Research Article
BibTex RIS Cite

Algılanan Anne Reddi İle Ortoreksiya Arasındaki İlişkide Mükemmelliyetçiliğin ve Öz-Eleştirel Ruminasyonun Aracı Rolü: Kadın Örnekleminde Bir Model Testi

Year 2023, Volume: 15 Issue: Supplement 1, 34 - 45, 29.12.2023
https://doi.org/10.18863/pgy.1191242

Abstract

Ortoreksiya nervoza (ON), kısıtlayıcı bir diyetle, belirli bir yeme örüntüsü ritüeliyle ve sağlıksız olduğu ya da temiz içerikli olmadığı düşünülen yiyeceklerden katı bir şekilde kaçınma ile belirgin, sağlıklı beslenmeye ilişkin bir obsesyon olarak tanımlanmaktadır. Diğer yandan Sağlıklı Ortoreksiya (SO) sağlıklı yemeye yönelik bir ilgi ve sağlıklı yiyecekler yeme eğilimi olarak görülmektedir. Bu çalışmada bir kadın örnekleminde ON, SO, anne reddi, mükemmeliyetçilik, öz-eleştirel ruminasyon ve beden tutumu arasındaki ilişkilerin incelenmesi hedeflenmiştir. Türkiye’nin farklı üniversitelerinde öğrenim gören 445 kadın öğrenci çalışmamıza katılmıştır. Tüm katılımcılar ON, SO, beden tutumu, anne reddi, mükemmeliyetçilik ve öz-eleştirel ruminasyon değişkenlerini ölçen ölçüm araçlarını doldurmuşlardır. Sonuçlar olumsuz beden tutumunun SO’yu (B=-,008, SE=,039, p=,791) ve ON’yi (B=,008, SE=,032, p=,835) yordamadığını göstermiştir. Ek olarak anne reddi ile ON ve SO arasındaki ilişkilerde mükemmeliyetçiliğin ve öz-eleştirel ruminasyonun aracı rolü bulunmaktadır. Ancak mükemmeliyetçilik ve öz-eleştirel ruminasyon aracı değişken olduğunda anne reddi ile ON arasındaki ilişkinin yönünün pozitif (B = ,014, Boot SE = ,007, 95% Boot CI [,003, ,029]), SO arasındaki ilişkinin yönünün ise negatif (B = -,023, Boot SE = ,010, 95% Boot CI [-,042, -,008]) olduğu sonucuna ulaşılmıştır. Bu çalışmanın bulgularına göre ortoreksiya eğilimlerinin gelişiminde bedene yönelik olumsuz tutumların değil; ancak algılanan anne reddinin, mükemmeliyetçiliğin ve öz-eleştirel ruminasyonun rolü bulunmaktadır.

