{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T07:22:06Z","timestamp":1790234526259,"version":"4.1.0"},"reference-count":43,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,3,28]],"date-time":"2017-03-28T00:00:00Z","timestamp":1490659200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>A pattern of disordered eating involving a pathological fixation with healthy food consumption, labeled orthorexia nervosa (ON), has recently generated attention; however, research has not yet investigated perceptions of ON\u2010related behaviors. This study examined potential stigmatization of ON, compared with <jats:italic>DSM\u20105<\/jats:italic> ED diagnoses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Participants (<jats:italic>N<\/jats:italic>\u2009=\u2009505) were randomly assigned to read a vignette depicting a woman with anorexia nervosa (AN), bulimia nervosa (BN), binge\u2010eating disorder (BED), or ON. They then answered questions about the individual depicted in the vignette. A series of MANOVAs investigated whether opinions and beliefs about the person depicted varied as a function of the disorder described in the vignette.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Individuals with ON were perceived as less likely to \u201cimprove with treatment\u201d than individuals with BN, and less likely to \u201cpull themselves together,\u201d than individuals with BED. Individuals with ON and AN were viewed as \u201chard[er] to talk to\u201d and more of a \u201cdanger to others\u201d compared with individuals with BED. ON was viewed as less distressing, less likely to evoke sympathy, and more acceptable than the other disorders. Finally, \u201cpoor living choices\u201d were perceived as contributing more substantially to ON. Participants' attributions of various personality characteristics did not differ based on ED diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Results suggest that ON is viewed as less severe, more desirable, and more often the result of personal life choices. However, findings also imply that ON is associated with stigma, similar to <jats:italic>DSM\u20105<\/jats:italic> EDs. These negative attitudes might reinforce ON behaviors, and limit awareness of their potential complications.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22710","type":"journal-article","created":{"date-parts":[[2017,3,28]],"date-time":"2017-03-28T17:27:21Z","timestamp":1490722041000},"page":"781-792","source":"Crossref","is-referenced-by-count":55,"title":["Attitudes toward orthorexia nervosa relative to <i>DSM<\/i>\u2010<i>5<\/i> eating disorders"],"prefix":"10.1002","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3320-4512","authenticated-orcid":false,"given":"Courtney C.","family":"Simpson","sequence":"first","affiliation":[{"name":"Department of Psychology Virginia Commonwealth University Richmond VA 23284\u20102018"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne E.","family":"Mazzeo","sequence":"additional","affiliation":[{"name":"Department of Psychology Virginia Commonwealth University Richmond VA 23284\u20102018"},{"name":"Department of 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