Research Article
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Year 2025, Volume: 45 Issue: 2, 106 - 115, 01.06.2025
https://doi.org/10.52794/hujpharm.1586188

Abstract

References

  • 1. Caferoglu, Z., & Toklu, H. İ. L. A. L. (2022). Orthorexia Nervosa in Turkish dietitians and dietetic students. L’encephale, 48(1), 13-19.
  • 2. Bratman S. Health Food Junkie. Yoga J. 1997;42(1):42-50.
  • 3. Koven NS, Abry AW. The clinical basis of orthorexia nervosa: emerging perspectives. Neuropsychiatr Dis Treat. 2015;11:385-94. https://doi.org/10.2147/NDT.S61665
  • 4. Dunn TM, Bratman S. On orthorexia nervosa: A review of the literature and proposed diagnostic criteria. Eat Behav. 2016;21:11-7. https://doi.org/10.1016/j.eatbeh.2015.12.006
  • 5. Demir, H. P., & Bayram, H. M. (2022). Orthorexia nervosa: The relationship with obsessive-compulsive symptoms and eating attitudes among individuals with and without healthcare professionals. Mediterranean Journal of Nutrition and Metabolism, 15(1), 23-33.
  • 6. Yılmaz, H., Karakuş, G., Tamam, L., Demirkol, M. E., Namlı, Z., & Yeşiloğlu, C. (2020). Association of orthorexic tendencies with obsessive-compulsive symptoms, eating attitudes and exercise. Neuropsychiatric Disease and Treatment, 3035-3044.
  • 7. Varga M, Dukay-Szabó S, Túry F, van Furth EF. Evidence and gaps in the literature on orthorexia nervosa. Eat Weight Disord. 2013;18(2):103-11. https://doi.org/10.1007/s40519-013-0026-y
  • 8. Oberle CD, Samaghabadi RO, Hughes EM. Orthorexia nervosa: Assessment and correlates with gender, BMI, and personality. Appetite. 2017;108:303-10. https://doi.org/10.1016/j.appet.2016.10.021
  • 9. Rosewood, S. H. (2023). CBT Weight Loss Workbook: The Revolutionary CBT Blueprint for Sustainable Weight Mastery: Integrating Nutrition Science and Cognitive Behavioral Therapy. Gaius Quill Publishing.
  • 10. 1. Parkes, S. (2024). Feasting on Emotions: The Psychology of Binge Eating. eBookIt. com.
  • 11. Greville-Harris, M., Vuillier, L., Goodall, S., Talbot, C. V., Walker, C., & Appleton, K. M. (2024). Striving for the perfect diet? The mediating role of perfectionism in the relationship between obsessive compulsive symptoms and traits of Orthorexia Nervosa. Journal of Eating Disorders, 12(1), 91.
  • 12. Brytek-Matera A. Orthorexia nervosa – an eating disorder, obsessive-compulsive disorder, or disturbed eating habit? Arch Psychiatry Psychother. 2012;14(1):55-60.
  • 13. Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30(3), 607-610.
  • 14. Donini LM, Marsili D, Graziani MP, Imbriale M, Cannella C. Orthorexia nervosa: Validation of a diagnosis questionnaire. Eat Weight Disord. 2005;10(2). https://doi.org/10.1007/s40519-017-0417-6
  • 15. Arusoğlu, G., Kabakçı, E., Köksal, G., & Merdol, T. (2008). Ortoreksiya Nervoza ve Orto-11’in Türkçe Uyarlama Çalışması.
  • 16. Hodgson RJ, Rachman S. Obsessional-Compulsive Complaints. Behav Res Ther. 1977;15(5):389-95. https://doi.org/10.1016/0005-7967(77)90042-0
  • 17. Erol N, Savasir I. The Turkish version of the Maudsley Obsessional-Compulsive Questionnaire. Presented in the 2nd Regional Conference of the International Association of Cross-Cultural Psychology, Amsterdam, 1989.
  • 18. Garner DM, Garfinkel PE. The Eating Attitudes Test: An index of the symptoms of anorexia nervosa. Psychol Med. 1979;9(2):273-9. https://doi.org/10.1017/S0033291700030762
  • 19. Savaşır,I. &Erol,N. (1989) Yeme Tutum Testi: Anoreksia nervosa belirtiler indeksi. Psikoloji Dergisi,7:19-25
  • 20. Kline RB. Principles and Practice of Structural Equation Modeling. 4th ed. New York: Guilford Press; 2015.
  • 21. Brytek-Matera, A., Donini, L. M., Krupa, M., Poggiogalle, E., & Hay, P. (2015). Orthorexia nervosa and self-attitudinal aspects of body image in female and male university students. Journal of eating disorders, 3, 1-8.
  • 22. Dell’Osso, L., Carpita, B., Muti, D., Cremone, I. M., Massimetti, G., Diadema, E., ... & Carmassi, C. (2018). Prevalence and characteristics of orthorexia nervosa in a sample of university students in Italy. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 23, 55-65.
  • 23. Plichta, M., & Jezewska-Zychowicz, M. (2019). Eating behaviors, attitudes toward health and eating, and symptoms of orthorexia nervosa among students. Appetite, 137, 114-123.
  • 24. Bundros, J., Clifford, D., Silliman, K., & Morris, M. N. (2016). Prevalence of Orthorexia nervosa among college students based on Bratman’s test and associated tendencies. Appetite, 101, 86-94.
  • 25. Grogan, S. (2021). Body image: Understanding body dissatisfaction in men, women and children. Routledge.
  • 26. Dell’Osso, L., Abelli, M., Carpita, B., Pini, S., Castellini, G., Carmassi, C., & Ricca, V. (2016). Historical evolution of the concept of anorexia nervosa and relationships with orthorexia nervosa, autism, and obsessive–compulsive spectrum. Neuropsychiatric disease and treatment, 1651-1660.
  • 27. Murray, S. B., Nagata, J. M., Griffiths, S., Calzo, J. P., Brown, T. A., Mitchison, D., ... & Mond, J. M. (2017). The enigma of male eating disorders: A critical review and synthesis. Clinical psychology review, 57, 1-11.
  • 28. McComb SE, Mills JS. Orthorexia nervosa: A review of psychosocial risk factors. Appetite. 2019;140:50-75. https://doi.org/10.1016/j.appet.2019.05.005
  • 29. Williams BM, Levinson CA. Intolerance of uncertainty and maladaptive perfectionism as maintenance factors for eating disorders and obsessive-compulsive disorder symptoms. Eur Eat Disord Rev. 2021;29(1):101-11.
  • 30. Yılmaz H, Karakuş G, Tamam L, Demirkol ME, Namlı Z, Yeşiloğlu C. Association of orthorexic tendencies with obsessive-compulsive symptoms, eating attitudes, and exercise. Neuropsychiatr Dis Treat. 2020;16:3035-44. https://doi.org/10.2147/NDT.S280047