References

  • [1] Bratman S (1997) Health food junkie: Obsession with dietary perfection can sometimes do more harm than good, says one who has been there. Yoga Journal 136:42-50. https://archives.evergreen.edu/webpages/curricular/2005-2006/imagingthebody/Fall%20Quarter/Handouts/HealthFoodJunkie.pdf
  • [2] Donini LM, Marsili D et al (2004) Orthorexia nervosa: a preliminary study with a proposal for diagnosis and an attempt to measure the dimension of the phenomenon. Eat Weight Disord 9(2):151-157. https://doi.org/10.1007/BF03325060
  • [3] Koven NS, Abry AW (2015) The clinical basis of orthorexia nervosa: Emerging perspectives. Neuropsychiatr Dis Treat, 11:385-394. https://doi.org/10.2147/NDT.S61665
  • [4] Bratman S (2017) Orthorexia vs. theories of healthy eating. Eat Weight Disord 22(3):381-385. https://doi.org/10.1007/s40519-017-0417-6
  • [5] Brytek-Matera A, Fonte ML et al (2017) Orthorexia nervosa: relationship with obsessive-compulsive symptoms, disordered eating patterns and body uneasiness among Italian university students. Eat Weight Disord 22(4):609-617. https://doi.org/10.1007/s40519-017-0427-4
  • [6] Borgida A (2011) In sickness and in health: Orthorexia nervosa, the study of obsessive healthy eating. Dissertation, Alliant International University.
  • [7] Oberle CD, De Nadai AS, Madrid AL (2020) Orthorexia Nervosa Inventory (ONI): Development and validation of a new measure of orthorexic symptomatology. Eat Weight Disord 26(2):609-622. https://doi.org/10.1007/s40519-020-00896-6
  • [8] Chaki B, Pal S, Bandyopadhyay A (2013) Exploring scientific legitimacy of orthorexia nervosa: a newly emerging eating disorder. J Hum Sport Exerc 8(4):1045-1053. https://doi.org/10.4100/jhse.2013.84.14
  • [9] Varga M, Thege BK et al (2014) When eating healthy is not healthy: Orthorexia nervosa and its measurement with the ORTO-15 in Hungary. BMC Psychiatry 14(1):1-11. https://doi.org/10.1186/1471-244X-14-59
  • [10] Barrada JR, Roncero M (2018) Bidimensional structure of the orthorexia: Development and initial validation of a new instrument. An De Psicol 34(2):283-291. https://doi.org/10.6018/analesps.34.2.299671
  • [11] Brytek-Matera A (2012) Orthorexia nervosa–an eating disorder, obsessive-compulsive disorder or disturbed eating habit. Arch Psychiatry Psychother 1(1):55-60.
  • [12] Rohner RP, Rohner EC (1981) Parental acceptance-rejection and parental control: Cross-cultural codes. Ethnology 20(3):245-260. https://doi.org/10.2307/3773230
  • [13] Erriu M, Cimino S, Cerniglia L (2020) The role of family relationships in eating disorders in adolescents: A narrative review. Behav Sci 10(4):1-17. https://doi.org/10.3390/bs10040071
  • [14] Ramalho JDAM, El Husseini M et al (2021). The role of food in the family relationships of adolescents with anorexia nervosa and bulimia in northeastern Brazil: A qualitative study using photo elicitation. Front Psychiatry 12-623136:1-10. https://doi.org/10.3389/fpsyt.2021.623136
  • [15] Prescott ME, Le Poire BA (2002) Eating disorders and mother-daughter communication: A test of inconsistent nurturing as control theory. J Fam Commun 2(2):59-78. https://doi.org/10.1207/S15327698JFC0202_01
  • [16] Hollender MH (1965) Perfectionism. Compr Psychiatry 6(2):94-103. https://doi.org/10.1016/S0010-440X(65)80016-5
  • [17] Smith MM, Sherry SB et al (2019) Who is the most demanding of them all? A multisource investigation of other-oriented perfectionism, socially prescribed perfectionism, and depressive symptoms. Pers Individ Differ 138:328-332. https://doi.org/10.1016/j.paid.2018.09.023
  • [18] Pratt VB, Madigan DJ, Hill AP (2021) Perfectionistic self-presentation and orthorexia in exercisers. Eat Weight Disord 27(3):1217-1221. https://doi.org/10.1007/s40519-021-01262-w
  • [19] Bardone‐Cone AM, Sturm K, Lawson MA, Robinson DP, Smith R (2010) Perfectionism across stages of recovery from eating disorders. Int J Eat Disord 43(2):139-148. https://doi.org/10.1016/j.cpr.2006.12.005
  • [20] Brown AJ, Parman KM et al (2012) Disordered eating, perfectionism, and food rules. Eat Behav 13(4):347-353. doi:10.1016/j.eatbeh.2012.05.011
  • [21] Brytek-Matera A, Gramaglia C et al (2018) The psychopathology of body image in orthorexia nervosa. J Psychopathol 24(3):133-140.
  • [22] Dunn TM, Bratman S. (2016) On orthorexia nervosa: A review of the literature and proposed diagnostic criteria. Eat Behav 21:11-17. https://doi.org/10.1016/j.eatbeh.2015.12.006
  • [23] Bundros J, Clifford D et al (2016) Prevalence of Orthorexia nervosa among college students based on Bratman's test and associated tendencies. Appetite 101:86-94. https://doi.org/10.1016/j.appet.2016.02.144
