{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T01:11:42Z","timestamp":1790385102041,"version":"4.1.0"},"reference-count":71,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T00:00:00Z","timestamp":1769990400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Acta Psychologica"],"published-print":{"date-parts":[[2026,4]]},"DOI":"10.1016\/j.actpsy.2026.106387","type":"journal-article","created":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T14:53:01Z","timestamp":1770389581000},"page":"106387","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"special_numbering":"C","title":["Eating clean, feeling broken: A qualitative meta-synthesis of the lived experience of orthorexia nervosa"],"prefix":"10.1016","volume":"264","author":[{"given":"Panagiota","family":"Tragantzopoulou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vaitsa","family":"Giannouli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Zachariadou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.actpsy.2026.106387_bb0005","doi-asserted-by":"crossref","first-page":"15","DOI":"10.3390\/healthcare13010015","article-title":"Opening Pandora\u2019s box: Exploring body image perceptions and influencing factors in women\u2014An interpretative phenomenological analysis","volume":"13","author":"Adamidou","year":"2025","journal-title":"Healthcare"},{"issue":"1","key":"10.1016\/j.actpsy.2026.106387_bb0010","doi-asserted-by":"crossref","first-page":"268","DOI":"10.11591\/ijphs.v13i1.23513","article-title":"The relationship of body mass index, diet, and eating pattern with orthorexia nervosa amongst medical students","volume":"13","author":"Adiningsih","year":"2024","journal-title":"International Journal of Public Health Science"},{"issue":"5","key":"10.1016\/j.actpsy.2026.106387_bb0015","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1177\/10398562211010796","article-title":"Recovery from anorexia nervosa: The influence of women\u2019s sociocultural milieux","volume":"29","author":"Allison","year":"2021","journal-title":"Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists"},{"key":"10.1016\/j.actpsy.2026.106387_bb0020","series-title":"American Psychiatric Association. Diagnostic and and statistical manual of mental disorders","author":"APA","year":"2013"},{"issue":"2","key":"10.1016\/j.actpsy.2026.106387_bb0025","doi-asserted-by":"crossref","first-page":"283","DOI":"10.6018\/analesps.34.2.299671","article-title":"Bidimensional structure of the orthorexia: Development and initial validation of a new instrument","volume":"34","author":"Barrada","year":"2018","journal-title":"Anales de Psicolog\u00eda (Murcia, Spain)"},{"issue":"8","key":"10.1016\/j.actpsy.2026.106387_bb0030","doi-asserted-by":"crossref","first-page":"1161","DOI":"10.1177\/1049732318825153","article-title":"Public expressions of trust and distrust in governmental dietary advice in Sweden","volume":"29","author":"Bergman","year":"2019","journal-title":"Qualitative Health Research"},{"key":"10.1016\/j.actpsy.2026.106387_bb0035","doi-asserted-by":"crossref","DOI":"10.1016\/j.appet.2021.105869","article-title":"Cultural shifts in the symptoms of anorexia nervosa: The case of orthorexia nervosa","volume":"170","author":"Bhattacharya","year":"2022","journal-title":"Appetite"},{"issue":"4","key":"10.1016\/j.actpsy.2026.106387_bb0040","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1002\/eat.22244","article-title":"A content analysis of healthy living blogs: Evidence of content thematically consistent with dysfunctional eating attitudes and behaviors: A content analysis of healthy living blogs","volume":"47","author":"Boepple","year":"2014","journal-title":"The International Journal of Eating Disorders"},{"key":"10.1016\/j.actpsy.2026.106387_bb0045","series-title":"Health food junkies: Overcoming the obsession with healthful eating","author":"Bratman","year":"2000"},{"issue":"3","key":"10.1016\/j.actpsy.2026.106387_bb0050","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1007\/s40519-017-0417-6","article-title":"Orthorexia vs. theories of healthy eating","volume":"22","author":"Bratman","year":"2017","journal-title":"Eating and Weight