Evaluation of Eating Attitude, Obsessive-Compulsive Symptoms, and Relationship Between Orthorexia Nervosa in Faculty of Pharmacy Students

Year 2025, Volume: 45 Issue: 2, 106 - 115, 01.06.2025
https://doi.org/10.52794/hujpharm.1586188

Abstract

The objective of this study is to evaluate the relationships between eating attitudes, obsessive-compulsive symptoms, and orthorexia nervosa (ON) among pharmacy students. A cross-sectional study was conducted at Istanbul University with 332 pharmacy students, using ORTO-11, Maudsley Obsessive-Compulsive Inventory (MOCI), and Eating Attitude Test (EAT-40) scales. After excluding outliers, data from 323 participants were analyzed using SPSS 24.0. A significant negative correlation was found between EAT-40 and ORTO-11 scores (r = -0.405; p < 0.001), and MOCI sub-dimensions showed significant correlations with both EAT-40 and ORTO-11. Hierarchical regression analysis revealed that orthorexia nervosa significantly predicted eating attitudes, explaining 16.4% of the variance (F(1, 321) = 62.873, p < 0.05), while MOCI sub-dimensions did not significantly improve the model’s predictive power. Female students exhibited higher levels of orthorexia nervosa compared to males, consistent with literature suggesting that women are more prone to eating disorders and health-related anxiety. Students exhibited traits overlapping with obsessive-compulsive disorder (OCD), which may contribute to the development of eating disorders. The findings underscore the importance of addressing orthorexia nervosa and related obsessive-compulsive traits to promote healthier eating behaviors among pharmacy students. Educational programs that encourage balanced eating habits without excessive restriction can be developed, and students’ mental health can be supported through psychological counseling and awareness-raising initiatives. These measures may help mitigate the negative impacts of obsessive-compulsive traits and orthorexic tendencies in this population.

