ongoing discussion.

Purpose of the Study:

  • To define orthorexia nervosa (ON) using recent scientific literature.
  • To analyze the incidence, affected groups, risk factors, and comorbidities of ON.
  • To review the current state of diagnostic criteria and assessment tools for ON.

Main Methods:

  • A review of MEDLINE/PubMed databases was conducted.
  • Publications from 2009 to 2019 were analyzed for epidemiological data, risk factors, and conceptualization of ON.
  • Various assessment tools (BOT, ORTO-15, EHQ, DOS) were noted.

Main Results:

  • Epidemiological data for ON show wide variations (1%-90%) depending on the population studied.
  • Risk factors are inconsistently identified, with no consensus on the impact of anthropometric or sociodemographic variables.
  • Findings are limited by small, non-representative study groups and diverse methodologies.

Conclusions:

  • The nosological status of ON remains unclear, necessitating further research.
  • Lack of standardized diagnostic criteria and reliable assessment tools hinders clinical understanding.
  • Development of evidence-based prevention and therapy programs is essential, particularly for at-risk populations.