Shedding light upon various tools to assess orthorexia nervosa: a critical literature review with a systematic search

Martina Valente, Elena V. Syurina, Lorenzo Maria Donini

Research output: Contribution to JournalReview articleAcademicpeer-review

Abstract

Aim: The aim of this literature review was to identify the tools developed and used to assess orthorexia nervosa (ON). Methods: A systematic search was executed in PubMed, Biomed Central, and PsycINFO. The final list included 70 articles that were critically analyzed. Results: A total of six tools were reported to assess ON: the BOT, the ORTO-15, the EHQ, the DOS, the BOS, and the TOS. The tools were based upon different conceptualizations of ON and of its diagnostic criteria. Although they were different, all the conceptualizations derived from the initial definition of ON provided by Bratman in 1997. None of the methodologies adopted for tool construction considered end users or client perspectives and, when carried out, the validations of the tools were fragmented and often based on specific populations. Conclusion: This study may be a starting point for the construction of a new diagnostic tool for ON. Starting from the methodological weaknesses identified by this review, it was possible to derive some suggestions for future research: (a) developing a modern re-conceptualization of ON, comprehensive of end-user perspectives; (b) adopting qualitative data collection techniques to gain insights into how to diagnose ON; and (c) actively involving diverse stakeholders for constructing a new tool. Level of evidence: Level of Evidence: I, systematic review.

Original languageEnglish
JournalEating and Weight Disorders
DOIs
Publication statusPublished - 1 Jan 2019

Fingerprint

PubMed
Population

Keywords

  • Assessment
  • Diagnosis
  • Eating behavior
  • Orthorexia nervosa
  • Psychometrics

Cite this

@article{6709358b3a7549a3b3a6680c5bc547ac,
title = "Shedding light upon various tools to assess orthorexia nervosa: a critical literature review with a systematic search",
abstract = "Aim: The aim of this literature review was to identify the tools developed and used to assess orthorexia nervosa (ON). Methods: A systematic search was executed in PubMed, Biomed Central, and PsycINFO. The final list included 70 articles that were critically analyzed. Results: A total of six tools were reported to assess ON: the BOT, the ORTO-15, the EHQ, the DOS, the BOS, and the TOS. The tools were based upon different conceptualizations of ON and of its diagnostic criteria. Although they were different, all the conceptualizations derived from the initial definition of ON provided by Bratman in 1997. None of the methodologies adopted for tool construction considered end users or client perspectives and, when carried out, the validations of the tools were fragmented and often based on specific populations. Conclusion: This study may be a starting point for the construction of a new diagnostic tool for ON. Starting from the methodological weaknesses identified by this review, it was possible to derive some suggestions for future research: (a) developing a modern re-conceptualization of ON, comprehensive of end-user perspectives; (b) adopting qualitative data collection techniques to gain insights into how to diagnose ON; and (c) actively involving diverse stakeholders for constructing a new tool. Level of evidence: Level of Evidence: I, systematic review.",
keywords = "Assessment, Diagnosis, Eating behavior, Orthorexia nervosa, Psychometrics",
author = "Martina Valente and Syurina, {Elena V.} and Donini, {Lorenzo Maria}",
year = "2019",
month = "1",
day = "1",
doi = "10.1007/s40519-019-00735-3",
language = "English",
journal = "Eating and weight disorders : EWD",
issn = "1124-4909",
publisher = "Editrice Kurtis s.r.l.",

}

Shedding light upon various tools to assess orthorexia nervosa : a critical literature review with a systematic search. / Valente, Martina; Syurina, Elena V.; Donini, Lorenzo Maria.

In: Eating and Weight Disorders, 01.01.2019.

Research output: Contribution to JournalReview articleAcademicpeer-review

TY - JOUR

T1 - Shedding light upon various tools to assess orthorexia nervosa

T2 - a critical literature review with a systematic search

AU - Valente, Martina

AU - Syurina, Elena V.

AU - Donini, Lorenzo Maria

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Aim: The aim of this literature review was to identify the tools developed and used to assess orthorexia nervosa (ON). Methods: A systematic search was executed in PubMed, Biomed Central, and PsycINFO. The final list included 70 articles that were critically analyzed. Results: A total of six tools were reported to assess ON: the BOT, the ORTO-15, the EHQ, the DOS, the BOS, and the TOS. The tools were based upon different conceptualizations of ON and of its diagnostic criteria. Although they were different, all the conceptualizations derived from the initial definition of ON provided by Bratman in 1997. None of the methodologies adopted for tool construction considered end users or client perspectives and, when carried out, the validations of the tools were fragmented and often based on specific populations. Conclusion: This study may be a starting point for the construction of a new diagnostic tool for ON. Starting from the methodological weaknesses identified by this review, it was possible to derive some suggestions for future research: (a) developing a modern re-conceptualization of ON, comprehensive of end-user perspectives; (b) adopting qualitative data collection techniques to gain insights into how to diagnose ON; and (c) actively involving diverse stakeholders for constructing a new tool. Level of evidence: Level of Evidence: I, systematic review.

AB - Aim: The aim of this literature review was to identify the tools developed and used to assess orthorexia nervosa (ON). Methods: A systematic search was executed in PubMed, Biomed Central, and PsycINFO. The final list included 70 articles that were critically analyzed. Results: A total of six tools were reported to assess ON: the BOT, the ORTO-15, the EHQ, the DOS, the BOS, and the TOS. The tools were based upon different conceptualizations of ON and of its diagnostic criteria. Although they were different, all the conceptualizations derived from the initial definition of ON provided by Bratman in 1997. None of the methodologies adopted for tool construction considered end users or client perspectives and, when carried out, the validations of the tools were fragmented and often based on specific populations. Conclusion: This study may be a starting point for the construction of a new diagnostic tool for ON. Starting from the methodological weaknesses identified by this review, it was possible to derive some suggestions for future research: (a) developing a modern re-conceptualization of ON, comprehensive of end-user perspectives; (b) adopting qualitative data collection techniques to gain insights into how to diagnose ON; and (c) actively involving diverse stakeholders for constructing a new tool. Level of evidence: Level of Evidence: I, systematic review.

KW - Assessment

KW - Diagnosis

KW - Eating behavior

KW - Orthorexia nervosa

KW - Psychometrics

UR - http://www.scopus.com/inward/record.url?scp=85068170243&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85068170243&partnerID=8YFLogxK

U2 - 10.1007/s40519-019-00735-3

DO - 10.1007/s40519-019-00735-3

M3 - Review article

JO - Eating and weight disorders : EWD

JF - Eating and weight disorders : EWD

SN - 1124-4909

ER -