Disorders"},{"issue":"2","key":"10.1016\/j.actpsy.2026.106387_bb0060","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1007\/s40519-018-0606-y","article-title":"Definition and diagnostic criteria for orthorexia nervosa: A narrative review of the literature","volume":"24","author":"Cena","year":"2019","journal-title":"Eating and Weight Disorders: Studies on Anorexia, Bulimia and Obesity"},{"key":"10.1016\/j.actpsy.2026.106387_bb0065","doi-asserted-by":"crossref","DOI":"10.1016\/j.appet.2020.104798","article-title":"What are the key features of orthorexia nervosa and influences on its development? A qualitative investigation","volume":"155","author":"Cheshire","year":"2020","journal-title":"Appetite"},{"issue":"5","key":"10.1016\/j.actpsy.2026.106387_bb0070","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1080\/2159676X.2018.1464501","article-title":"\u2018Wellness\u2019 lifts us above the Food Chaos\u2019: A narrative exploration of the experiences and conceptualisations of Orthorexia Nervosa through online social media forums","volume":"10","author":"Cinquegrani","year":"2018","journal-title":"Qualitative Research in Sport, Exercise and Health"},{"key":"10.1016\/j.actpsy.2026.106387_bb0075","series-title":"Troubled persons industries: The expansion of psychiatric categories beyond psychiatry","first-page":"129","article-title":"Psychiatric expansion and the rise of workplace mental health initiatives","author":"Cohen","year":"2022"},{"issue":"3","key":"10.1016\/j.actpsy.2026.106387_bb0080","doi-asserted-by":"crossref","first-page":"365","DOI":"10.2190\/3H2H-3XJN-3KAY-G9NY","article-title":"Healthism and the medicalization of everyday life","volume":"10","author":"Crawford","year":"1980","journal-title":"International Journal of Health Services"},{"issue":"4","key":"10.1016\/j.actpsy.2026.106387_bb0085","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1177\/1363459306067310","article-title":"Health as a meaningful social practice","volume":"10","author":"Crawford","year":"2006","journal-title":"Health (London, England: 1997)"},{"issue":"6","key":"10.1016\/j.actpsy.2026.106387_bb0090","doi-asserted-by":"crossref","first-page":"1963","DOI":"10.1007\/s40519-020-01049-5","article-title":"Misinformation, thin-ideal internalization, and resistance to treatment: An interpretive phenomenological analysis of the experience of orthorexia nervosa","volume":"26","author":"DeBois","year":"2021","journal-title":"Eating and Weight Disorders: EWD"},{"issue":"3","key":"10.1016\/j.actpsy.2026.106387_bb0095","doi-asserted-by":"crossref","first-page":"697","DOI":"10.3390\/nu11030697","article-title":"Are the motives for food choices different in orthorexia nervosa and healthy orthorexia?","volume":"11","author":"Depa","year":"2019","journal-title":"Nutrients"},{"issue":"2","key":"10.1016\/j.actpsy.2026.106387_bb0100","doi-asserted-by":"crossref","first-page":"270","DOI":"10.5195\/jmla.2022.1271","article-title":"NVivo","volume":"110","author":"Dhakal","year":"2022","journal-title":"Journal of the Medical Library Association: JMLA"},{"key":"10.1016\/j.actpsy.2026.106387_bb1000","series-title":"Obesity, eating disorders and the media","first-page":"49","article-title":"Invisible fat: The aes- thetics of food and the body","author":"Donghi","year":"2014"},{"issue":"8","key":"10.1016\/j.actpsy.2026.106387_bb0105","doi-asserted-by":"crossref","first-page":"3695","DOI":"10.1007\/s40519-022-01512-5","article-title":"A consensus document on definition and diagnostic criteria for orthorexia nervosa","volume":"27","author":"Donini","year":"2022","journal-title":"Eating and Weight Disorders: EWD"},{"key":"10.1016\/j.actpsy.2026.106387_bb0110","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.eatbeh.2015.12.006","article-title":"On orthorexia nervosa: A review of the literature and proposed diagnostic criteria","volume":"21","author":"Dunn","year":"2016","journal-title":"Eating Behaviors: An International Journal"},{"issue":"10","key":"10.1016\/j.actpsy.2026.106387_bb0115","doi-asserted-by":"crossref","first-page":"8478","DOI":"10.3390\/nu7105409","article-title":"Is healthier nutrition behaviour