Are the motives for food choices different in orthorexia nervosa and healthy orthorexia?

Recent research points to the bidimensional nature of orthorexia, with one dimension related to interest in healthy eating (healthy orthorexia) and another dimension related to a pathological preoccupation with eating healthily (orthorexia nervosa). Research was needed to provide further support for this differentiation. We examined the food-choice motives related to both aspects of orthorexia. Participants were 460 students from a Spanish university who completed the Teruel Orthorexia Scale and the Food Choice Questionnaire. By means of structural equation modeling, we analyzed the relationship between orthorexia, food-choice motives, gender, body mass index, and age. The motives predicting food choices in orthorexia nervosa and healthy orthorexia were quite different. In the case of orthorexia nervosa, the main motive was weight control, with sensorial appeal and affect regulation also showing significant associations. For healthy orthorexia, the main motive was health content, with sensorial appeal and price also showing significant associations. This supports the hypothesis that orthorexia nervosa is associated with maladaptive eating behavior motived more by weight control than by health concerns

Las garantías mobiliarias en el derecho civil de Cataluña

En la tesis se analizan las garantías mobiliarias reguladas por el Derecho civil de Cataluña, es decir, los derechos reales de prenda posesoria y de retención sobre bienes muebles regulados en la Ley del Parlamento de Cataluña 19/2002, de 5 de julio, de derechos reales de garantía. El estudio de la Ley se plantea desde una doble perspectiva doctrinal, civil y mercantil, atendiendo a las obras que se han juzgado de interés a partir de la codificación, así como del análisis de las decisiones jurisprudenciales y de la Dirección General de los Registros y del Notariado. Se destacan las novedades más significativas en esta materia con relación a lo dispuesto en el Código civil, como pueden ser la prenda de máximo, la prenda de cosas fungibles, la naturaleza real del derecho de retención, la posibilidad de sustitución, el orden de preferencia y prelación que corresponde a ambas garantías o la realización de la cosa gravada por el procedimiento de venta directa.En la tesis s'analitzen les garanties mobiliàries regulades en el Dret civil de Catalunya, es a dir, el dret real de penyora possessòria i el dret de retenció sobre béns de naturalesa moble, tal i com es troba regulat a la Llei del Parlament de Catalunya 19/2002, de 5 de juliol, de drets reals de garantia. L'estudi de la Llei es planteja des d'una doble perspectiva doctrinal, la civil i la mercantil, atenent a les obres que s'han jutjat de màxim interès a partir de la codificació, així com de l'anàlisi de les decisions jurisprudencials de la Direcció General dels Registres i del Notariat. Es destaquen les novetats més significatives en aquesta matèria, tot comparant-les amb allò que es disposa en el Codi civil. D'entre aquestes novetats destaquen la que es refereix a la penyora de màxim, la penyora de coses fungibles, la naturalesa real del dret de retenció, la possibilitat de substitució, l'ordre de preferència y de prelació que correspon a ambdues garanties o la realització del valor de la cosa gravada per la garantia a través del procediment de venda directa específicament regulat a la Llei.The subject of this thesis is the pledge ant the right of retention regulated by the Catalan Civil Law in the Act 19/2002, about security real rights. The study is considered from a double doctrinal perspective, civil and mercantile, taking care of the works that have been judged of interest since the codification period, as well as the analysis of the decisions of the Court and the decisions of the General Directorate for Registries and Public Notaries. The most significant new features in this area are been analysed and compared with the similar institutions regulated in the Spanish Civil Code. The subjects as the pledge of fungible things, the real nature of the retention right, the substitution possibility, the order of preference and the direct sale procedure regulated in the Act to both guarantee

Adapting cognitive diagnosis computerized adaptive testing item selection rules to traditional item response theory

