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A Combined Network Analysis for Orthorexia Nervosa, Obsessive Compulsive, and Eating Disorder Symptoms.
Caterina Lombardo1, Silvia Cerolini1,2, Andrea Zagaria1,3
1Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy.
Nutrients
|May 4, 2026
Summary
Orthorexia nervosa (ON) is distinct from obsessive-compulsive disorder (OCD) and other eating disorders (EDs), though its symptoms show some links to EDs. This research clarifies ON
Area of Science:
- Psychiatry
- Clinical Psychology
- Behavioral Science
Background:
- Orthorexia nervosa (ON) is a condition of rigid eating rules with potential health impacts.
- The relationship between ON, eating disorders (EDs), and obsessive-compulsive disorder (OCD) requires further investigation.
Purpose of the Study:
- To investigate the distinctiveness and overlap of core symptoms between ON, EDs, and OCD.
- To utilize a network approach to analyze symptom relationships.
Main Methods:
- Surveyed 422 university students on ON, ED, and OCD symptoms.
- Employed network analysis to map symptom connections and identify bridging symptoms.
Main Results:
- ON symptoms formed a distinct cluster, separate from OCD and ED clusters.
- ON symptoms showed stronger connections to ED symptoms than to OCD symptoms.
- Emotional consequences, worry about healthy food, and obsessing were key bridging symptoms.
Conclusions:
- Findings support ON as a distinct condition within eating psychopathology.
- ON is symptomatically related to EDs and OCD, but empirically distinct.
- Further longitudinal research is needed for definitive classification.
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