Correlates of orthorexia nervosa in a sample of Lebanese adolescents: the co-moderating effect of body dissatisfaction and self-esteem between mental health issues and orthorexia nervosa

Mhanna, Mariam; Azzi, Reine; Hallit, Souheil; Obeïd, Sahar; Soufia, Michel

doi:10.1080/17450128.2022.2163732

Cited by 5 publications

(2 citation statements)

References 37 publications

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“…It utilizes a 4-point Likert scale ranging from “Strongly Disagree” to “Strongly Agree,” where higher scores signify greater self-esteem. The scale has been previously utilized in its Arabic-translated form in various studies [ 57 , 58 ].…”

Section: Methodsmentioning

confidence: 99%

Psychometric properties of the arabic translation of the Physical Appearance Comparison Scale-Revised (PACS-R) in adults

El Khoury,

Malaeb,

Fawaz

et al. 2024

BMC Psychol

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Background Physical comparison may be a factor in body dissatisfaction and related issues, like eating disorders and depression. The Physical Appearance Comparison Scale-Revised (PACS-R) is a scale developed to assess the frequency of physical comparison. Because there is no validated scale for body comparison in Arabic, this study aims to address this gap by validating the PACS-R in the Arabic language. Methods The PACS-R was translated to Arabic following a conventional forward-backward translation procedure, and was administered to a sample of 359 Lebanese adults along with The Depression Anxiety Stress Scale, and the Rosenberg self-esteem scale (RSES) for convergent validity. The factor structure was studied by confirmatory factor analysis (CFA), and composite reliability was assessed using McDonald’s omega and Cronbach’s alpha. Results Results suggested a one-factor structure of the Arabic PACS-R, with good internal consistency (McDonald’s ω = 0.97 / Cronbach α = 0.97). Measurement invariance was established across sex groups, with no significant difference being reported between males and females in terms of PACS-R scores (15.42 ± 10.64 vs. 13.16 ± 11.88; t(357) = 1.84; p = .066). Finally, adequate convergent validity was tested and found to be adequate, with PACS-R scores found to be correlated negatively with self-esteem and positively with psychological distress. Conclusion The present findings preliminarily establish the Arabic PACS-R as an effective instrument for researchers and practitioners aiming to explore the physical comparison among Arabic-speaking populations, thus contributing to research and clinical work in the Arabic community.

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Section: Methodsmentioning

confidence: 99%

Psychometric properties of the arabic translation of the Physical Appearance Comparison Scale-Revised (PACS-R) in adults

El Khoury,

Malaeb,

Fawaz

et al. 2024

BMC Psychol

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“…Similarly, anxiety moderated the association between body dissatisfaction and restrained eating; when levels of anxiety are high, body image dissatisfaction was more strongly associated with restrained eating [ 35 ]. Furthermore, depression moderated the association between body dissatisfaction and orthorexia nervosa [ 38 ].…”

Section: Introductionmentioning

confidence: 99%

The mediating role of anxiety and depression between problematic social media use and bulimia nervosa among Lebanese university students

Sfeir

Rahme²,

Obeïd

et al. 2023

J Eat Disord

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Background Bulimia nervosa (BN) is a disorder that is characterized by binge eating and inappropriate compensatory behavior to control weight. The aim of this study was to evaluate the mediating role of anxiety and depression between problematic social media use (PSMU) and BN among a sample of Lebanese university students. Methods This cross-sectional study was carried out between July and September 2021; a total of 363 university students was recruited through convenience sampling. The PROCESS SPSS Macro version 3.4, model four was used to test the indirect effect and calculate three pathways. Pathway A determined the regression coefficient for the effect of PSMU on mental health issues (depression/anxiety); Pathway B examined the association between mental health issues on BN, and Pathway C’ estimated the direct effect of PSMU on BN. Pathway AB was used to calculate the indirect effect of PSMU on BN via depression/anxiety. Results Results showed that depression and anxiety partially mediated the association between PSMU and BN. Higher levels of PSMU were associated with more depression and anxiety; higher depression and anxiety were associated with more BN. PSMU was directly and significantly associated with more BN. When entering anxiety (M1) then depression (M2) as consecutive mediators in a first model, the results showed that only depression mediated the association between PSMU and bulimia. When taking depression (M1) then anxiety (M2) as consecutive mediators in a second model, the results showed that the mediation PSMU → Depression → Anxiety → Bulimia was significant. Higher PSMU was significantly associated with more depression, which was significantly associated with more anxiety, which was significantly associated with more bulimia. Finally, higher PSMU was directly and significantly associated with more bulimia Conclusion The current paper highlights the relationship that social media use has on BN and other aspects of mental health such as anxiety and depression in Lebanon. Future studies should replicate the mediation analysis conducted in the current study while taking into account other eating disorders. Additional investigations of BN and its correlates must strive to improve the comprehension of these associations’ pathways through designs that allow to draw temporal frameworks, in order to efficiently treat this eating disorder and prevent its negative outcomes.

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Attachment styles and orthorexia nervosa among Lebanese adolescents: The indirect effect of self-esteem

Azzi

Mhanna

Hallit

et al. 2023

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Correlates of orthorexia nervosa in a sample of Lebanese adolescents: the co-moderating effect of body dissatisfaction and self-esteem between mental health issues and orthorexia nervosa

Cited by 5 publications

References 37 publications

Psychometric properties of the arabic translation of the Physical Appearance Comparison Scale-Revised (PACS-R) in adults

Psychometric properties of the arabic translation of the Physical Appearance Comparison Scale-Revised (PACS-R) in adults

The mediating role of anxiety and depression between problematic social media use and bulimia nervosa among Lebanese university students

Attachment styles and orthorexia nervosa among Lebanese adolescents: The indirect effect of self-esteem

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