Currently, there are two predominant approaches in adaptive testing. One, referred to as cognitive diagnosis computerized adaptive testing (CD-CAT), is based on cognitive diagnosis models, and the other, the traditional CAT, is based on item response theory. The present study evaluates the performance of two item selection rules (ISRs) originally developed in the CD-CAT framework, the double Kullback-Leibler information (DKL) and the generalized deterministic inputs, noisy and gate model discrimination index (GDI), in the context of traditional CAT. The accuracy and test security associated with these two ISRs are compared to those of the point Fisher information and weighted KL using a simulation study. The impact of the trait level estimation method is also investigated. The results show that the new ISRs, particularly DKL, could be used to improve the accuracy of CAT. Better accuracy for DKL is achieved at the expense of higher item overlap rate. Differences among the item selection rules become smaller as the test gets longer. The two CD-CAT ISRs select different types of items: items with the highest possible a parameter with DKL, and items with the lowest possible c parameter with GDI. Regarding the trait level estimator, expected a posteriori method is generally better in the first stages of the CAT, and converges with the maximum likelihood method when a medium to large number of items are involved. The use of DKL can be recommended in low-stakes settings where test security is less of a concern

Healthy orthorexia vs. orthorexia nervosa: Italian validation of the Teruel Orthorexia Scale (TOS)

Purpose: Orthorexia nervosa (OrNe) is a potentially pathological condition characterized by a fixation on healthy diet. An increasing number of studies have been conducted on this mental preoccupation, but the validity and reliability of some of the psychometric instruments employed in its assessment are still under debate. Among these measures, the Teruel Orthorexia Scale (TOS) seems to be promising, given that it allows to differentiate between OrNe and other non-problematic forms of interest with healthy eating, named as healthy orthorexia (HeOr). The aim of this study was to examine the psychometric properties of an Italian version of the TOS, by testing its factorial structure, internal consistency, test–retest reliability, and validity. Method: Through an online survey, we recruited 782 participants from different regions of Italy, asking them to complete the following self-report instruments: TOS, EHQ, EDI-3, OCI-R, and BSI-18. From the initial sample, 144 participants agreed to complete a second TOS administration 2 weeks later. Results: Data confirmed the validity of the 2-correlated factors structure of the TOS. The questionnaire also showed good reliability, both in terms of internal consistency and temporal stability. With regard to the TOS validity, results showed that OrNe was significantly and positively associated with measures of psychopathology and psychological distress, while HeOr showed no correlations or negative associations with the above-mentioned measures. Conclusion: Based on these results, the TOS can be considered a promising measure for the assessment of both pathological and non-problematic forms of orthorexic eating behavior also in Italian population. Level of evidence: Level V, descriptive cross-sectional study

Healthy Orthorexia vs. Orthorexia Nervosa: Italian validation of the Teruel Orthorexia Scale (TOS).

Purpose Orthorexia nervosa (OrNe) is a potentially pathological condition characterized by a fixation on healthy diet. An increasing number of studies have been conducted on this mental preoccupation, but the validity and reliability of some of the psychometric instruments employed in its assessment are still under debate. Among these measures, the Teruel Orthorexia Scale (TOS) seems to be promising, given that it allows to differentiate between OrNe and other non-problematic forms of interest with healthy eating, named as healthy orthorexia (HeOr). The aim of this study was to examine the psychometric properties of an Italian version of the TOS, by testing its factorial structure, internal consistency, test–retest reliability, and validity. Method Through an online survey, we recruited 782 participants from different regions of Italy, asking them to complete the following self-report instruments: TOS, EHQ, EDI-3, OCI-R, and BSI-18. From the initial sample, 144 participants agreed to complete a second TOS administration 2 weeks later. Results Data confirmed the validity of the 2-correlated factors structure of the TOS. The questionnaire also showed good reliability, both in terms of internal consistency and temporal stability. With regard to the TOS validity, results showed that OrNe was significantly and positively associated with measures of psychopathology and psychological distress, while HeOr showed no correlations or negative associations with the above-mentioned measures. Conclusion Based on these results, the TOS can be considered a promising measure for the assessment of both pathological and non-problematic forms of orthorexic eating behavior also in Italian population. Level of evidence Level V, descriptive cross-sectional study

Reconsidering the roots, structure, and implications of gambling motives: An integrative approach

