The associations between orthorexia nervosa and the sociocultural attitudes: the mediating role of basic psychological n
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ORIGINAL ARTICLE
The associations between orthorexia nervosa and the sociocultural attitudes: the mediating role of basic psychological needs and health anxiety István Tóth‑Király1 · Panna Gajdos2 · Nóra Román2 · Nikoletta Vass2 · Adrien Rigó2 Received: 13 September 2019 / Accepted: 30 November 2019 © Springer Nature Switzerland AG 2019
Abstract Purpose Given the range of negative correlates associated with orthorexia nervosa (ON), it is important to identify factors that might contribute to the elevated ON tendencies. Based on the tripartite model of influence, we tested whether sociocultural attitudes towards appearance (i.e., thin and muscular internalization as well as family, peer and media pressure) could contribute to ON. We hypothesized that these attitudes could exert their effect through the intervening processes basic psychological need fulfillment and health anxiety. Methods The hypotheses were tested on a sample of 710 young adults (Mage = 21.79, SDage = 2.31). Participants completed validated questionnaires measuring the constructs of interest. Results According to the structural equation modeling results, ON was predicted by thinness and muscular internalization as well as media pressure. Need fulfillment and health anxiety partially mediated these relationships. Family and peer pressure were not related to ON. Discussion The present results suggest that internalization of appearance ideas and media pressure contribute to ON through need fulfillment and health anxiety. These findings also provide novel insight into the nature of ON. Level of evidence Level V (descriptive cross-sectional study. Keywords Basic psychological needs · Health anxiety · Media · Orthorexia nervosa (ON) · Sociocultural attitudes · Tripartite influence model
Introduction Despite currently not being present in the various diagnostic manuals, orthorexia nervosa (ON) is an emerging and discussed topic in the public media and in the scientific
The article is part of the topical collection on orthorexia nervosa. Electronic supplementary material The online version of this article (https://doi.org/10.1007/s40519-019-00826-1) contains supplementary material, which is available to authorized users. * István Tóth‑Király [email protected]; istvan.toth‑[email protected] 1
Substantive‑Methodological Synergy Research Laboratory, Department of Psychology, Concordia University, 7141 Sherbrooke W, Montreal, QC H4B 1R6, Canada
Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
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literature as well [1, 2]. ON has been described as a condition characterized by excessive preoccupation and fixation with healthy food and proper nutrition without any specific focus on managing body weight [3]. People with ON usually have self-defined dietary restrictions that they strictly follow and they only consume food that is considered to be healthy. While it is still questionable to interpret the excessive preoccupation with healthy food itself as a pathology or problematic behavior (whose context a
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