associated with better self-reported health and less health complaints? Evidence from Turku, Finland","volume":"7","author":"El Ansari","year":"2015","journal-title":"Nutrients"},{"issue":"7","key":"10.1016\/j.actpsy.2026.106387_bb0120","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1177\/1049732320911364","article-title":"The social construction of a concept\u2014Orthorexia nervosa: Morality narratives and psycho-politics","volume":"30","author":"Fixsen","year":"2020","journal-title":"Qualitative Health Research"},{"key":"10.1016\/j.actpsy.2026.106387_bb0125","series-title":"Zur Gesellschaft der verletzten Seelen","first-page":"289","article-title":"Orthorexia nervosa: The emergence of a psychiatric illness. Lay people and professionals\u2019 constructions of extreme healthy eating","author":"Fixsen","year":"2025"},{"key":"10.1016\/j.actpsy.2026.106387_bb0130","article-title":"Paradoxical bio-citizenship: Examining healthy eating from lay and professional perspectives","volume":"118","author":"Fixsen","year":"2025","journal-title":"Social Science & Medicine"},{"issue":"3","key":"10.1016\/j.actpsy.2026.106387_bb0135","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1007\/s40519-015-0242-8","article-title":"Experiences of using pro-eating disorder websites: A qualitative study with service users in NHS eating disorder services","volume":"21","author":"Gale","year":"2016","journal-title":"Eating and Weight Disorders"},{"issue":"6","key":"10.1016\/j.actpsy.2026.106387_bb0140","doi-asserted-by":"crossref","first-page":"1693","DOI":"10.1007\/s40519-019-00809-2","article-title":"What are people\u2019s experiences of orthorexia nervosa? A qualitative study of online blogs","volume":"25","author":"Greville-Harris","year":"2020","journal-title":"Eating and Weight Disorders"},{"issue":"8","key":"10.1016\/j.actpsy.2026.106387_bb0145","doi-asserted-by":"crossref","first-page":"3135","DOI":"10.1007\/s40519-022-01443-1","article-title":"Conceptualisations of health in orthorexia nervosa: A mixed-methods study","volume":"27","author":"Greville-Harris","year":"2022","journal-title":"Eating and Weight Disorders"},{"issue":"1","key":"10.1016\/j.actpsy.2026.106387_bb0150","doi-asserted-by":"crossref","DOI":"10.3402\/qhw.v10.26799","article-title":"Orthorexia nervosa: An integrative literature review of a lifestyle syndrome","volume":"10","author":"H\u00e5man","year":"2015","journal-title":"International Journal of Qualitative Studies on Health and Well-Being"},{"key":"10.1016\/j.actpsy.2026.106387_bb0155","doi-asserted-by":"crossref","DOI":"10.1016\/j.actpsy.2024.104362","article-title":"The use of food barcode scanner app among women: Associations with orthorexia, diet and emotions","volume":"248","author":"Hanras","year":"2024","journal-title":"Acta Psychologica"},{"issue":"2","key":"10.1016\/j.actpsy.2026.106387_bb0160","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/j.wsif.2006.03.007","article-title":"The mass marketing of disordered eating and Eating Disorders: The social psychology of women, thinness and culture","volume":"29","author":"Hesse-Biber","year":"2006","journal-title":"Women\u2019s Studies International Forum"},{"key":"10.1016\/j.actpsy.2026.106387_bb0165","doi-asserted-by":"crossref","first-page":"385","DOI":"10.2147\/NDT.S61665","article-title":"The clinical basis of orthorexia nervosa: Emerging perspectives","volume":"11","author":"Koven","year":"2015","journal-title":"Neuropsychiatric Disease and Treatment"},{"key":"10.1016\/j.actpsy.2026.106387_bb0170","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.appet.2022.105938","article-title":"\u201cThat's just healthy eating in my opinion\u201d\u2014Balancing understandings of health and \u2018orthorexic\u2019 dietary and exercise practices","volume":"171","author":"Lewthwaite","year":"2022","journal-title":"Appetite"},{"issue":"2","key":"10.1016\/j.actpsy.2026.106387_bb0175","doi-asserted-by":"crossref","first-page":"371","DOI":"10.12740\/PP\/OnlineFirst\/85729","article-title":"Orthorexia nervosa-a separate clinical entity, a part of eating disorder spectrum or another manifestation of obsessive-compulsive