References

  • 1. Caferoglu, Z., & Toklu, H. İ. L. A. L. (2022). Orthorexia Nervosa in Turkish dietitians and dietetic students. L’encephale, 48(1), 13-19.
  • 2. Bratman S. Health Food Junkie. Yoga J. 1997;42(1):42-50.
  • 3. Koven NS, Abry AW. The clinical basis of orthorexia nervosa: emerging perspectives. Neuropsychiatr Dis Treat. 2015;11:385-94. https://doi.org/10.2147/NDT.S61665
  • 4. Dunn TM, Bratman S. On orthorexia nervosa: A review of the literature and proposed diagnostic criteria. Eat Behav. 2016;21:11-7. https://doi.org/10.1016/j.eatbeh.2015.12.006
  • 5. Demir, H. P., & Bayram, H. M. (2022). Orthorexia nervosa: The relationship with obsessive-compulsive symptoms and eating attitudes among individuals with and without healthcare professionals. Mediterranean Journal of Nutrition and Metabolism, 15(1), 23-33.
  • 6. Yılmaz, H., Karakuş, G., Tamam, L., Demirkol, M. E., Namlı, Z., & Yeşiloğlu, C. (2020). Association of orthorexic tendencies with obsessive-compulsive symptoms, eating attitudes and exercise. Neuropsychiatric Disease and Treatment, 3035-3044.
  • 7. Varga M, Dukay-Szabó S, Túry F, van Furth EF. Evidence and gaps in the literature on orthorexia nervosa. Eat Weight Disord. 2013;18(2):103-11. https://doi.org/10.1007/s40519-013-0026-y
  • 8. Oberle CD, Samaghabadi RO, Hughes EM. Orthorexia nervosa: Assessment and correlates with gender, BMI, and personality. Appetite. 2017;108:303-10. https://doi.org/10.1016/j.appet.2016.10.021
  • 9. Rosewood, S. H. (2023). CBT Weight Loss Workbook: The Revolutionary CBT Blueprint for Sustainable Weight Mastery: Integrating Nutrition Science and Cognitive Behavioral Therapy. Gaius Quill Publishing.
  • 10. 1. Parkes, S. (2024). Feasting on Emotions: The Psychology of Binge Eating. eBookIt. com.
  • 11. Greville-Harris, M., Vuillier, L., Goodall, S., Talbot, C. V., Walker, C., & Appleton, K. M. (2024). Striving for the perfect diet? The mediating role of perfectionism in the relationship between obsessive compulsive symptoms and traits of Orthorexia Nervosa. Journal of Eating Disorders, 12(1), 91.
  • 12. Brytek-Matera A. Orthorexia nervosa – an eating disorder, obsessive-compulsive disorder, or disturbed eating habit? Arch Psychiatry Psychother. 2012;14(1):55-60.
  • 13. Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30(3), 607-610.
  • 14. Donini LM, Marsili D, Graziani MP, Imbriale M, Cannella C. Orthorexia nervosa: Validation of a diagnosis questionnaire. Eat Weight Disord. 2005;10(2). https://doi.org/10.1007/s40519-017-0417-6
  • 15. Arusoğlu, G., Kabakçı, E., Köksal, G., & Merdol, T. (2008). Ortoreksiya Nervoza ve Orto-11’in Türkçe Uyarlama Çalışması.
  • 16. Hodgson RJ, Rachman S. Obsessional-Compulsive Complaints. Behav Res Ther. 1977;15(5):389-95. https://doi.org/10.1016/0005-7967(77)90042-0
  • 17. Erol N, Savasir I. The Turkish version of the Maudsley Obsessional-Compulsive Questionnaire. Presented in the 2nd Regional Conference of the International Association of Cross-Cultural Psychology, Amsterdam, 1989.
