Adverse childhood experiences and profiles of healthy orthorexia versus orthorexia nervosa: towards an explanatory model of orthorexia as a multidimensional eating style

StatusVoR
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Authors
Rzeszutek, Marcin
Kowalkowska, Joanna
Dragan, Małgorzata
Schier, Katarzyna
Lis-Turlejska, Maria
Holas, Paweł
Drabarek, Katarzyna
Van Hoy, Angelika
Maison, Dominika
Wdowczyk, Gabriela
Monograph
Monograph (alternative title)
Date
2024-10-08
Publisher
Journal title
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity
Issue
1
Volume
29
Pages
Pages
1-11
DOI
ISSN
1590-1262
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Weblink
https://pubmed.ncbi.nlm.nih.gov/39377896/
Access date
2024-10-08
Abstract PL
Abstract EN
Background Orthorexia is a complex phenomenon comprising distinct dimensions, including orthorexia nervosa (ON) and healthy orthorexia (HO). However, little is known about the factors influencing these dimensions, their disparities, and the psychological factors underlying orthorexia behaviours. Objectives This study aims to explore ON versus HO dimensions and the predictive role of adverse childhood experiences (ACEs) in a nationally representative sample of Polish individuals. In addition, we aim to investigate the mediating roles of alexithymia, embodiment, and experiential avoidance levels in this association. Methods A representative sample of Polish adults (n = 3557) participated in this study. Dimensions of orthorexia (HO, ON) were assessed using the Teruel Orthorexia Scale, while ACEs were evaluated using the Adverse Childhood Experiences Questionnaire. Levels of alexithymia were measured using the Toronto Alexithymia Scale, experiential avoidance through the Acceptance and Action Questionnaire, and embodiment intensity via the Experience of Embodiment Scale. Results Cluster analysis identified two distinctive orthorexia profiles in the whole sample, i.e., HO (n = 469) and ON (n = 1217), alongside three intermediate HO/ON profiles (n = 1871). The number of ACEs predicted ON tendencies as opposed to HO behaviours in participants. The mediating role of alexithymia, experiential avoidance, and embodiment in the association between ACEs and ON was also observed. Conclusions Our study suggests that orthorexia is a multidimensional eating style shaped by socio-cultural factors. Adverse childhood experiences may be related to ON behaviours by mediating psychological factors such as experiential avoidance, alexithymia, and embodiment. Effective education and collaborative support are necessary for addressing ON tendencies.
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Keywords PL
Keywords EN
Adverse childhood experiences
Orthorexia
Alexithymia
Experiential avoidance
Embodiment ·
Path analysis
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https://share.swps.edu.pl/handle/swps/917
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cc-by
Except as otherwise noted, this item is licensed under the Attribution licence | Permitted use of copyrighted works
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