disorder? Dr. Jadwiga Titz-Kosko Regional Hospital for Rheumatic Diseases in Sopot","volume":"53","author":"\u0141ucka","year":"2019","journal-title":"Psychiatria Polska"},{"key":"10.1016\/j.actpsy.2026.106387_bb0180","series-title":"Risk","author":"Lupton","year":"2013"},{"issue":"3","key":"10.1016\/j.actpsy.2026.106387_bb0185","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1177\/1363459309356073","article-title":"Nutritional health, subjectivity and resistance: Women\u2019s accounts of dietary practices","volume":"14","author":"Madden","year":"2010","journal-title":"Health (London, England: 1997)"},{"issue":"3","key":"10.1016\/j.actpsy.2026.106387_bb0190","doi-asserted-by":"crossref","DOI":"10.1016\/j.heliyon.2025.e42254","article-title":"Orthorexia nervosa: Healthy habit or pathology? Experiences and expansion of the consciousness of the correct diet","volume":"11","author":"Mateo-Mart\u00ednez","year":"2025","journal-title":"Heliyon"},{"issue":"5","key":"10.1016\/j.actpsy.2026.106387_bb0195","doi-asserted-by":"crossref","first-page":"1375","DOI":"10.1007\/s40519-020-00928-1","article-title":"The experience of orthorexia from the perspective of recovered orthorexics","volume":"26","author":"McGovern","year":"2020","journal-title":"Eating and Weight Disorders"},{"key":"10.1016\/j.actpsy.2026.106387_bb0200","doi-asserted-by":"crossref","first-page":"685545","DOI":"10.3389\/fpsyg.2021.685545","article-title":"Using behavioural reasoning theory to explore reasons for dietary restriction: A qualitative study of orthorexic behavioural tendencies in the UK","volume":"12","author":"Mitrofanova","year":"2021","journal-title":"Frontiers in Psychology"},{"key":"10.1016\/j.actpsy.2026.106387_bb2000","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.b2535","article-title":"Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement","volume":"339","author":"Moher","year":"2009","journal-title":"BMJ"},{"issue":"4","key":"10.1016\/j.actpsy.2026.106387_bb0205","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1016\/j.psym.2014.03.003","article-title":"Microthinking about micronutrients: A case of transition from obsessions about healthy eating to near-fatal \u201corthorexia nervosa\u201d and proposed diagnostic criteria","volume":"56","author":"Moroze","year":"2015","journal-title":"Psychosomatics"},{"issue":"5","key":"10.1016\/j.actpsy.2026.106387_bb0210","doi-asserted-by":"crossref","DOI":"10.5817\/CP2022-5-6","article-title":"Understanding perceived characteristics and causes of orthorexia nervosa in online communities\u2014A Reddit analysis","volume":"16","author":"Opitz","year":"2022","journal-title":"Cyberpsychology: Journal of Psychosocial Research on Cyberspace"},{"key":"10.1016\/j.actpsy.2026.106387_bb0215","article-title":"When Healthy Eating Calls for Treatment","author":"Reddy","year":"2014","journal-title":"The Wall Street Journal"},{"key":"10.1016\/j.actpsy.2026.106387_bb0220","doi-asserted-by":"crossref","DOI":"10.1016\/j.appet.2025.107975","article-title":"What role do orthorectic beliefs play in orthorexia nervosa and healthy orthorexia? Development and validation of the Orthorexia Beliefs Scale (OBS)","volume":"210","author":"Roncero","year":"2025","journal-title":"Appetite"},{"key":"10.1016\/j.actpsy.2026.106387_bb0225","series-title":"Handbook for synthesizing qualitative research","author":"Sandelowski","year":"2006"},{"key":"10.1016\/j.actpsy.2026.106387_bb0230","series-title":"Reviewing research evidence for nursing practice","first-page":"88","article-title":"From meta-synthesis to method: Appraising the qualitative research synthesis report","author":"Sandelowski","year":"2007"},{"issue":"2","key":"10.1016\/j.actpsy.2026.106387_bb0235","first-page":"24","article-title":"Striving for the perfect diet is making us sick","volume":"286","author":"Schwartz","year":"2015","journal-title":"Popular Science"},{"issue":"2","key":"10.1016\/j.actpsy.2026.106387_bb0240","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1007\/s40519-014-0171-y","article-title":"The prevalence of orthorexia nervosa among eating disorder patients after