{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T04:17:07Z","timestamp":1783484227779,"version":"3.55.0"},"reference-count":57,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Individuals with high levels of orthorexic eating behavior (OEB) show a (pathological) fixation on healthy eating. Shared characteristics of OEB with individuals with anorexia nervosa (AN) raised debate over whether orthorexia nervosa constitutes a distinct disorder. Distinctions may lie in preference for and approach behavior toward foods differing in calorie content and healthiness. We expected reduced liking and weaker approach biases in AN and OEB compared with controls; specifically for high\u2010caloric foods in AN and for unhealthy foods in OEB.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Thirty\u2010five self\u2010reported AN, forty non\u2010AN individuals who scored &gt;\u200930 on the D\u00fcsseldorf Orthorexia Scale (OEB), and 101 individuals with no eating disorder history (controls) completed liking ratings and an Approach\u2010Avoidance Task with food stimuli varying in calorie content (high vs. low) and, for high\u2010calorie items, healthiness (healthy vs. unhealthy).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared to controls, AN reported lower liking for all high\u2010caloric foods, while OEB reported lower liking only for high\u2010caloric,\n                      <jats:italic>unhealthy<\/jats:italic>\n                      foods. Accordingly, OEB also liked high\u2010caloric healthy foods more than AN. AN showed weaker approach bias than controls (mainly driven by high\u2010caloric unhealthy foods). OEB descriptively lay between both other groups, with no significant differences in approach bias to either.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Explicit liking ratings distinguished AN from OEB aligning with their respective motivation to reduce high\u2010caloric versus unhealthy food intake. Reduced approach bias was specific to AN, possibly reflecting rapid engagement of approach\u2010avoidance responses to easy\u2010to\u2010categorize high\u2010caloric unhealthy foods. Contrary, health\u2010focused processing in OEB may require slower deliberations that are not captured by approach\u2010avoidance tasks.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70162","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T04:11:15Z","timestamp":1783483875000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Restrict for Health or for Thinness? Liking but Not Approach Bias Differentiates Orthorexic Eating Behavior From Anorexia Nervosa in Responses to High\u2010Caloric Healthy vs. High\u2010Caloric Unhealthy Foods"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3044-1486","authenticated-orcid":false,"given":"Hannah","family":"van Alebeek","sequence":"first","affiliation":[{"name":"Department of Psychology, Centre for Cognitive Neuroscience Paris Lodron University of Salzburg  Salzburg Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0114-5378","authenticated-orcid":false,"given":"Mareike","family":"R\u00f6ttger","sequence":"additional","affiliation":[{"name":"Department of Psychology, Centre for Cognitive Neuroscience Paris Lodron University of Salzburg  Salzburg Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0077-508X","authenticated-orcid":false,"given":"Jana","family":"Strahler","sequence":"additional","affiliation":[{"name":"Sportpsychology, Department of Sport and Sport Science University of Freiburg  Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2785-7376","authenticated-orcid":false,"given":"Katharina","family":"Eichin","sequence":"additional","affiliation":[{"name":"Department of Psychology Johannes Kepler University  Linz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-1906-3592","authenticated-orcid":false,"given":"Isabella","family":"Forwick","sequence":"additional","affiliation":[{"name":"Department of Psychology, Centre for Cognitive Neuroscience Paris Lodron University of Salzburg  Salzburg Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3820-109X","authenticated-orcid":false,"given":"Jens","family":"Blechert","sequence":"additional","affiliation":[{"name":"Department of Psychology, Centre for Cognitive Neuroscience Paris Lodron University of Salzburg  Salzburg Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0261-3145","authenticated-orcid":false,"given":"Ulrich","family":"Voderholzer","sequence":"additional","affiliation":[{"name":"Schoen Clinic Roseneck  Prien Germany"},{"name":"Department of Psychiatry and Psychotherapy University Hospital, Ludwig Maximilian University Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4982-410X","authenticated-orcid":false,"given":"Julia","family":"Reichenberger","sequence":"additional","affiliation":[{"name":"Department of Psychology, Centre for Cognitive 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