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Turkish adaptation and evaluation of psychometric properties of the Eating Habits Questionnaire, the Barcelona Orthorexia Scale and the Orthorexia Nervosa Scale

Year 2023, Volume: 7 Issue: 3, 325 - 350, 25.12.2023
https://doi.org/10.5455/kpd.26024438m000100

Abstract

Orthorexia nervosa (ON), a condition in which people restrict their diet according to the quality of food, means an intense obsession with healthy eating (Bratman, 1997a). Due to the limitations of the measurement tools used to measure ON, 3 measurement tools have been developed recently. This study aims to evaluate the psychometric properties of the Eating Habits Questionnaire (EHQ), the Barcelona Orthorexia Scale (BOS), and the Orthorexia Nervosa Scale (ONS), which were developed to measure the concept of ON by translating them into Turkish. A total of 712 university students (75.3% female, 23.2% male) with a mean age of 21.26 participated in the study. Participants completed the scale set consisting of the EHQ, BOS, ONS, Teruel Orthorexia Scale (TOS), and Just World Belief Scale (JWBS). The factor structures of the scales were tested with factor analysis. The correlations of the scales with the TOS for convergent validity and with the JWBS for divergent validity were examined. Internal consistency coefficients and test-retest reliability coefficients of the scales were calculated. According to the confirmatory factor analysis, since the model fit indices showed that the three measurement tools did not have a good fit, exploratory factor analysis was performed. According to the results of the analysis, EHQ consists of 2 factors, BOS consists of 5 factors, and ONS consists of 2 factors. The internal consistency coefficients of the scales were determined as .90 for EHQ, .96 for BOS, and .87 for ONS. Test-retest reliability and correlation coefficients checked for convergent and divergent validity are within the desired values. In conclusion, it is seen that all three measurement tools can be used reliably and validly to measure ON in our culture.

Ethical Statement

The necessary ethical approval (dated 15.06.2020 and numbered 35853172-300) was obtained from Hacettepe University Ethics Commission for the implementation of this study.

Thanks

This article is derived from the first author's doctoral dissertation. Researchers who wish to use the adapted scales (NOS, ONS, and NLS) in academic research for non-commercial purposes are given permission to use.

References

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Yeme Alışkanlıkları Ölçeği, Barselona Ortoreksiya Ölçeği ve Ortoreksiya Nervoza Ölçeğinin Türkçeye uyarlanması ve psikometrik özelliklerinin değerlendirilmesi

Year 2023, Volume: 7 Issue: 3, 325 - 350, 25.12.2023
https://doi.org/10.5455/kpd.26024438m000100

Abstract

Kişilerin beslenmelerini yiyeceklerin kalitesine göre kısıtladıkları bir durum olan ortoreksiya nervoza (ON), sağlıklı beslenmeye yönelik yoğun bir takıntı anlamına gelmektedir. ON’yi ölçmede kullanılan ölçüm araçlarındaki kısıtlılıklardan dolayı yakın zamanda 3 ölçüm aracı geliştirilmiştir. Bu çalışmanın amacı da ON kavramını ölçmek amacıyla geliştirilmiş olan Yeme Alışkanlıkları Ölçeği (YAÖ), Barselona Ortoreksiya Ölçeği (BOÖ) ve Ortoreksiya Nervoza Ölçeği’ni (ONÖ) Türkçeye çevirip uyarlayarak psikometrik özelliklerini değerlendirmektir. Çalışmaya, yaş ortalaması 21.26 olan toplam 712 üniversite öğrencisi (%75.3’ü kadın, %23.2’si erkek) katılmıştır. Katılımcılar YAÖ, BOÖ, ONÖ, Teruel Ortoreksiya Ölçeği (TOÖ) ve Adil Dünya İnancı Ölçeği'nden (ADİÖ) oluşan ölçek setini doldurmuştur. Ölçeklerin faktör yapıları faktör analizi ile sınanmıştır. Ölçeklerin birleşen geçerliği için TOÖ, ayrışan geçerliği için ise ADİÖ ile korelasyonlarına bakılmıştır. Ölçeklerin iç tutarlık katsayıları ve test-tekrar test güvenirlik katsayıları hesaplanmıştır. Yapılan doğrulayıcı faktör analizlerine göre, uyum indeksleri üç ölçüm aracının iyi bir uyuma sahip olmadığını gösterdiğinden açımlayıcı faktör analizleri yapılmıştır. Analiz sonuçlarına göre YAÖ 2 faktörden, BOÖ 5 faktörden, ONÖ 2 faktörden oluşmaktadır. Ölçeklerin iç tutarlık katsayıları ise, YAÖ için .90, BOÖ için .96, ONÖ için .87 olarak tespit edilmiştir. Test-tekrar test güvenirlik katsayıları ve birleşen ve ayrışan geçerlik analizleri için kontrol edilen korelasyon katsayıları istenen değerlerdedir. Sonuç olarak, her üç ölçüm aracının da kültürümüzde ON’yi ölçmek adına güvenilir ve geçerli olarak kullanılabileceği görülmektedir.