treatment","volume":"20","author":"Segura-Garcia","year":"2014","journal-title":"Eating and Weight Disorders"},{"issue":"5","key":"10.1016\/j.actpsy.2026.106387_bb0245","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1080\/10410236.2016.1140273","article-title":"Skinny is not enough: A content analysis of fitspiration on Pinterest","volume":"32","author":"Simpson","year":"2016","journal-title":"Health Communication"},{"key":"10.1016\/j.actpsy.2026.106387_bb0250","doi-asserted-by":"crossref","DOI":"10.3389\/fnut.2022.817047","article-title":"Psychological correlates of excessive healthy and orthorexic eating: Emotion regulation, attachment, and anxious-depressive-stress symptomatology","volume":"9","author":"Strahler","year":"2022","journal-title":"Frontiers in Nutrition"},{"issue":"1","key":"10.1016\/j.actpsy.2026.106387_bb0255","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1007\/s40519-023-01554-3","article-title":"\u201cYour struggles are valid, you are worthy of help and you deserve to recover\u201d: Narratives of recovery from orthorexia nervosa","volume":"28","author":"Talbot","year":"2023","journal-title":"Eating and Weight Disorders: EWD"},{"issue":"10","key":"10.1016\/j.actpsy.2026.106387_bb0260","doi-asserted-by":"crossref","first-page":"1342","DOI":"10.1177\/1049732304269888","article-title":"Qualitative metasynthesis: Reflections on methodological orientation and ideological agenda","volume":"14","author":"Thorne","year":"2004","journal-title":"Qualitative Health Research"},{"key":"10.1016\/j.actpsy.2026.106387_bb0265","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1186\/1471-2288-12-181","article-title":"Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ","volume":"12","author":"Tong","year":"2012","journal-title":"BMC Medical Research Methodology"},{"key":"10.1016\/j.actpsy.2026.106387_bb0270","first-page":"12","article-title":"The long-lasting cycle of transformations in eating habits and the emergence of orthorexia nervosa: COVID-19 implications and future challenges","author":"Tragantzopoulou","year":"2021","journal-title":"Sention Journal"},{"issue":"2","key":"10.1016\/j.actpsy.2026.106387_bb0275","doi-asserted-by":"crossref","first-page":"44","DOI":"10.3390\/obesities5020044","article-title":"Hyper-visible yet invisible: Exploring the body image experiences of overweight women in everyday life","volume":"5","author":"Tragantzopoulou","year":"2025","journal-title":"Obesities"},{"key":"10.1016\/j.actpsy.2026.106387_bb0280","doi-asserted-by":"crossref","DOI":"10.1177\/10497323241238628","article-title":"\u201cYou are not alone, we\u2019ve got you\u201d: Power plays, devotion, and punishment on healthy eating and pro-eating disorder websites","author":"Tragantzopoulou","year":"2024","journal-title":"Qualitative Health Research"},{"key":"10.1016\/j.actpsy.2026.106387_bb0285","doi-asserted-by":"crossref","first-page":"19","DOI":"10.26758\/10.1.3","article-title":"Eating disorders and body image disturbance among males and females: From the perspective of six therapists with different therapeutic orientations","volume":"10","author":"Tragantzopoulou","year":"2020","journal-title":"Anthropological Research Studies"},{"issue":"3","key":"10.1016\/j.actpsy.2026.106387_bb0290","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1080\/13642537.2023.2278088","article-title":"\u201cYou feel that you are stepping into a different world\u201d: Vulnerability and biases in the treatment of anorexia nervosa","volume":"25","author":"Tragantzopoulou","year":"2023","journal-title":"European Journal of Psychotherapy & Counselling"},{"issue":"9","key":"10.1016\/j.actpsy.2026.106387_bb0295","doi-asserted-by":"crossref","first-page":"925","DOI":"10.3390\/healthcare12090925","article-title":"Unveiling anxiety factors in orthorexia nervosa: A qualitative exploration of fears and coping strategies","volume":"12","author":"Tragantzopoulou","year":"2024","journal-title":"Healthcare"},{"issue":"2","key":"10.1016\/j.actpsy.2026.106387_bb0300","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1177\/22840265241312516","article-title":"Seeking support and treatment: A thematic analysis of tweets about the experience