13th International Congress on Psychopharmacology & International Symposium on Child and Adolescent Psychopharmacology (ICP 2022), Antalya, Türkiye, 9 - 12 Kasım 2022, ss.73
OBJECTIVE: Orthorexic tendencies are increasingly prevalent among children and
adolescents 1. This study set out to investigate the reliability and validity of the Turkish version
of the Orthorexia Nervosa Inventory (ONI) in a clinical adolescent sample.
METHODS: 266 adolescents aged 12-18 years, who applied to the Department of Child and
Adolescents Psychiatry at Karadeniz Technical University Hospital were included in the study.
Participants completed sociodemographic data form, Orthorexia Nervosa Inventory (ONI),
Eating Attitude Test, Revised Child Anxiety and Depression Scale-Child Version and ORTO15 scales. Ethical approval was granted by the hosting agency’s ethics committee.
RESULTS: The Cronbach’s alpha coefficient for the ONI reached 0.92, indicating very good
internal consistency. Total factor scores and Cronbach alpha values for behaviors, impairments,
and emotions were found to be 0.84, 0.84, and 0.83, respectively. The CFA
performed supported the three-factor structure of the ONI obtained in the first sample. The
minimum discrepancy per degree of freedom = 1.89 and the model generally fit well to the
structure (RMSEA = 0.058, SRMR = 0.033, CFI = 0.92, TLI = 0.91). There was a statistically
significant difference between the subscales of ONI which are emotions and impairments in
terms of gender (p = 0.001 and p= 0.035) but there was no statistically significant difference
between the total ONI scores according to gender (p = 0.093).
CONCLUSION: This study has shown that the Turkish version of the ONI is a valid and
reliable scale for specifying the tendency for Orthorexia Nervosa in a Turkish adolescent
population. ONI is the first orthorexia scale that includes items assessing physical impairments
that represents an important component of the disorder 2. These findings contribute in several
ways to our understanding of orthorexic tendencies and provide a basis for more concrete
research data that can be obtained by using the ONI, which is a reliable scale in studies to be
conducted among adolescents.