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One thousand twelve participants completed measures assessing healthy orthorexia, orthorexia nervosa tendencies, perceived stress, and early maladaptive schemas. Structural equation modeling was used to determine the relationships among the variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Results indicated significant associations between orthorexia nervosa tendencies and specific early maladaptive schemas, particularly unrelenting standards and defectiveness\/shame schemas. Additionally, age, perceived stress, and BMI were found to be associated with orthorexia nervosa tendencies and healthy orthorexia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings suggest that early maladaptive schemas, especially those related to perfectionism and low self-esteem, may contribute to the development and persistence of high orthorexia nervosa tendencies. More research is necessary to examine these relationships and their potential therapeutic implications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level V, descriptive cross-sectional study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s40337-026-01572-3","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:06:06Z","timestamp":1774569966000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Exploring early maladaptive schemas in healthy eating and orthorexia nervosa tendencies: a structural equation modeling approach"],"prefix":"10.1186","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-2898-3844","authenticated-orcid":false,"given":"Alexandra","family":"Fodor","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7097-907X","authenticated-orcid":false,"given":"Bal\u00e1zs Andr\u00e1s","family":"Varga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2940-2110","authenticated-orcid":false,"given":"Adrien","family":"Rig\u00f3","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,27]]},"reference":[{"issue":"3","key":"1572_CR1","doi-asserted-by":"publisher","first-page":"381","DOI":"10.1007\/s40519-017-0417-6","volume":"22","author":"S Bratman","year":"2017","unstructured":"Bratman S. 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