of endometriosis","volume":"17","author":"Tragantzopoulou","year":"2025","journal-title":"Journal of Endometriosis and Pelvic Pain Disorders"},{"issue":"22","key":"10.1016\/j.actpsy.2026.106387_bb0305","doi-asserted-by":"crossref","first-page":"2306","DOI":"10.3390\/healthcare12222306","article-title":"The battle within: A qualitative meta-synthesis of the experience of the eating disorder voice","volume":"12","author":"Tragantzopoulou","year":"2024","journal-title":"Healthcare"},{"key":"10.1016\/j.actpsy.2026.106387_bb0310","doi-asserted-by":"crossref","DOI":"10.1016\/j.appet.2020.104840","article-title":"\u201cAnd it snowballed from there\u201d: The development of orthorexia nervosa from the perspective of people who self-diagnose","volume":"155","author":"Valente","year":"2020","journal-title":"Appetite"},{"issue":"6","key":"10.1016\/j.actpsy.2026.106387_bb0315","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1080\/03670244.2020.1755279","article-title":"\u201cKeep yourself alive\u201d: From healthy eating to progression to orthorexia nervosa a mixed methods study among young women in the Netherlands","volume":"59","author":"Valente","year":"2020","journal-title":"Ecology of Food and Nutrition"},{"issue":"2","key":"10.1016\/j.actpsy.2026.106387_bb0320","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1080\/10640266.2011.551634","article-title":"Media hype, diagnostic fad or genuine disorder? Professionals\u2019 opinions about night eating syndrome, orthorexia, muscle dysmorphia, and emetophobia","volume":"19","author":"Vandereycken","year":"2011","journal-title":"Eating Disorders"},{"issue":"2","key":"10.1016\/j.actpsy.2026.106387_bb0325","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1007\/s40519-013-0026-y","article-title":"Evidence and gaps in the literature on orthorexia nervosa","volume":"18","author":"Varga","year":"2013","journal-title":"Eating and Weight Disorders"},{"key":"10.1016\/j.actpsy.2026.106387_bb0330","doi-asserted-by":"crossref","DOI":"10.1016\/j.appet.2021.105168","article-title":"A qualitative investigation of Orthorexia Nervosa among U.S. college students: Characteristics and sociocultural influences","volume":"162","author":"White","year":"2021","journal-title":"Appetite"},{"key":"10.1016\/j.actpsy.2026.106387_bb0335","author":"World Health Organization"},{"issue":"10","key":"10.1016\/j.actpsy.2026.106387_bb0340","doi-asserted-by":"crossref","first-page":"1347","DOI":"10.1177\/1049732315570123","article-title":"Online stigma resistance in the pro-ana community","volume":"25","author":"Yeshua-Katz","year":"2015","journal-title":"Qualitative Health Research"},{"issue":"5","key":"10.1016\/j.actpsy.2026.106387_bb0345","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1080\/10410236.2012.699889","article-title":"Communicating stigma: The pro-ana paradox","volume":"28","author":"Yeshua-Katz","year":"2013","journal-title":"Health Communication"},{"key":"10.1016\/j.actpsy.2026.106387_bb0350","first-page":"1","article-title":"Orthorexia nervosa vs. healthy orthorexia: Relationships with disordered eating, eating behavior, and healthy lifestyle choices","author":"Zickgraf","year":"2021","journal-title":"Eating and Weight Disorders"}],"container-title":["Acta Psychologica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0001691826001885?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0001691826001885?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T13:35:09Z","timestamp":1784295309000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0001691826001885"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":71,"alternative-id":["S0001691826001885"],"URL":"https:\/\/doi.org\/10.1016\/j.actpsy.2026.106387","relation":{},"ISSN":["0001-6918"],"issn-type":[{"value":"0001-6918","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Eating clean, feeling broken: A qualitative meta-synthesis of the lived experience of orthorexia nervosa","name":"articletitle","label":"Article Title"},{"value":"Acta Psychologica","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.actpsy.2026.106387","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"106387"}}