Investigation of the relationship between body image, orthorexia nervosa, and cyberchondria in pregnant women
Year 2024,
Volume: 5 Issue: 2, 121 - 127, 31.08.2024
Metin Yıldız
,
Burcu Demir Gökmen
,
Seyithan Güler
,
Ahsen Demirhan Kayacık
Abstract
Aim: The study aimed to determine the relationship between body image, orthorexia nervosa, and cyberchondria in pregnant women.
Methods: The correlational-cross-sectional-descriptive study was conducted with 288 pregnant women between 06.12.2022 and 01.12.2023. Data was analyzed with SPSS 25.0, G*Power 3.1, and R programming language 4.1.3.
Results: The statistical results of the hierarchical regression model in our study showed that the model was significant and usable (F(2.285)= 7.457, p=0.001). The analysis of the regression model's t-test results regarding the regression coefficient's significance revealed that a statistically significant decrease in the participants' level of "orthorexia nervosa" (score increase decreasing orthorectic attitude) was caused by an increase in their body image (t=3.856, p< 0.001). Regression analysis revealed that there was no relationship between "orthorexia nervosa" level and cyberchondria level (t=-0.450, p=0.653). In our study, it was determined that Random Forest made the best prediction in determining the most important variable in the prediction of orthorexia nervosa. According to Shapley values, the most important variable in the prediction of orthorexia nervosa was body image. In our study, 95.35% of pregnant women with orthorexia nervosa were correctly predicted by machine learning.
Conclusion: In our study, it was found that the level of orthorexia nervosa decreased as the level of body image appreciation of pregnant women increased, and cyberchondria levels did not affect the level of orthorexia nervosa.
References
- Altındiş, S., İnci, M. B., Aslan, F. G., & Altındiş, M. (2018). An evaluation of cyberchondria levels and related factors in university employees. Sakarya Medical Journal, 8(2), 359-370.
- Arusoğlu, G. (2006). The investigation of healthy eating fixation (Orthorexia) and the adaptation of the ORTO-15 scale (Doctoral dissertation, Hacettepe University).
- Atsizata, M., & Sögüt, S. C. (2024). The relationship between orthorexia nervosa and cyberchondria levels in nurses: A cross-sectional study. Archives of Psychiatric Nursing, 48, 30-35.
- Barnes, A. M., & Caltabiano, M. L. (2016). The interrelationship between orthorexia nervoza, perfectionism, body image and attachment style. Eating and Weight Disorders, 22(1), 177-184. https://doi.org/10.1007/s40519-016-0280-x
- Barthels, F., Meyer, F., & Pietrowsky, R. (2015). Orthorexic eating behavior a new type of disordered eating. Ernahrungs Umschau, 62(10), 156-161. https://doi.org/10.4455/eu.2015.029
- Cena, H., Barthels, F., Cuzzolaro, M., Bratman, S., Brytek-Matera, A., Dunn, T., Varga, M., Missbach, B., & Donini, L. M. (2019). Definition and diagnostic criteria for orthorexia nervosa: A narrative review of the literature. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 24, 209-246. https://doi.org/10.1007/s40519-018-0606-y
- Cohen, J. (1992). Statistical power analysis current directions. Psychological Science, 1(3), 98-101. https://doi.org/10.1111/1467-8721.ep10768783
- Donini, L. M., Marsilli, D., Graziani, M. P., Imbriale, M., & Canella, C. (2005). Orthorexia nervosa: Validation of a diagnosis questionnaire. Eating and Weight Disorders, 10, e28-e32. https://doi.org/10.1007/BF03327537
- Fuller-Tyszkiewicz, M., Skouteris, H., Watson, B. E., & Hill, B. (2013). Body dissatisfaction during pregnancy: a systematic review of cross-sectional and prospective correlates. Journal of Health Psychology, 18, 1411-1421. https://doi.org/10.1177/1359105312462437
- He, J., Zhao, Y., Zhang, H., & Lin, Z. (2021). Orthorexia nervosa is associated with positive body image and life satisfaction in Chinese elderly: Evidence for a positive psychology perspective. International Journal of Eating Disorders, 54(2), 212-221. https://doi.org/10.1002/eat.23400
- Hovardaoğlu, S. (1992). Body perception scale. Journal of Psychiatry, Psychology, Psychopharmacology, 1(1), 11-26.