  • 18. Garner DM, Garfinkel PE. The Eating Attitudes Test: An index of the symptoms of anorexia nervosa. Psychol Med. 1979;9(2):273-9. https://doi.org/10.1017/S0033291700030762
  • 19. Savaşır,I. &Erol,N. (1989) Yeme Tutum Testi: Anoreksia nervosa belirtiler indeksi. Psikoloji Dergisi,7:19-25
  • 20. Kline RB. Principles and Practice of Structural Equation Modeling. 4th ed. New York: Guilford Press; 2015.
  • 21. Brytek-Matera, A., Donini, L. M., Krupa, M., Poggiogalle, E., & Hay, P. (2015). Orthorexia nervosa and self-attitudinal aspects of body image in female and male university students. Journal of eating disorders, 3, 1-8.
  • 22. Dell’Osso, L., Carpita, B., Muti, D., Cremone, I. M., Massimetti, G., Diadema, E., ... & Carmassi, C. (2018). Prevalence and characteristics of orthorexia nervosa in a sample of university students in Italy. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 23, 55-65.
  • 23. Plichta, M., & Jezewska-Zychowicz, M. (2019). Eating behaviors, attitudes toward health and eating, and symptoms of orthorexia nervosa among students. Appetite, 137, 114-123.
  • 24. Bundros, J., Clifford, D., Silliman, K., & Morris, M. N. (2016). Prevalence of Orthorexia nervosa among college students based on Bratman’s test and associated tendencies. Appetite, 101, 86-94.
  • 25. Grogan, S. (2021). Body image: Understanding body dissatisfaction in men, women and children. Routledge.
  • 26. Dell’Osso, L., Abelli, M., Carpita, B., Pini, S., Castellini, G., Carmassi, C., & Ricca, V. (2016). Historical evolution of the concept of anorexia nervosa and relationships with orthorexia nervosa, autism, and obsessive–compulsive spectrum. Neuropsychiatric disease and treatment, 1651-1660.
  • 27. Murray, S. B., Nagata, J. M., Griffiths, S., Calzo, J. P., Brown, T. A., Mitchison, D., ... & Mond, J. M. (2017). The enigma of male eating disorders: A critical review and synthesis. Clinical psychology review, 57, 1-11.
  • 28. McComb SE, Mills JS. Orthorexia nervosa: A review of psychosocial risk factors. Appetite. 2019;140:50-75. https://doi.org/10.1016/j.appet.2019.05.005
  • 29. Williams BM, Levinson CA. Intolerance of uncertainty and maladaptive perfectionism as maintenance factors for eating disorders and obsessive-compulsive disorder symptoms. Eur Eat Disord Rev. 2021;29(1):101-11.
  • 30. Yılmaz H, Karakuş G, Tamam L, Demirkol ME, Namlı Z, Yeşiloğlu C. Association of orthorexic tendencies with obsessive-compulsive symptoms, eating attitudes, and exercise. Neuropsychiatr Dis Treat. 2020;16:3035-44. https://doi.org/10.2147/NDT.S280047
There are 30 citations in total.

Details

Primary Language English
Subjects Pharmacology and Pharmaceutical Sciences (Other)
Journal Section Research Articles
Authors

Ceren Gizer This is me 0000-0002-7361-2046

Sedat Arslan 0000-0002-3356-7332

Publication Date June 1, 2025
Submission Date November 15, 2024
Acceptance Date February 19, 2025
Published in Issue Year 2025 Volume: 45 Issue: 2

Cite

Vancouver Gizer C, Arslan S. Evaluation of Eating Attitude, Obsessive-Compulsive Symptoms, and Relationship Between Orthorexia Nervosa in Faculty of Pharmacy Students. HUJPHARM. 2025;45(2):106-15.