  • [24] Moroze RM, Dunn TM et al (2015) Microthinking about micronutrients: a case of transition from obsessions about healthy eating to near-fatal “orthorexia nervosa” and proposed diagnostic criteria. Psychosomatics 56(4):397-403. https://doi.org/10.1016/j.psym.2014.03.003
  • [25] Topçu F, Arıcak OT (2019) The effect of perfectionism and body perception on orthorexia among young adults. JCBPR 8(3):170-178. Doi:10.5455/JCBPR.26960
  • [26] Barnes MA, Caltabiano ML (2016) The interrelationship between orthorexia nervosa, perfectionism, body image and attachment style. Eat Weight Disord 22(1):177-184. https://doi.org/10.1007/s40519-016-0280-x
  • [27] Barthels F, Kisser J, Pietrowsky R (2021) Orthorexic eating behavior and body dissatisfaction in a sample of young females. Eat Weight Disord 26(6):2059-2063. https://doi.org/10.1007/s40519-020-00986-5
  • [28] Brytek-Matera A, Donini LM et al (2015) Orthorexia nervosa and self-attitudinal aspects of body image in female and male university students. J Eat Disord 3(2):1-8. Doi:10.1186/s40337-015-0038-2
  • [29] Martinez-Sanchis M, Navarrete J et al (2021) Exploring the mediator role of self-critical rumination between emotion regulation and psychopathology: A validation study of the Self-Critical Rumination Scale (SCRS) in a Spanish-speaking sample. Pers Individ Differ 183-111115:1-7. https://doi.org/10.1016/j.paid.2021.111115
  • [30] Smart LM, Peters JR, Baer RA (2016) Development and validation of a measure of self-critical rumination. Assessment 23(3):321-332. https://doi.org/10.1177/1073191115573300
  • [31] Palmieri S, Mansueto G, Scaini S et al (2021). Repetitive negative thinking and eating disorders: A meta-analysis of the role of worry and rumination. J Clin Med 10(11):2448. Doi:10.3390/jcm10112448
  • [32] Thew GR, Gregory JD et al (2017) The phenomenology of self‐critical thinking in people with depression, eating disorders, and in healthy individuals. Psychol Psychother 90(4):751-769. Doi:10.1111/papt.12137
  • [33] Asarkaya B, Arcan K (2021) Teruel Ortoreksiya Ölçeği’nin (TOÖ) uyarlama, geçerlik ve güvenirlik çalışması. Klinik Psikoloji Dergisi 5(2):113-127. https://doi.org/10.5455/kpd.26024438m000039
  • [34] Rohner RP (2005) Parental Acceptance-Rejection/Control Questionnaire (PARQ/Control): Test manual. In: Rohner RP, Khaleque A (ed), Handbook for the study of parental acceptance and rejection, Storrs, CT: Rohner Research Publications, pp 137-186
  • [35] Dedeler M, Akun E, Durak-Batigun A (2017) Turkish adaptation of adult parental acceptance-rejection questionnaire short form. Düşünen Adam 30(3):181-193. Doi:10.5350/DAJPN2017300302
  • [36] Slaney RB, Johnson DP (1992) The Almost Perfect Scale. Unpublished Manuscript. Pennsylvania State University, University Park.
  • [37] Slaney RB, Mobley M et al (1996) The Almost Perfect Scale-Revised. Unpublished Manuscript. The Pennsylvania State University.
  • [38] Slaney RB, Rice KG et al (2001) The Revised Almost Perfect Scale. Meas Eval Couns Dev 34:130-145. Doi:10.1080/07481756.2002.12069032
  • [39] Sapmaz F (2006) Üniversite öğrencilerinin uyumlu ve uyumsuz mükemmeliyetçilik özelliklerinin psikolojik belirti düzeyleri açısından incelenmesi. Dissertation, Sakarya Üniversitesi.
  • [40] İngeç ÖE, Akyüz Z, Yılmaz AE (2021) Öz-eleştirel Ruminasyon Ölçeğinin Türkçeye uyarlanması ve psikometrik özelliklerinin incelenmesi. Klinik Psikoloji Dergisi 5(1):39-51. https://doi.org/10.5455/kpd.26024438m000035
  • [41] Probst M, Vandereycken W et al (1995) The Body Attitude Test for patients with an eating disorder: Psychometric characteristics of a new questionnaire. Eat Disord 3(2):133-144. https://doi.org/10.1080/10640269508249156
  • [42] Şahin S, Huri M et al (2020) Reliability and Validity of the Turkish Version of Body Attitude Test in Women with Breast Cancer. Current Psychology 1-7. https://doi.org/10.1007/s12144-020-00627-1
  • [43] Hayes AF (2013) Introduction to mediation, moderation and conditional process analysis: A regression-based approach. Guilford, New York.
  • [44] Zhao X, Lynch Jr JG, Chen Q (2010) Reconsidering Baron and Kenny: Myths and truths about mediation analysis. J Consum Res 37(2):197-206. Doi:10.1086/651257
  • [45] Hair JF, Hult GTM et al (2021) Mediation analysis. In Hair JF et al (ed) Partial least squares structural equation modeling (PLS-SEM) using R. Springer, Cham, pp 139-153