- Koven, N. S., & Abry, A. W. (2015). The clinical basis of orthorexia nervosa: Emerging perspectives. Neuropsychiatric Disease and Treatment, 11, 385-394. https://doi.org/10.2147/NDT.S61665
- Linde, K., Lehnig, F., Nagl, M., Stepan, H., & Kersting, A. (2022). Course and prediction of body image dissatisfaction during pregnancy: A prospective study. BMC Pregnancy and Childbirth, 22(1), 1-14. https://doi.org/10.1186/s12884-022-05050-x
- McElroy, E., & Shevlin, M. (2014). The development and initial validation of the cyberchondria severity scale (CSS). Journal of Anxiety Disorders, 28(2), 259-265. https://doi.org/10.1016/j.janxdis.2013.12.007
- Messer, M., Liu, C., McClure, Z., Mond, J., Tiffin, C., & Linardon, J. (2022). Negative body image components as risk factors for orthorexia nervosa: Prospective findings. Appetite, 178(1), 106280. https://doi.org/10.1016/j.appet.2022.106280
- Muse, K., McManus, F., Leung, C., Meghreblian, B., & Williams, J. M. G. (2012). Cyberchondriasis: Fact or fiction? A preliminary examination of the relationship between health anxiety and searching for health information on the Internet. Journal of Anxiety Disorders, 26(1), 189–196. https://doi.org/10.1016/j.janxdis.2011.11.005
- Pauzé, A., Plouffe-Demers, M. P., Fiset, D., Saint-Amour, D., Cyr, C., & Blais, C. (2021). The relationship between orthorexia nervosa symptomatology and body image attitudes and distortion. Scientific Reports, 11(1), 13311. https://doi.org/10.1038/s41598-021-92569-2
- Roomruangwong, C., Kanchanatawan, B., Sirivichayakul, S., & Maes, M. (2017). High incidence of body image dissatisfaction in pregnancy and the postnatal period: Associations with depression, anxiety, body mass index and weight gain during pregnancy. Sexual & Reproductive Healthcare, 13, 103-109. https://doi.org/10.1016/j.srhc.2017.08.002
- Secord, P. F., & Jourard, S. M. (1953). The appraisal of body-cathexis: Body-cathexis and the self. Journal of Consulting Psychology, 17(5), 343-347. https://doi.org/10.1037/h0060689
- Skouteris, H., Carr, R., Wertheim, E. H., Paxton, S. J., & Duncombe, D. (2005). A prospective study of factors that lead to body dissatisfaction during pregnancy. Body Image, 2, 347-361. https://doi.org/10.1016/j.bodyim.2005.09.002
- Starcevic, V., Berle, D., & Arnáez, S. (2020). Recent insights into cyberchondria. Current Psychiatry Reports, 22, 1-8. https://doi.org/10.1007/s11920-020-01179-8
- Tabachnick, B. G., Fidell, L. S., & Ullman, J. B. (2013). Using multivariate statistics (6th ed.). Pearson.
- Uzun, S. U., & Bozkurt, N. (2022). Cyberchondria and associated factors among university staff. ESTUDAM Public Health Journal, 7(2), 257-268.
- Vandenbroucke, J. P., von Elm, E., Altman, D. G., Gøtzsche, P. C., Mulrow, C. D., Pocock, S. J., Poole, C., Schlesselman, J. J., & Egger, M. (2007). Strengthening the reporting of observational studies in epidemiology (STROBE): Explanation and elaboration. PLoS Medicine, 4(10), 1628-1655. https://doi.org/10.1371/journal.pmed.0040297
Gebelerde beden imajı, ortoreksiya nervoza ve siberkondri arasındaki ilişkinin incelenmesi
Year 2024,
Volume: 5 Issue: 2, 121 - 127, 31.08.2024
Metin Yıldız
,
Burcu Demir Gökmen
,
Seyithan Güler
,
Ahsen Demirhan Kayacık
Abstract
Amaç: Bu araştırma, gebelerde beden imajı, ortoreksiya nervoza ve siberkondri arasındaki ilişkinin belirlenmesi amacıyla yapıldı.
