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A consensus document on definition and diagnostic criteria for orthorexia nervosa

Donini, Lorenzo M (författare)
Sapienza University, Rome, Italy
Barrada, Juan Ramón (författare)
Universidad de Zaragoza, Zaragoza, Spain
Barthels, Friederike (författare)
Heinrich Heine University Düsseldorf, Düsseldorf, Germany
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Dunn, Thomas M (författare)
University of Northern Colorado, Greeley, USA
Babeau, Camille (författare)
Ecole de Psychologues Praticiens, Lyon, France
Brytek-Matera, Anna (författare)
University of Wroclaw, Wroclaw, Poland
Cena, Hellas (författare)
University of Pavia, Pavia, Italy; ICS MAUGERI IRCCS, Pavia, Italy
Cerolini, Silvia (författare)
Sapienza University, Rome, Italy
Cho, Hye-hyun (författare)
Chung-Ang University, Seoul, South Korea
Coimbra, Maria (författare)
University of Coimbra, CINEICC, Coimbra, Portugal
Cuzzolaro, Massimo (författare)
Sapienza University, Rome, Italy
Ferreira, Claudia (författare)
University of Coimbra, Coimbra, Portugal
Galfano, Valeria (författare)
Sapienza University, Rome, Italy
Grammatikopoulou, Maria G (författare)
University of Thessaly, Larissa, Greece
Hallit, Souheil (författare)
Holy Spirit University of Kaslik, Jounieh, Lebanon; Effat University (KSA), Jeddah, Saudi Arabia
Håman, Linn, 1982- (författare)
Högskolan i Halmstad,Akademin för hälsa och välfärd
Hay, Phillipa (författare)
Western Sydney University, Sydney, Australia
Jimbo, Masahito (författare)
University of Michigan, Ann Arbor, United States
Lasson, Clotilde (författare)
University of Toulouse-Jean Jaurès, Toulouse, France
Lindgren, Eva-Carin, 1962- (författare)
Högskolan i Halmstad,Akademin för hälsa och välfärd
McGregor, Renee (författare)
The EN:SPIRE Clinic, Bengaluru, India
Minnetti, Marianna (författare)
Sapienza University, Rome, Italy
Mocini, Edoardo (författare)
Sapienza University, Rome, Italy
Obeid, Sahar (författare)
Lebanese American University, Beirut, Lebanon
Oberle, Crystal D (författare)
Texas State University, San Marcos, United States
Onieva-Zafra, Maria-Dolores (författare)
University of Castilla-La Mancha, Ciudad Real, Spain
Opitz, Marie-Christine (författare)
The University of Edinburgh, Edinburgh, United Kingdom
Parra-Fernández, María-Laura (författare)
University of Castilla-La Mancha, Ciudad Real, Spain
Pietrowsky, Reinhard (författare)
Heinrich Heine University Düsseldorf, Düsseldorf, Germany
Plasonja, Natalija (författare)
University of Bordeaux, Bordeaux, France
Poggiogalle, Eleonora (författare)
Sapienza University, Rome, Italy
Rigó, Adrien (författare)
ELTE Eötvös Loránd University, Budapest, Hungary
Rodgers, Rachel F (författare)
Northeastern University, Boston, United States; Lapeyronie Hospital, CHRU Montpellier, Montpellier, France
Roncero, Maria (författare)
University of Valencia, Valencia, Spain
Saldaña, Carmina (författare)
Universitat de Barcelona, Barcelona, Spain
Segura-Garcia, Cristina (författare)
University of Catanzaro, Catanzaro, Italy
Setnick, Jessica (författare)
International Federation of Eating Disorder Dietitians, Dallas, United States
Shin, Ji-Yeon (författare)
Chung-Ang University, Seoul, South Korea
Spitoni, Grazia (författare)
Sapienza University, Rome, Italy
Strahler, Jana (författare)
University of Freiburg, Freiburg, Germany
Stroebele-Benschop, Nanette (författare)
University of Hohenheim, Stuttgart, Germany
Todisco, Patrizia (författare)
Casa Di Cura Villa Margherita, Vicenza, Italy
Vacca, Mariacarolina (författare)
Sapienza University, Rome, Italy
Valente, Martina (författare)
Amedeo Avogadro University of Eastern Piedmont, Vercelli, Italy
Varga, Màrta (författare)
Semmelweis University, Budapest, Hungary
Zagaria, Andrea (författare)
Sapienza University, Rome, Italy
Zickgraf, Hana Flynn (författare)
Emory University, Atlanta, United States
Lombardo, Caterina (författare)
Sapienza University, Rome, Italy
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 (creator_code:org_t)
2022-11-27
2022
Engelska.
Ingår i: Eating and Weight Disorders. - Milan : Springer. - 1124-4909 .- 1590-1262. ; 27, s. 3695-3711
Relaterad länk:
https://doi.org/10.1...
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https://urn.kb.se/re...
https://doi.org/10.1...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Purpose: Since the term orthorexia nervosa (ON) was coined from the Greek (ὀρθός, right and ὄρεξις, appetite) in 1997 to describe an obsession with “correct” eating, it has been used worldwide without a consistent definition. Although multiple authors have proposed diagnostic criteria, and many theoretical papers have been published, no consensus definition of ON exists, empirical primary evidence is limited, and ON is not a standardized diagnosis. These gaps prevent research to identify risk and protective factors, pathophysiology, functional consequences, and evidence-based therapeutic treatments. The aims of the current study are to categorize the common observations and presentations of ON pathology among experts in the eating disorder field, propose tentative diagnostic criteria, and consider which DSM chapter and category would be most appropriate for ON should it be included.Methods: 47 eating disorder researchers and multidisciplinary treatment specialists from 14 different countries across four continents completed a three-phase modified Delphi process, with 75% agreement determined as the threshold for a statement to be included in the final consensus document. In phase I, participants were asked via online survey to agree or disagree with 67 statements about ON in four categories: A–Definition, Clinical Aspects, Duration; B–Consequences; C–Onset; D–Exclusion Criteria, and comment on their rationale. Responses were used to modify the statements which were then provided to the same participants for phase II, a second round of feedback, again in online survey form. Responses to phase II were used to modify and improve the statements for phase III, in which statements that met the predetermined 75% of agreement threshold were provided for review and commentary by all participants.Results: 27 statements met or exceeded the consensus threshold and were compiled into proposed diagnostic criteria for ON.Conclusions: This is the first time a standardized definition of ON has been developed from a worldwide, multidisciplinary cohort of experts. It represents a summary of observations, clinical expertise, and research findings from a wide base of knowledge. It may be used as a base for diagnosis, treatment protocols, and further research to answer the open questions that remain, particularly the functional consequences of ON and how it might be prevented or identified and intervened upon in its early stages. Although the participants encompass many countries and disciplines, further research will be needed to determine if these diagnostic criteria are applicable to the experience of ON in geographic areas not represented in the current expert panel.Level of evidence: Level V: opinions of expert committees.© 2022, The Author(s).

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)

Nyckelord

Orthorexia nervosa (ON)
Feeding and eating disorders (F&ED)
Anorexia nervosa (AN)
Obsessive– compulsive disorder (OCD)
Avoidant restrictive food intake disorder (ARFID)
Eating disorder

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