000121182 001__ 121182
000121182 005__ 20230111133144.0
000121182 0247_ $$2doi$$a10.1007/s40519-022-01512-5
000121182 0248_ $$2sideral$$a131687
000121182 037__ $$aART-2022-131687
000121182 041__ $$aeng
000121182 100__ $$aDonini, Lorenzo M.
000121182 245__ $$aA consensus document on definition and diagnostic criteria for orthorexia nervosa
000121182 260__ $$c2022
000121182 5060_ $$aAccess copy available to the general public$$fUnrestricted
000121182 5203_ $$aPurpose: 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
000121182 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000121182 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000121182 700__ $$0(orcid)0000-0001-6887-6277$$aBarrada, Juan Ramón$$uUniversidad de Zaragoza
000121182 700__ $$aBarthels, Friederike
000121182 700__ $$aDunn, Thomas M.
000121182 700__ $$aBabeau, Camille
000121182 700__ $$aBrytek-Matera, Anna
000121182 700__ $$aCena, Hellas
000121182 700__ $$aCerolini, Silvia
000121182 700__ $$aCho, Hye-hyun
000121182 700__ $$aCoimbra, Maria
000121182 700__ $$aCuzzolaro, Massimo
000121182 700__ $$aFerreira, Claudia
000121182 700__ $$aGalfano, Valeria
000121182 700__ $$aGrammatikopoulou, Maria G.
000121182 700__ $$aHallit, Souheil
000121182 700__ $$aHåman, Linn
000121182 700__ $$aHay, Phillipa
000121182 700__ $$aJimbo, Masahito
000121182 700__ $$aLasson, Clotilde
000121182 700__ $$aLindgren, Eva-Carin
000121182 700__ $$aMcGregor, Renee
000121182 700__ $$aMinnetti, Marianna
000121182 700__ $$aMocini, Edoardo
000121182 700__ $$aObeid, Sahar
000121182 700__ $$aOberle, Crystal D.
000121182 700__ $$aOnieva-Zafra, Maria-Dolores
000121182 700__ $$aOpitz, Marie-Christine
000121182 700__ $$aParra-Fernández, María-Laura
000121182 700__ $$aPietrowsky, Reinhard
000121182 700__ $$aPlasonja, Natalija
000121182 700__ $$aPoggiogalle, Eleonora
000121182 700__ $$aRigó, Adrien
000121182 700__ $$aRodgers, Rachel F.
000121182 700__ $$aRoncero, Maria
000121182 700__ $$aSaldaña, Carmina
000121182 700__ $$aSegura-Garcia, Cristina
000121182 700__ $$aSetnick, Jessica
000121182 700__ $$aShin, Ji-Yeon
000121182 700__ $$aSpitoni, Grazia
000121182 700__ $$aStrahler, Jana
000121182 700__ $$aStroebele-Benschop, Nanette
000121182 700__ $$aTodisco, Patrizia
000121182 700__ $$aVacca, Mariacarolina
000121182 700__ $$aValente, Martina
000121182 700__ $$aVarga, Màrta
000121182 700__ $$aZagaria, Andrea
000121182 700__ $$aZickgraf, Hana Flynn
000121182 700__ $$aLombardo, Caterina
000121182 7102_ $$14009$$2735$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicolog.Evolut.Educac
000121182 773__ $$g27, 8 (2022), 3695-3711$$tEating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity$$x1590-1262
000121182 8564_ $$s674961$$uhttps://zaguan.unizar.es/record/121182/files/texto_completo.pdf$$yVersión publicada
000121182 8564_ $$s2546279$$uhttps://zaguan.unizar.es/record/121182/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000121182 909CO $$ooai:zaguan.unizar.es:121182$$particulos$$pdriver
000121182 951__ $$a2023-01-11-08:48:19
000121182 980__ $$aARTICLE