ETHNOCULTURAL STUDIES OF ORTHOREXIA NERVOSA

Ivan Danyliuk; Valeria Kuchyna

doi:10.23856/6316

Ivan Danyliuk https://orcid.org/0000-0002-6522-5994
Valeria Kuchyna https://orcid.org/0000-0003-0174-7643

Słowa kluczowe: orthorexia nervosa, causal modeling, healthism, eating disorder, vegetarianism

Abstrakt

The article presents an overview of the ethnocultural plane of the phenomenon of orthorexia nervosa ON (as a pathological obsession with healthy nutrition). The aim of the article is to make a meta-analysis of ON studies in different countries of the world and to create it’s causal model on the Ukrainian sample. The Western trend towards a healthy lifestyle (healthism) and healthy eating attracts the attention of researchers in other cultures. Modern studies of orthorexia nervosa on samples in China, India, Turkey and other countries of the East and Asia emphasize that orthorexia nervosa is diagnosed there as well. Deepening cultural studies of ON is a necessary direction. The study of orthorexia nervosa on the Ukrainian sample presented in the article at the beginning of 2024 showed the presence of orthorexia nervosa in most of the sample (using ORTO-15). In addition, the sample (77 respondents) was segmented by types of nutrition (vegetarianism, intermittent fasting, proper nutrition, intuitive nutrition, and others), and the average value of orthorexia was estimated in each subsample. This made it possible to establish the presence of ON in all subsamples, except for respondents who preferred the use of drugs for weight loss. The article analyzes the influence of socio-demographic factors on ON, from which the most influential ones are selected by structural equation modeling (SEM) method. A causal model of the relationship between various factors and orthorexia was created (an assessment of its quality and an interpretation of the parameters as well). The causal model confirmed that the type of diet and orthorexia have almost a quarter of the common variance, and women are also more likely to have this diagnosis. Attitudes toward food (e.g., food is pleasure; "fuel" for the body; a tool for maintaining beauty and health; or other) are correlated 15% with type of diet. The presence of the experience of experiencing ED in the past is almost a quarter interrelated with the attitude towards food.

Wykaz bibliografii

1. Ghrynjko, N., Sumarjuk, B. M. (2018) Psykhologhichni osoblyvosti osib iz porushennjamy kharchovoji povedinky [Psychological features of persons with eating disorders] (PhD Thesis), Zaslavsjkyj O. Ju.
2. Lotocjka, L., Lotocjka-Dudyk, U., & Brejdak, Ju. Lesja Lotocjka. (2020). Aktualjni pytannja ghumanitarnykh nauk [Current issues of the humanities], 2020-159.
3. Lozova, O. M., Drobot, O. V., & Fatjejeva, M. S. (2020) Paradoksy potrebovo-motyvacijnoji sfery osib z nervovoju ortoreksijeju [Paradoxes of the need-motivation sphere of persons with orthorexia nervosa], Vrachebnoe delo, (7), 104-110.
4. Satursjka, D. M. (2020). Rolj centriv ghromadsjkogho zdorov’ja u profilaktyci rozladiv kharchovoi povedinky [The role of public heath centers in the prevention of eating disorders], (Doctoral dissertation).
5. Sumarjuk, B. M., & Ghrynjko, N. (2020). Ortoreksija ta milenialy [Orthorexia and millennials]. (Doctoral dissertation), Bukovynsky State Medical University.
6. Fatjejeva, M. S. (2019). Doslidzhennja porushenj kharchovoji povedinky (ortoreksija) u formati vyvchennja suchasnykh subkuljtur [Study of eating disorders (orthorexia) in the format of studying modern subcultures]. Pedaghoghika i psykhologhija: aktualjni problemy doslidzhenj, 131.
7. Shebanova, V. I. (2014). Ipokhondrychnyj dyskurs suchasnosti jak bazova osnova vykryvlenoji turboty pro sebe (nav’jazlyve praghnennja znyzhennja vaghy) [Hypochondriac discourse of modernity as the basic basis of distorted self-care (obsessive desire to reduce weight)]. Zbirnyk naukovykh pracj" Problemy suchasnoji psykhologhiji", (25).
8. Shepetovsjka O. (2012). Ortoreksija nevrozu–osobystisni rysy ta simejni kharakterystyky [Orthorexia neurosis – personal traits and family characteristics]. Psychological Prospects Journal 20 (2012): 280–285.
9. Cena, H., Barthels, F., Cuzzolaro, M., Bratman, S., Brytek-Matera, A., Dunn, T., ... & 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.
10. Depa, J., Barrada, J. R., & Roncero, M. (2019). Are the motives for food choices different in orthorexia nervosa and healthy orthorexia?. Nutrients, 11(3), 697.
11. Donini, L. M., Marsili, D., Graziani, M. P., Imbriale, M., & Cannella, C. (2004). Orthorexia nervosa: a preliminary study with a proposal for diagnosis and an attempt to measure the dimension of the phenomenon. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 9, 151–157.
12. He, J., Ma, H., Barthels, F., & Fan, X. (2019). Psychometric properties of the Chinese version of the Düsseldorf Orthorexia Scale: Prevalence and demographic correlates of orthorexia nervosa among Chinese university students. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 24, 453–463.
13. Jain, A., & Sharma, U. (2021). Prevalence and Relationship of Orthorexia Nervosa with Self-Esteem and Lifestyle Satisfaction in Indian Married Women. The International Journal Of Indian Psychology, 9(3), 2349–3429.
14. Koven, N. S., & Abry, A. W. (2015). The clinical basis of orthorexia nervosa: emerging perspectives. Neuropsychiatric disease and treatment, 385–394.
15. López-Gil, J. F., Tárraga-López, P. J., Hershey, M. S., López-Bueno, R., Gutiérrez-Espinoza, H., Soler-Marín, A., ... & Victoria-Montesinos, D. (2023). Overall proportion of orthorexia nervosa symptoms: A systematic review and meta-analysis including 30 476 individuals from 18 countries. Journal of Global Health, 13.
16. McComb, S. E., & Mills, J. S. (2019). Orthorexia nervosa: A review of psychosocial risk factors. Appetite, 140, 50–75.
17. Rosseel, Y. (2012) lavaan: An R package for structural equation modeling. Journal of statistical software. 48, 1–36.
18. Sethi J, Singh M, Garg M, Singh P, Sethi U. (2021). Preliminary screening for orthorexia nervosa in undergraduate student population of north India using ORTO-15 questionnaire. J Prev Med Holist Health 2021;7(2):79–83.
19. Zhou, X., Schneider, S. C., Cepeda, S. L., & Storch, E. A. (2020). Orthorexia nervosa in China: An exploration of phenomenology and clinical correlates among university students. Journal of Cognitive Psychotherapy, 34(3), 225–241.