Yöntem: İlişkisel-kesitsel-tanımlayıcı tipteki çalışma 06.12.2022-01.12.2023 tarihlerinde 288 gebe ile yürütülmüştür. Veriler SPSS 25.0, G*Power 3.1 ve R programlama dili 4.1.3 programları kullanılarak analiz edilmiştir.
Bulgular: Çalışmamızda hiyerarşik regresyon modeline ilişkin istatistiksel sonuçlar, modelin anlamlı ve kullanılabilir olduğunu göstermektedir (F(2.285)= 7.457, p=0.001). Regresyon modelinde, regresyon katsayısının anlamlılığına ilişkin t testi sonuçları incelendiğinde; katılımcıların, beden imajı düzeyinin artması (t=3.856, p< 0.001); “ortoreksiya nervoza” düzeyinin istatistiksel olarak azalmasına sebep olduğu belirlenmiştir (Puan artışı ortorektik tutumu azaltmaktadır). Regresyon analizi sonucunda siberkondri düzeyinin “ortoreksiya nervoza” düzeyine etkisinin olmadığı belirlenmiştir (t=-0.450, p=0.653). Çalışmamızda ortoreksiya nervoza tahmininde en önemli değişkenin belirlenmesinde Random Forest en iyi tahmini yaptığı belirlenmiştir. Shapley değerlerine göre ortoreksiya nervoza tahmininde en önemli değişken beden imajı olmuştur. Çalışmamızda makine öğrenmesiyle ortoreksiya nervosa olan gebelerin % 95.35’i doğru tahmin edilmiştir.
Sonuçlar: Çalışmamızda gebelerin beden imajını beğenme düzeyi arttıkça ortoreksiya nervoza düzeylerinin azaldığı, siberkondri düzeylerinin ortoreksiya nervoza düzeyini etkilemediği saptanmıştır.
Ethical Statement
Sağlık Bilimleri Fakültesi Dekanlığının ilgi yazısına istinaden "Gebelerde Beden İmajı,
Ortoreksiya ve Siberkondri Arasındaki İlişkinin İncelenmesi" başlıklı bilimsel araştırması Ağrı
İbrahim Çeçen Üniversitesi Bilimsel Araştırmalar Etik Kurulunca incelenmiş olup, 29.11.2022 tarih ve 290
sayılı karar ile söz konusu araştırmaya izin verilmiştir.
References
- Altındiş, S., İnci, M. B., Aslan, F. G., & Altındiş, M. (2018). An evaluation of cyberchondria levels and related factors in university employees. Sakarya Medical Journal, 8(2), 359-370.
- Arusoğlu, G. (2006). The investigation of healthy eating fixation (Orthorexia) and the adaptation of the ORTO-15 scale (Doctoral dissertation, Hacettepe University).
- Atsizata, M., & Sögüt, S. C. (2024). The relationship between orthorexia nervosa and cyberchondria levels in nurses: A cross-sectional study. Archives of Psychiatric Nursing, 48, 30-35.
- Barnes, A. M., & Caltabiano, M. L. (2016). The interrelationship between orthorexia nervoza, perfectionism, body image and attachment style. Eating and Weight Disorders, 22(1), 177-184. https://doi.org/10.1007/s40519-016-0280-x
- Barthels, F., Meyer, F., & Pietrowsky, R. (2015). Orthorexic eating behavior a new type of disordered eating. Ernahrungs Umschau, 62(10), 156-161. https://doi.org/10.4455/eu.2015.029
- Cena, H., Barthels, F., Cuzzolaro, M., Bratman, S., Brytek-Matera, A., Dunn, T., Varga, M., Missbach, B., & Donini, L. M. (2019). Definition and diagnostic criteria for orthorexia nervosa: A narrative review of the literature. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 24, 209-246. https://doi.org/10.1007/s40519-018-0606-y
- Cohen, J. (1992). Statistical power analysis current directions. Psychological Science, 1(3), 98-101. https://doi.org/10.1111/1467-8721.ep10768783
- Donini, L. M., Marsilli, D., Graziani, M. P., Imbriale, M., & Canella, C. (2005). Orthorexia nervosa: Validation of a diagnosis questionnaire. Eating and Weight Disorders, 10, e28-e32. https://doi.org/10.1007/BF03327537
- Fuller-Tyszkiewicz, M., Skouteris, H., Watson, B. E., & Hill, B. (2013). Body dissatisfaction during pregnancy: a systematic review of cross-sectional and prospective correlates. Journal of Health Psychology, 18, 1411-1421. https://doi.org/10.1177/1359105312462437
- He, J., Zhao, Y., Zhang, H., & Lin, Z. (2021). Orthorexia nervosa is associated with positive body image and life satisfaction in Chinese elderly: Evidence for a positive psychology perspective. International Journal of Eating Disorders, 54(2), 212-221. https://doi.org/10.1002/eat.23400
- Hovardaoğlu, S. (1992). Body perception scale. Journal of Psychiatry, Psychology, Psychopharmacology, 1(1), 11-26.
