Orthorexia nervosa among Tunisian medical students: Relationships with self-esteem and stress

Q4 Psychology
R. Masmoudi, Mariem Abdelkefi, S. Hentati, R. Jbir, Jawaher Masmoudi
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Abstract

This study aimed to determine the prevalence of orthorexia nervosa (ON) in a sample of medical students and to examine the relationship between ON, self-esteem, and perceived stress. A cross-sectional study was conducted through an online survey among medical students of the Faculty of Medicine of Sfax (Tunisia). Participants completed an anonymous self-administered questionnaire. We collected their sociodemographic and clinical data. ON was assessed using the self-reported scale, ORTO-15. We used the Rosenberg’s Self-Esteem Scale and Cohen’s Perceived Stress Scale (PSS) to assess self-esteem and the level of perceived stress, respectively. Ninety-five medical students (75 [78.9%] females and 20 [21.1%] males) were included in the study. The mean age was 25.9 ± 3.3 years. A history of psychiatric disorders was reported by 17 (17.9%) of participants, 26 (27.4%) tried to control their weight, and 39 (41.1%) were physically active. We found a tendency for ON in 49 (51.6%) participants. The mean scores were 39.19 ± 4.48 for the ORTHO-15 scale, 29.74 ± 6.59 for the Self-Esteem Scale, and 21.25 ± 6.79 for the PSS. Orthorexia was significantly correlated with the use of weight control methods (P = 0.03), physical activity (P = 0.04), and history of psychiatric disorders (P = 0.04). Neither self-esteem (P = 0.1) nor the level of perceived stress (P = 0.5) was associated with ON. Our study found a high prevalence of orthorexic behaviors in medical students. No association was found between ON and self-esteem and perceived stress. Further clinical and longitudinal studies are needed to identify the risk factors of ON.
突尼斯医科学生中的神经性厌食症:与自尊和压力的关系
本研究旨在确定神经性厌食症(ON)在医学生样本中的患病率,并研究ON、自尊和感知压力之间的关系。 本研究通过在线调查对突尼斯斯法克斯医学院的医学生进行了横断面研究。参与者填写了一份匿名自填问卷。我们收集了他们的社会人口学和临床数据。我们使用自我报告量表ORTO-15对ON进行了评估。我们使用罗森伯格自尊量表(Rosenberg's Self-Esteem Scale)和科恩压力认知量表(Cohen's Perceived Stress Scale,PSS)分别评估自尊和压力认知水平。 研究共纳入了 95 名医科学生(75 名女性 [78.9%] 和 20 名男性 [21.1%])。平均年龄为 25.9 ± 3.3 岁。17人(17.9%)有精神病史,26人(27.4%)试图控制体重,39人(41.1%)积极参加体育锻炼。我们发现 49 名参与者(51.6%)有 ON 倾向。ORTHO-15量表的平均得分是(39.19 ± 4.48)分,自尊量表的平均得分是(29.74 ± 6.59)分,PSS的平均得分是(21.25 ± 6.79)分。厌食症与使用体重控制方法(P = 0.03)、体育锻炼(P = 0.04)和精神病史(P = 0.04)明显相关。自尊(P = 0.1)和感知到的压力水平(P = 0.5)均与ON无关。 我们的研究发现,在医学生中,正视性行为的发生率很高。我们没有发现 "矫形焦虑 "与自尊和感知压力之间存在关联。需要进一步开展临床和纵向研究,以确定ON的风险因素。
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来源期刊
Archives of Mental Health
Archives of Mental Health Psychology-Clinical Psychology
CiteScore
0.30
自引率
0.00%
发文量
19
审稿时长
20 weeks
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