  • [46] Cena H, Barthels F et al (2019). Definition and diagnostic criteria for orthorexia nervosa: a narrative review of the literature. Eat Weight Disord 24(2):209-246. https://doi.org/10.1007/s40519-018-0606-y
  • [47] Ryman FV, Cesuroglu T et al (2019) Orthorexia nervosa: Disorder or not? Opinions of Dutch health professionals. Front Psychol 10-555. https://doi.org/10.3389/fpsyg.2019.00555
  • [48] Meule A, Voderholzer U (2021). Orthorexia nervosa—It is time to think about abandoning the concept of a distinct diagnosis. Front Psychiatry 41. https://doi.org/10.3389/fpsyt.2021.640401
  • [49] Łucka I, Janikowska-Hołoweńko D et al (2019) Orthorexia nervosa-A separate clinical entity, a part of eating disorder spectrum or another manifestation of obsessive-compulsive disorder. Psychiatr Pol 53(2):371-382. Doi:10.12740/PP/OnlineFirst/85729
  • [50] Yakın E, Raynal P, Chabrol H (2021) Distinguishing orthorexic behaviors from eating disordered and obsessive–compulsive behaviors: A typological study. Eat Weight Disord 26(6):2011-2019. https://doi.org/10.1007/s40519-020-01037-9
  • [51] Zagaria A, Vacca M et al (2022) Associations between orthorexia, disordered eating, and obsessive–compulsive symptoms: A systematic review and meta‐analysis. Int J Eat Disord 55(3):295-312. Doi:10.1002/eat.23654
  • [52] Zickgraf HF, Ellis JM, Essayli JH (2019) Disentangling orthorexia nervosa from healthy eating and other eating disorder symptoms: Relationships with clinical impairment, comorbidity, and self-reported food choices. Appetite 134:40-49. https://doi.org/10.1016/j.appet.2018.12.006
  • [53] Dominy NL, Johnson WB, Koch C (2000) Perception of parental acceptance in women with binge eating disorder. J Psychol 134(1):23-36. Doi:10.1080/00223980009600846
  • [54] Herraiz-Serrrano C, Rodríguez-Cano T, Beato-Fernández L, Latorre-Postigo JM, Rojo-Moreno L, Vaz-Leal FJ (2015) Parental rearing and eating psychopathology. Actas Esp Psiquiatr 43(3):91-98.
  • [55] Lennertz L, Grabe HJ et al (2010) Perceived parental rearing in subjects with obsessive–compulsive disorder and their siblings. Acta Psychiatr Scand 121(4):280-288. Doi: 10.1111/j.1600-0447.2009.01469.x
  • [56] Zhang Y, Tian W et al (2022) Parental rearing and personality traits as predictors for adolescents with obsessive–compulsive disorder (OCD). Dev Psychopathol 34(1):387-394. https://doi.org/10.1017/S095457942000108X
  • [57] Brytek-Matera A, Pardini S et al (2022) Orthorexia Nervosa and its association with obsessive–compulsive disorder symptoms: initial cross-cultural comparison between Polish and Italian university students. Eat Weight Disord 27(3):913-927. https://doi.org/10.1007/s40519-021-01228-y
  • [58] Novara C, Pardini S et al (2021) Orthorexia Nervosa: Over concern or obsession about healthy food? Eat Weight Disord 26(8):2577-2588. https://doi.org/10.1007/s40519-021-01110-x
  • [59] Novara C, Mattioli S et al (2022) The role of dieting, psychopathological characteristics and maladaptive personality traits in Orthorexia Nervosa. BMC Psychiatry, 22(1):1-10. https://doi.org/10.1186/s12888-022-03896-1
  • [60] Bardone-Cone AM, Wonderlich SA et al (2007) Perfectionism and eating disorders: Current status and future directions. Clin Psychol Rev 27(3):384-405.
  • [61] Bulik CM, Tozzi F et al (2003) The relation between eating disorders and components of perfectionism. Am J Psychiatry 160(2):366-368. https://doi.org/10.1176/appi.ajp.160.2.366
  • [62] Castro‐Fornieles J et al (2007) Self‐oriented perfectionism in eating disorders. Int J Eat Disord 40(6):562-568. Doi:10.1002/eat
  • [63] Hewitt PL, Flett GL, Ediger E (1995) Perfectionism traits and perfectionistic self‐presentation in eating disorder attitudes, characteristics, and symptoms. Int J Eat Disord 18(4):317-326. https://doi.org/10.1002/1098-108X(199512)18:4<317::AID-EAT2260180404>3.0.CO;2-2
  • [64] Bouchard C, Rhéaume J, Ladouceur R (1999) Responsibility and perfectionism in OCD: An experimental study. Behav Res Ther 37(3):239-248. https://doi.org/10.1016/S0005-7967(98)00141-7
  • [65] Coles ME, Frost RO et al (2003).“Not just right experiences”: Perfectionism, obsessive–compulsive features and general psychopathology. Behav Res Ther 41(6):681-700. https://doi.org/10.1016/S0005-7967(02)00044-X
  • [66] Frost RO, Steketee G (1997) Perfectionism in obsessive-compulsive disorder patients. Behav Res Ther 35(4):291-296. https://doi.org/10.1016/S0005-7967(96)00108-8
  • [67] Rhéaume J, Freeston MH et al (1995) Perfectionism, responsibility and obsessive-compulsive symptoms. Behav Res Ther 33(7):785-794. https://doi.org/10.1016/0005-7967(95)00017-R

