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Selective attentional bias to food-related stimuli in healthy individuals with characteristics towards orthorexia nervosa. Eat Weight Disord. In press."},{"issue":"10","key":"10.1093\/advances\/nmaa012_bib75","doi-asserted-by":"crossref","first-page":"1510","DOI":"10.1016\/j.jada.2005.08.021","article-title":"What is orthorexia?","volume":"105","author":"Mathieu","year":"2005","journal-title":"J Am Diet Assoc"},{"issue":"7","key":"10.1093\/advances\/nmaa012_bib76","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1176\/ajp.126.7.983","article-title":"Establishment of diagnostic validity in psychiatric illness: its application to schizophrenia","volume":"126","author":"Robins","year":"1970","journal-title":"Am J Psychiatry"},{"key":"10.1093\/advances\/nmaa012_bib77","unstructured":">77 American Psychiatric Association. Diagnostic and statistical manual of mental disorders., 3rd ed. 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