- Koven, N. S., & Abry, A. W. (2015). The clinical basis of orthorexia nervosa: Emerging perspectives. Neuropsychiatric Disease and Treatment, 11, 385-394. https://doi.org/10.2147/NDT.S61665
- Linde, K., Lehnig, F., Nagl, M., Stepan, H., & Kersting, A. (2022). Course and prediction of body image dissatisfaction during pregnancy: A prospective study. BMC Pregnancy and Childbirth, 22(1), 1-14. https://doi.org/10.1186/s12884-022-05050-x
- McElroy, E., & Shevlin, M. (2014). The development and initial validation of the cyberchondria severity scale (CSS). Journal of Anxiety Disorders, 28(2), 259-265. https://doi.org/10.1016/j.janxdis.2013.12.007
- Messer, M., Liu, C., McClure, Z., Mond, J., Tiffin, C., & Linardon, J. (2022). Negative body image components as risk factors for orthorexia nervosa: Prospective findings. Appetite, 178(1), 106280. https://doi.org/10.1016/j.appet.2022.106280
- Muse, K., McManus, F., Leung, C., Meghreblian, B., & Williams, J. M. G. (2012). Cyberchondriasis: Fact or fiction? A preliminary examination of the relationship between health anxiety and searching for health information on the Internet. Journal of Anxiety Disorders, 26(1), 189–196. https://doi.org/10.1016/j.janxdis.2011.11.005
- Pauzé, A., Plouffe-Demers, M. P., Fiset, D., Saint-Amour, D., Cyr, C., & Blais, C. (2021). The relationship between orthorexia nervosa symptomatology and body image attitudes and distortion. Scientific Reports, 11(1), 13311. https://doi.org/10.1038/s41598-021-92569-2
- Roomruangwong, C., Kanchanatawan, B., Sirivichayakul, S., & Maes, M. (2017). High incidence of body image dissatisfaction in pregnancy and the postnatal period: Associations with depression, anxiety, body mass index and weight gain during pregnancy. Sexual & Reproductive Healthcare, 13, 103-109. https://doi.org/10.1016/j.srhc.2017.08.002
- Secord, P. F., & Jourard, S. M. (1953). The appraisal of body-cathexis: Body-cathexis and the self. Journal of Consulting Psychology, 17(5), 343-347. https://doi.org/10.1037/h0060689
- Skouteris, H., Carr, R., Wertheim, E. H., Paxton, S. J., & Duncombe, D. (2005). A prospective study of factors that lead to body dissatisfaction during pregnancy. Body Image, 2, 347-361. https://doi.org/10.1016/j.bodyim.2005.09.002
- Starcevic, V., Berle, D., & Arnáez, S. (2020). Recent insights into cyberchondria. Current Psychiatry Reports, 22, 1-8. https://doi.org/10.1007/s11920-020-01179-8
- Tabachnick, B. G., Fidell, L. S., & Ullman, J. B. (2013). Using multivariate statistics (6th ed.). Pearson.
- Uzun, S. U., & Bozkurt, N. (2022). Cyberchondria and associated factors among university staff. ESTUDAM Public Health Journal, 7(2), 257-268.
- Vandenbroucke, J. P., von Elm, E., Altman, D. G., Gøtzsche, P. C., Mulrow, C. D., Pocock, S. J., Poole, C., Schlesselman, J. J., & Egger, M. (2007). Strengthening the reporting of observational studies in epidemiology (STROBE): Explanation and elaboration. PLoS Medicine, 4(10), 1628-1655. https://doi.org/10.1371/journal.pmed.0040297