Mediator Roles of Perfectionism and Self-Critical Rumination in the Relationship Between Perceived Maternal Rejection and Orthorexia: A Model Testing in a Female Sample

Year 2023, Volume: 15 Issue: Supplement 1, 34 - 45, 29.12.2023
https://doi.org/10.18863/pgy.1191242

Abstract

Orthorexia nervosa (ON) refers to a pathological obsession with healthy eating characterized by a restrictive diet, ritualized eating patterns, and strict avoidance of foods believed to be unhealthy or unclean. On the other hand, healthy orthorexia (HO) is defined as an interest in healthy eating and a tendency to eat healthy foods. This study aimed to investigate the relationships between the ON, HO, maternal rejection, perfectionism, self-critical rumination, and body attitude in the women sample. 445 female students from diverse universities in Turkey was attended to our study. Participants completed questionnaires regarding ON and HO, body attitude, maternal rejection, perfectionism, and self-critical rumination. The results showed that negative body attitudes could not predict both HO (B=-.008, SE=.039, p=.791) and ON (B=.008, SE=.032, p=.835). However, perfectionism and self-critical rumination had mediator roles in the relationship between ON and HO with maternal rejection, despite this relationship was positive for ON (B = .014, Boot SE = .007, 95% Boot CI [.003, .029]), but negative for HO (B = -.023, Boot SE = .010, 95% Boot CI [-.042, -.008]). Not a negative body attitude, but maternal rejection, perfectionism, and self-critical rumination played roles in developing orthorexic tendencies.

