Individuals who self-identify as having “orthorexia nervosa” score in the clinical range on the Eating Attitudes Test-26

Dunn, Thomas M.; Hawkins, Nicole; Gagliano, Stacey; Stoddard, Kristen

doi:10.1007/s40519-019-00651-6

Cited by 13 publications

(11 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We chose to administer the Eating Disorder Examination-Questionnaire (EDE-Q; Fairburn & Beglin, 2008) and the Eating Attitudes Test-26 (EAT-26; Garner, Olmsted, Bohr, & Garfinkel, 1982), due to their wide and ongoing use within the field (Dunn, Hawkins, Gagliano, & Stoddard, 2019;Kang et al, 2017), and recent use with transgender samples . The EDE-Q has four subscales (restraint, eating concern, shape concern, and weight concern) and a global score, and also assesses frequency of objective binge episodes (OBEs), self-induced vomiting, laxative abuse, and diuretic misuse over the last 28 days.…”

Section: Methodsmentioning

confidence: 99%

Concerns and recommendations for using Amazon MTurk for eating disorder research

Burnette

Luzier

Bennett

et al. 2021

Intl J Eating Disorders

View full text Add to dashboard Cite

Objective: Our original aim was to validate and norm common eating disorder (ED) symptom measures in a large, representative community sample of transgender adults in the United States. We recruited via Amazon Mechanical Turk (MTurk), a popular online recruitment and data collection platform both within and outside of the ED field. We present an overview of our experience using MTurk. Method: Recruitment began in Spring 2020; our original target N was 2,250 transgender adults stratified evenly across the United States. Measures included a demographics questionnaire, the Eating Disorder Examination-Questionnaire, and the Eating Attitudes Test-26. Consistent with current literature recommendations, we implemented a comprehensive set of attention and validity measures to reduce and identify bot responding, data farming, and participant misrepresentation.Results: Recommended validity and attention checks failed to identify the majority of likely invalid responses. Our collection of two similar ED measures, thorough weight history assessment, and gender identity experiences allowed us to examine response concordance and identify impossible and improbable responses, which revealed glaring discrepancies and invalid data. Furthermore, qualitative data (e.g., emails received from MTurk workers) raised concerns about economic conditions facing MTurk workers that could compel misrepresentation.Discussion: Our results strongly suggest most of our data were invalid, and call into question results of recently published MTurk studies. We assert that caution and rigor must be applied when using MTurk as a recruitment tool for ED research, and offer several suggestions for ED researchers to mitigate and identify invalid data.

show abstract

Section: Methodsmentioning

confidence: 99%

Concerns and recommendations for using Amazon MTurk for eating disorder research

Burnette

Luzier

Bennett

et al. 2021

Intl J Eating Disorders

View full text Add to dashboard Cite

show abstract

“…In the current study we found that the ORTO-7CS strongly correlated with eating psychopathologies as measured with the EAT-26. Whilst this might suggest a substantial crossover between symptoms of ON and eating pathology more generally [65], it could also suggest a lack of specificity of the ORTO-tool as a measurement of ON tendencies. The ORTO-7CS has been found to have better psychometric properties than the longer versions of the ORTO tool [50],which we also replicated in the current study.…”

Section: Limitations and Future Researchmentioning

confidence: 99%

Orthorexic tendencies are linked with difficulties with emotion identification and regulation

2020

View full text Add to dashboard Cite

Background: Orthorexia nervosa (ON) is characterised by an unhealthy obsession with healthy eating and while it is not recognised as an eating disorder (or any disorder), current research is exploring similarities and differences with such disorders. The literature has shown that individuals with eating disorders have difficulties identifying and describing emotions (known as alexithymia) as well as regulating them. However no research to date has looked at whether people with orthorexic tendencies also suffer from difficulties with emotions. In this paper, we refer to people with orthorexic tendencies but do not assume that their healthy eating is at a pathological level needing clinical attention. Methods: The current study examined this by asking 196 healthy adults with an interest in healthy eating to complete four questionnaires to measure ON (ORTO-15reduced to ORTO-7CS), eating psychopathology (EAT-26), alexithymia (TAS-20) and emotion dysregulation (DERS-16). Results: We found that difficulties identifying and regulating emotions was associated with symptoms of ON, similar to what is found in other eating disorders. We suggest that ON behaviours may be used as a coping strategy in order to feel in control in these participants who have poor emotion regulation abilities. Conclusions: Our results show that individuals with ON tendencies may share similar difficulties with emotions compared to other eating disorders. While important, our results are limited by the way we measured ON behaviours and we recommend that further research replicate our findings once a better and more specific tool is developed and validated to screen for ON characteristics more accurately.

show abstract

“…With regards to the association between Orthorexia and ED, studies have looked at the impart of ED positivity and DE behaviors on Orthorexia but not Orthorexia as a factor impacting EDs. In 2019, Dunn et al ( 34 ) reported that individuals who self-identified as having Orthorexia, scored in the clinical range of the EAT-26. No assessment tool was used in their study to determine the presence of Orthorexia as was done in this study, with similar findings of positivity in the EAT-26 and/or presence of pathogenic behaviors.…”

Section: Discussionmentioning

confidence: 99%

Examining Eating Attitudes and Behaviors in Collegiate Athletes, the Association Between Orthorexia Nervosa and Eating Disorders

et al. 2021

View full text Add to dashboard Cite

Purpose: Orthorexia nervosa (Orthorexia) is an eating attitude and behavior associated with a fixation on healthy eating, while eating disorders (EDs) are clinically diagnosed psychiatric disorders associated with marked disturbances in eating that may cause impairment to psychosocial and physical health. The purpose of this study was to examine risk for Orthorexia and EDs in student-athletes across sex and sport type and determine the association between the two.Methods: Student-athletes (n = 1,090; age: 19.6 ± 1.4 years; females = 756; males = 334) completed a survey including demographics, the ORTO-15 test (<40 and <35 threshold values), the Eating Attitudes Test-26 (EAT-26; >20 score), and additional questions about pathogenic behaviors to screen for EDs.Results: Using a <40 threshold value for the ORTO-15, 67.9% were at risk for Orthorexia, a more restrictive threshold value of <35 determined 17.7% prevalence across student-athletes with significant differences across sex [ <40: χ(1,1,090)2 = 4.914, p = 0.027; <35: χ(1,1,090)2 = 5.923, p = 0.015). Overall, ED risk (EAT-26 and/or pathogenic behavior use) resulted in a 20.9% prevalence, with significant differences across sex (χ2 = 11.360, p < 0.001) and sport-type category (χ2 = 10.312, p = 0.035). Multiple logistic regressions indicated a significant association between EAT-26 subscales scores and Orthorexia, and between Orthorexia positivity, ORTO-15 scores, and risk for EDs.Conclusions: Risk for Orthorexia and ED is present in collegiate student-athletes. While healthy and balanced eating is important, obsessive healthy eating fixations may increase the risk for EDs in athletes. More education and awareness are warranted to minimize the risk for Orthorexia and EDs in student-athletes.

show abstract

Individuals who self-identify as having “orthorexia nervosa” score in the clinical range on the Eating Attitudes Test-26

Cited by 13 publications

References 57 publications

Concerns and recommendations for using Amazon MTurk for eating disorder research

Concerns and recommendations for using Amazon MTurk for eating disorder research

Orthorexic tendencies are linked with difficulties with emotion identification and regulation

Examining Eating Attitudes and Behaviors in Collegiate Athletes, the Association Between Orthorexia Nervosa and Eating Disorders

Contact Info

Product

Resources

About