Ethical Statement

Bu çalışmanın uygulanması için Hacettepe Üniversitesi Etik Komisyonu’ndan gerekli etik onay (15.06.2020 tarihli 35853172-300 sayılı) alınmıştır.

Thanks

Bu makale birinci yazarın doktora tez çalışmasından üretilmiştir. Araştırmacılar, uyarlamaları yapılan ölçekleri (BOÖ, ONÖ ve YAÖ) ticari amaçlar dışındaki akademik araştırmalarda kullanma iznine sahiptirler.

References

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  • Alvarenga, M. S., Martins, M. C. T., Sato, K. S. C. J., Vargas, S. V., Philippi, S. T. ve Scagliusi, F. B. (2012). Orthorexia nervosa behavior in a sample of Brazilian dietitians assessed by the Portuguese version of ORTO-15. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 17(1), e29-e35.
  • Amerikan Psikiyatri Birliği. (2014). Tanı ölçütleri başvuru el kitabı. (5.baskı)
  • Andrés, A., Saldaña, C. ve Gómez‐Benito, J. (2009). Establishing the stages and processes of change for weight loss by consensus of experts. Obesity, 17(9), 1717-1723.
  • Arusoğlu, G., Kabakçi, E., Köksal, G. ve Kutluay Merdol, T. (2008). Orthorexia nervosa and adaptation of ORTO-11 into Turkish. Turkish Journal of Psychiatry, 19(3), 1-9.
  • Asarkaya, B. (2019). Sağlıklı ortoreksiya ve ortoreksiya nevroza: Ebeveynden algılanan psikolojik kontrol ve uyumlu-uyumsuz mükemmeliyetçilik özellikleri ile ilişkisinin incelenmesi. [Yayınlanmamış yüksek lisans tezi]. İstanbul Maltepe Üniversitesi.
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  • Badour, C. L. ve Adams, T. G. (2018). Contaminated by trauma: Understanding links between self-disgust, mental contamination, and post-traumatic stress disorder. P.A. Powell, P. G. Overton ve J. Simpson (Ed.), The Revolting Self içinde, (ss. 127-149). Routledge.
  • Bağcı Bosi, A. T., Camur, D. ve Güler, C. (2007). Prevalence of orthorexia nervosa in resident medical doctors in the faculty of medicine (Ankara, Turkey). Appetite, 49(3), 661-666.
  • Barrada, J. R. ve Roncero, M. (2018). Bidimensional structure of the orthorexia: Development and initial validation of a new instrument. Anales De Psicología/Annals of Psychology, 34(2), 283-291.
  • Barthels, F., Meyer, F. ve Pietrowsky, R. (2015). Die Düsseldorfer Orthorexie Skala Konstruktion und Evaluation eines Fragebogens zur Erfassung ortho-rektische Ernährungsverhaltens. Zeitschrif für Klinische Psychologie und Psychotherapie, 44,97-105.
  • Barthels, F., Meyer, F., Huber, T. ve Pietrowsky, R. (2017). Orthorexic eating behaviour as a coping strategy in patients with anorexia nervosa. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 22(2), 269-276.
  • Bauer, S. M., Fusté, A., Andrés, A. ve Saldaña, C. (2019). The Barcelona Orthorexia Scale (BOS): development process using the Delphi method. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 24(2), 247-255.
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There are 85 citations in total.

Details

Primary Language Turkish
Subjects Clinical Psychology
Journal Section Research Articles
Authors

İlgün Bilekli Bilger This is me 0000-0002-1860-2363

İhsan Dağ This is me 0000-0003-4334-9512

Publication Date December 25, 2023
Submission Date June 6, 2022
Published in Issue Year 2023 Volume: 7 Issue: 3

Cite

APA Bilekli Bilger, İ., & Dağ, İ. (2023). Yeme Alışkanlıkları Ölçeği, Barselona Ortoreksiya Ölçeği ve Ortoreksiya Nervoza Ölçeğinin Türkçeye uyarlanması ve psikometrik özelliklerinin değerlendirilmesi. Journal of Clinical Psychology Research, 7(3), 325-350. https://doi.org/10.5455/kpd.26024438m000100