References

  • [1] Bratman S (1997) Health food junkie: Obsession with dietary perfection can sometimes do more harm than good, says one who has been there. Yoga Journal 136:42-50. https://archives.evergreen.edu/webpages/curricular/2005-2006/imagingthebody/Fall%20Quarter/Handouts/HealthFoodJunkie.pdf
  • [2] Donini LM, Marsili D et al (2004) Orthorexia nervosa: a preliminary study with a proposal for diagnosis and an attempt to measure the dimension of the phenomenon. Eat Weight Disord 9(2):151-157. https://doi.org/10.1007/BF03325060
  • [3] Koven NS, Abry AW (2015) The clinical basis of orthorexia nervosa: Emerging perspectives. Neuropsychiatr Dis Treat, 11:385-394. https://doi.org/10.2147/NDT.S61665
  • [4] Bratman S (2017) Orthorexia vs. theories of healthy eating. Eat Weight Disord 22(3):381-385. https://doi.org/10.1007/s40519-017-0417-6
  • [5] Brytek-Matera A, Fonte ML et al (2017) Orthorexia nervosa: relationship with obsessive-compulsive symptoms, disordered eating patterns and body uneasiness among Italian university students. Eat Weight Disord 22(4):609-617. https://doi.org/10.1007/s40519-017-0427-4
  • [6] Borgida A (2011) In sickness and in health: Orthorexia nervosa, the study of obsessive healthy eating. Dissertation, Alliant International University.
  • [7] Oberle CD, De Nadai AS, Madrid AL (2020) Orthorexia Nervosa Inventory (ONI): Development and validation of a new measure of orthorexic symptomatology. Eat Weight Disord 26(2):609-622. https://doi.org/10.1007/s40519-020-00896-6
  • [8] Chaki B, Pal S, Bandyopadhyay A (2013) Exploring scientific legitimacy of orthorexia nervosa: a newly emerging eating disorder. J Hum Sport Exerc 8(4):1045-1053. https://doi.org/10.4100/jhse.2013.84.14
  • [9] Varga M, Thege BK et al (2014) When eating healthy is not healthy: Orthorexia nervosa and its measurement with the ORTO-15 in Hungary. BMC Psychiatry 14(1):1-11. https://doi.org/10.1186/1471-244X-14-59
  • [10] Barrada JR, Roncero M (2018) Bidimensional structure of the orthorexia: Development and initial validation of a new instrument. An De Psicol 34(2):283-291. https://doi.org/10.6018/analesps.34.2.299671
  • [11] Brytek-Matera A (2012) Orthorexia nervosa–an eating disorder, obsessive-compulsive disorder or disturbed eating habit. Arch Psychiatry Psychother 1(1):55-60.
  • [12] Rohner RP, Rohner EC (1981) Parental acceptance-rejection and parental control: Cross-cultural codes. Ethnology 20(3):245-260. https://doi.org/10.2307/3773230
  • [13] Erriu M, Cimino S, Cerniglia L (2020) The role of family relationships in eating disorders in adolescents: A narrative review. Behav Sci 10(4):1-17. https://doi.org/10.3390/bs10040071
  • [14] Ramalho JDAM, El Husseini M et al (2021). The role of food in the family relationships of adolescents with anorexia nervosa and bulimia in northeastern Brazil: A qualitative study using photo elicitation. Front Psychiatry 12-623136:1-10. https://doi.org/10.3389/fpsyt.2021.623136
  • [15] Prescott ME, Le Poire BA (2002) Eating disorders and mother-daughter communication: A test of inconsistent nurturing as control theory. J Fam Commun 2(2):59-78. https://doi.org/10.1207/S15327698JFC0202_01
  • [16] Hollender MH (1965) Perfectionism. Compr Psychiatry 6(2):94-103. https://doi.org/10.1016/S0010-440X(65)80016-5
  • [17] Smith MM, Sherry SB et al (2019) Who is the most demanding of them all? A multisource investigation of other-oriented perfectionism, socially prescribed perfectionism, and depressive symptoms. Pers Individ Differ 138:328-332. https://doi.org/10.1016/j.paid.2018.09.023
  • [18] Pratt VB, Madigan DJ, Hill AP (2021) Perfectionistic self-presentation and orthorexia in exercisers. Eat Weight Disord 27(3):1217-1221. https://doi.org/10.1007/s40519-021-01262-w
  • [19] Bardone‐Cone AM, Sturm K, Lawson MA, Robinson DP, Smith R (2010) Perfectionism across stages of recovery from eating disorders. Int J Eat Disord 43(2):139-148. https://doi.org/10.1016/j.cpr.2006.12.005
  • [20] Brown AJ, Parman KM et al (2012) Disordered eating, perfectionism, and food rules. Eat Behav 13(4):347-353. doi:10.1016/j.eatbeh.2012.05.011
  • [21] Brytek-Matera A, Gramaglia C et al (2018) The psychopathology of body image in orthorexia nervosa. J Psychopathol 24(3):133-140.
  • [22] Dunn TM, Bratman S. (2016) On orthorexia nervosa: A review of the literature and proposed diagnostic criteria. Eat Behav 21:11-17. https://doi.org/10.1016/j.eatbeh.2015.12.006
  • [23] Bundros J, Clifford D et al (2016) Prevalence of Orthorexia nervosa among college students based on Bratman's test and associated tendencies. Appetite 101:86-94. https://doi.org/10.1016/j.appet.2016.02.144
  • [24] Moroze RM, Dunn TM et al (2015) Microthinking about micronutrients: a case of transition from obsessions about healthy eating to near-fatal “orthorexia nervosa” and proposed diagnostic criteria. Psychosomatics 56(4):397-403. https://doi.org/10.1016/j.psym.2014.03.003