The present study identified Social, Financial, and Fun/thrill-related gambling motives factors, but also a fourth factor in which some positive and negative reinforcement-based motives were grouped into a single and broader Affect regulation factor. This Affect regulation factor shared variance both with BIS and BAS-related measures, and was the only direct predictor of disordered gambling symptoms. The Fun/thrill factor was directly related to frequency of participation in high-arousal, skill-based games, and all factors were related to participation in lower-arousal, chance games (with Social motives negatively predicting both participation in the latter and total severity). In the SEM model, measures of BIS/BAS sensitivity were connected to gambling behavior only through gambling motives. Based on measures of items’ specificity, a shortened Spanish scale (the brief Gambling Motives Inventory, bGMI) is proposed to assess gambling motives in accordance with the observed 4-factor structure.This work is supported by a grant from the Spanish Government (Ministerio de Economía y Competitividad, Secretaría de Estado de Investigación, Desarrollo e Innovación; Convocatoria 2017 de Proyectos I+D de Excelencia, Spain; co-funded by the Fondo Europeo de Desarrollo Regional, FEDER, European Union), with reference number PSI2017-85488-P

Orthorexic tendencies are linked with difficulties with emotion identification and regulation.

Background: Orthorexia nervosa (ON) is characterised by an unhealthy obsession with healthy eating and while it is not recognised as an eating disorder (or any disorder), current research is exploring similarities and differences with such disorders. The literature has shown that individuals with eating disorders have difficulties identifying and describing emotions (known as alexithymia) as well as regulating them. However no research to date has looked at whether people with orthorexic tendencies also suffer from difficulties with emotions. In this paper, we refer to people with orthorexic tendencies but do not assume that their healthy eating is at a pathological level needing clinical attention. Methods: The current study examined this by asking 196 healthy adults with an interest in healthy eating to complete four questionnaires to measure ON (ORTO-15 - reduced to ORTO-7CS), eating psychopathology (EAT-26), alexithymia (TAS-20) and emotion dysregulation (DERS-16). Results: We found that difficulties identifying and regulating emotions was associated with symptoms of ON, similar to what is found in other eating disorders. We suggest that ON behaviours may be used as a coping strategy in order to feel in control in these participants who have poor emotion regulation abilities. Conclusions: Our results show that individuals with ON tendencies may share similar difficulties with emotions compared to other eating disorders. While important, our results are limited by the way we measured ON behaviours and we recommend that further research replicate our findings once a better and more specific tool is developed and validated to screen for ON characteristics more accurately

Occipitofrontal circumference in newborns of betamethasone treated mothers

Peer Reviewe

Nutritional status of iodine in pregnant women in Catalonia (Spain): study on hygiene-dietetic habits and iodine in urine

<p>Abstract</p> <p>Background</p> <p>It is a priority to achieve an adequate nutritional status of iodine during pregnancy since iodine deficiency in this population may have repercussions on the mother during both gestation and post partum as well as on the foetus, the neonate and the child at different ages. According to the WHO, iodine deficiency is the most frequent cause of mental retardation and irrreversible cerebral lesions around the world. However, few studies have been published on the nutritional status of iodine in the pregnant population within the Primary Care setting, a health care level which plays an essential role in the education and control of pregnant women. Therefore, <b>the aim of the present study </b>is: 1.- To know the hygiene-dietetic habits related to the intake of foods rich in iodine and smoking during pregnancy. 2.- To determine the prevalence of iodine deficiency and the factors associated with its appearance during pregnancy.</p> <p>Methods/design</p> <p>We will perform a cluster randomised, controlled, multicentre trial. Randomisation unit: Primary Care Team. Study population: 898 pregnant women over the age of 17 years attending consultation to a midwife during the first trimester of pregnancy in the participating primary care centres. Outcome measures: consumption of iodine-rich foods and iodine deficiency. Points of assessment: each trimester of the gestation. Intervention: group education during the first trimester of gestation on healthy hygiene-dietetic habits and the importance of an adequate iodine nutritional status. Statistical analysis: descriptive analysis of all variables will be performed as well as multilevel logistic regression. All analyses will be done carried out on an intention to treat basis and will be fitted for potential confounding factors and variables of clinical importance.</p> <p>Discussion</p> <p>Evidence of generalised iodine deficiency during pregnancy could lead to the promotion of interventions of prevention such as how to improve and intensify health care educational programmes for pregnant women.</p> <p>Trial Registration</p> <p>ClinicalTrials.gov: <a href="http://www.clinicaltrials.gov/ct2/show/NCT01301768">NCT01301768</a></p