  • [25] Topçu F, Arıcak OT (2019) The effect of perfectionism and body perception on orthorexia among young adults. JCBPR 8(3):170-178. Doi:10.5455/JCBPR.26960
  • [26] Barnes MA, Caltabiano ML (2016) The interrelationship between orthorexia nervosa, perfectionism, body image and attachment style. Eat Weight Disord 22(1):177-184. https://doi.org/10.1007/s40519-016-0280-x
  • [27] Barthels F, Kisser J, Pietrowsky R (2021) Orthorexic eating behavior and body dissatisfaction in a sample of young females. Eat Weight Disord 26(6):2059-2063. https://doi.org/10.1007/s40519-020-00986-5
  • [28] Brytek-Matera A, Donini LM et al (2015) Orthorexia nervosa and self-attitudinal aspects of body image in female and male university students. J Eat Disord 3(2):1-8. Doi:10.1186/s40337-015-0038-2
  • [29] Martinez-Sanchis M, Navarrete J et al (2021) Exploring the mediator role of self-critical rumination between emotion regulation and psychopathology: A validation study of the Self-Critical Rumination Scale (SCRS) in a Spanish-speaking sample. Pers Individ Differ 183-111115:1-7. https://doi.org/10.1016/j.paid.2021.111115
  • [30] Smart LM, Peters JR, Baer RA (2016) Development and validation of a measure of self-critical rumination. Assessment 23(3):321-332. https://doi.org/10.1177/1073191115573300
  • [31] Palmieri S, Mansueto G, Scaini S et al (2021). Repetitive negative thinking and eating disorders: A meta-analysis of the role of worry and rumination. J Clin Med 10(11):2448. Doi:10.3390/jcm10112448
  • [32] Thew GR, Gregory JD et al (2017) The phenomenology of self‐critical thinking in people with depression, eating disorders, and in healthy individuals. Psychol Psychother 90(4):751-769. Doi:10.1111/papt.12137
  • [33] Asarkaya B, Arcan K (2021) Teruel Ortoreksiya Ölçeği’nin (TOÖ) uyarlama, geçerlik ve güvenirlik çalışması. Klinik Psikoloji Dergisi 5(2):113-127. https://doi.org/10.5455/kpd.26024438m000039
  • [34] Rohner RP (2005) Parental Acceptance-Rejection/Control Questionnaire (PARQ/Control): Test manual. In: Rohner RP, Khaleque A (ed), Handbook for the study of parental acceptance and rejection, Storrs, CT: Rohner Research Publications, pp 137-186
  • [35] Dedeler M, Akun E, Durak-Batigun A (2017) Turkish adaptation of adult parental acceptance-rejection questionnaire short form. Düşünen Adam 30(3):181-193. Doi:10.5350/DAJPN2017300302
  • [36] Slaney RB, Johnson DP (1992) The Almost Perfect Scale. Unpublished Manuscript. Pennsylvania State University, University Park.
  • [37] Slaney RB, Mobley M et al (1996) The Almost Perfect Scale-Revised. Unpublished Manuscript. The Pennsylvania State University.
  • [38] Slaney RB, Rice KG et al (2001) The Revised Almost Perfect Scale. Meas Eval Couns Dev 34:130-145. Doi:10.1080/07481756.2002.12069032
  • [39] Sapmaz F (2006) Üniversite öğrencilerinin uyumlu ve uyumsuz mükemmeliyetçilik özelliklerinin psikolojik belirti düzeyleri açısından incelenmesi. Dissertation, Sakarya Üniversitesi.
  • [40] İngeç ÖE, Akyüz Z, Yılmaz AE (2021) Öz-eleştirel Ruminasyon Ölçeğinin Türkçeye uyarlanması ve psikometrik özelliklerinin incelenmesi. Klinik Psikoloji Dergisi 5(1):39-51. https://doi.org/10.5455/kpd.26024438m000035
  • [41] Probst M, Vandereycken W et al (1995) The Body Attitude Test for patients with an eating disorder: Psychometric characteristics of a new questionnaire. Eat Disord 3(2):133-144. https://doi.org/10.1080/10640269508249156
  • [42] Şahin S, Huri M et al (2020) Reliability and Validity of the Turkish Version of Body Attitude Test in Women with Breast Cancer. Current Psychology 1-7. https://doi.org/10.1007/s12144-020-00627-1
  • [43] Hayes AF (2013) Introduction to mediation, moderation and conditional process analysis: A regression-based approach. Guilford, New York.
  • [44] Zhao X, Lynch Jr JG, Chen Q (2010) Reconsidering Baron and Kenny: Myths and truths about mediation analysis. J Consum Res 37(2):197-206. Doi:10.1086/651257
  • [45] Hair JF, Hult GTM et al (2021) Mediation analysis. In Hair JF et al (ed) Partial least squares structural equation modeling (PLS-SEM) using R. Springer, Cham, pp 139-153
  • [46] Cena H, Barthels F et al (2019). Definition and diagnostic criteria for orthorexia nervosa: a narrative review of the literature. Eat Weight Disord 24(2):209-246. https://doi.org/10.1007/s40519-018-0606-y
  • [47] Ryman FV, Cesuroglu T et al (2019) Orthorexia nervosa: Disorder or not? Opinions of Dutch health professionals. Front Psychol 10-555. https://doi.org/10.3389/fpsyg.2019.00555
  • [48] Meule A, Voderholzer U (2021). Orthorexia nervosa—It is time to think about abandoning the concept of a distinct diagnosis. Front Psychiatry 41. https://doi.org/10.3389/fpsyt.2021.640401
  • [49] Łucka I, Janikowska-Hołoweńko D et al (2019) Orthorexia nervosa-A separate clinical entity, a part of eating disorder spectrum or another manifestation of obsessive-compulsive disorder. Psychiatr Pol 53(2):371-382. Doi:10.12740/PP/OnlineFirst/85729
  • [50] Yakın E, Raynal P, Chabrol H (2021) Distinguishing orthorexic behaviors from eating disordered and obsessive–compulsive behaviors: A typological study. Eat Weight Disord 26(6):2011-2019. https://doi.org/10.1007/s40519-020-01037-9
  • [51] Zagaria A, Vacca M et al (2022) Associations between orthorexia, disordered eating, and obsessive–compulsive symptoms: A systematic review and meta‐analysis. Int J Eat Disord 55(3):295-312. Doi:10.1002/eat.23654
  • [52] Zickgraf HF, Ellis JM, Essayli JH (2019) Disentangling orthorexia nervosa from healthy eating and other eating disorder symptoms: Relationships with clinical impairment, comorbidity, and self-reported food choices. Appetite 134:40-49. https://doi.org/10.1016/j.appet.2018.12.006
  • [53] Dominy NL, Johnson WB, Koch C (2000) Perception of parental acceptance in women with binge eating disorder. J Psychol 134(1):23-36. Doi:10.1080/00223980009600846
  • [54] Herraiz-Serrrano C, Rodríguez-Cano T, Beato-Fernández L, Latorre-Postigo JM, Rojo-Moreno L, Vaz-Leal FJ (2015) Parental rearing and eating psychopathology. Actas Esp Psiquiatr 43(3):91-98.
  • [55] Lennertz L, Grabe HJ et al (2010) Perceived parental rearing in subjects with obsessive–compulsive disorder and their siblings. Acta Psychiatr Scand 121(4):280-288. Doi: 10.1111/j.1600-0447.2009.01469.x
  • [56] Zhang Y, Tian W et al (2022) Parental rearing and personality traits as predictors for adolescents with obsessive–compulsive disorder (OCD). Dev Psychopathol 34(1):387-394. https://doi.org/10.1017/S095457942000108X
  • [57] Brytek-Matera A, Pardini S et al (2022) Orthorexia Nervosa and its association with obsessive–compulsive disorder symptoms: initial cross-cultural comparison between Polish and Italian university students. Eat Weight Disord 27(3):913-927. https://doi.org/10.1007/s40519-021-01228-y
  • [58] Novara C, Pardini S et al (2021) Orthorexia Nervosa: Over concern or obsession about healthy food? Eat Weight Disord 26(8):2577-2588. https://doi.org/10.1007/s40519-021-01110-x
  • [59] Novara C, Mattioli S et al (2022) The role of dieting, psychopathological characteristics and maladaptive personality traits in Orthorexia Nervosa. BMC Psychiatry, 22(1):1-10. https://doi.org/10.1186/s12888-022-03896-1
  • [60] Bardone-Cone AM, Wonderlich SA et al (2007) Perfectionism and eating disorders: Current status and future directions. Clin Psychol Rev 27(3):384-405.
  • [61] Bulik CM, Tozzi F et al (2003) The relation between eating disorders and components of perfectionism. Am J Psychiatry 160(2):366-368. https://doi.org/10.1176/appi.ajp.160.2.366
  • [62] Castro‐Fornieles J et al (2007) Self‐oriented perfectionism in eating disorders. Int J Eat Disord 40(6):562-568. Doi:10.1002/eat
  • [63] Hewitt PL, Flett GL, Ediger E (1995) Perfectionism traits and perfectionistic self‐presentation in eating disorder attitudes, characteristics, and symptoms. Int J Eat Disord 18(4):317-326. https://doi.org/10.1002/1098-108X(199512)18:4<317::AID-EAT2260180404>3.0.CO;2-2
  • [64] Bouchard C, Rhéaume J, Ladouceur R (1999) Responsibility and perfectionism in OCD: An experimental study. Behav Res Ther 37(3):239-248. https://doi.org/10.1016/S0005-7967(98)00141-7
  • [65] Coles ME, Frost RO et al (2003).“Not just right experiences”: Perfectionism, obsessive–compulsive features and general psychopathology. Behav Res Ther 41(6):681-700. https://doi.org/10.1016/S0005-7967(02)00044-X
  • [66] Frost RO, Steketee G (1997) Perfectionism in obsessive-compulsive disorder patients. Behav Res Ther 35(4):291-296. https://doi.org/10.1016/S0005-7967(96)00108-8
  • [67] Rhéaume J, Freeston MH et al (1995) Perfectionism, responsibility and obsessive-compulsive symptoms. Behav Res Ther 33(7):785-794. https://doi.org/10.1016/0005-7967(95)00017-R
There are 67 citations in total.

Details

Primary Language English
Subjects Psychology
Journal Section Research
Authors

Burcu Korkmaz Yayın 0000-0002-4723-0466

Ceren Ceylan Ergun 0000-0003-0604-0540

Early Pub Date May 19, 2023
Publication Date December 29, 2023
Acceptance Date January 25, 2023
Published in Issue Year 2023 Volume: 15 Issue: Supplement 1

Cite

AMA Korkmaz Yayın B, Ceylan Ergun C. Mediator Roles of Perfectionism and Self-Critical Rumination in the Relationship Between Perceived Maternal Rejection and Orthorexia: A Model Testing in a Female Sample. Psikiyatride Güncel Yaklaşımlar - Current Approaches in Psychiatry. December 2023;15(Supplement 1):34-45. doi:10.18863/pgy.1191242

Creative Commons License
Psikiyatride Güncel Yaklaşımlar - Current Approaches in Psychiatry is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.