Tuğçe Gözde ÖZKEFELİ HAMURCU, Sevil YILMAZ

Hemşirelik Öğrencilerinde Ortoreksiya Nervoza ve Sosyal Medya Kullanımı Arasındaki İlişki

Kesitsel ve tanımlayıcı olan bu çalışmada hemşirelik öğrencilerinde ortoreksiya nervoza ile sosyal medya kullanımı arasındaki ilişki araştırıldı. Araştırmanın örneklemini araştırmaya katılmaya gönüllü olan 339 öğrenci oluşturdu. Veriler Sosyodemografik Veri Formu, Sosyal Medya Kullanım Entegrasyon Ölçeği (SMUIS) ve ORTO-11 ölçeği kullanılarak toplandı. Hemşirelik öğrencilerinin ORTO-11 ölçeği puan ortalamaları 27.98 ± 4.92 olup, öğrencilerin %30.38'i 25 puanın altındaydı. ORTO-11 puanları ile SMUIS toplam puanları (r = -0.136, p=0.01), Sosyal Rutinlere Uyum alt boyutu (r = -0.138, p=0.01) ve sosyal medya kullanım süresi (r = -0.110, p=0.04) arasında negatif yönde anlamlı ilişki bulundu. Öğrencilerin kullandığı sosyal medya araçlarının türüne göre ortoreksiya eğilimi arasında fark olmadığı, ancak sosyal medya kullanım süresi arttıkça ortoreksiya nervosa eğiliminin arttığı bulundu. Hemşirelik fakültesi öğrencilerinin sosyal medyanın ve sağlıklı beslenmenin etkileri hakkında doğru bilgilere ulaşabilmeleri için müfredat çalışmaları yapılması önerilebilir.

Anahtar Kelimeler:

Hemşirelik öğrencileri, Ortorexia Nervosa, Sosyal medya, Yeme bozuklukları

THE CORRELATION BETWEEN ORTHOREXIA NERVOSA AND SOCIAL MEDIA USE IN NURSING STUDENTS

This cross-sectional and descriptive study investigated the correlation between orthorexia nervosa and social media use in nursing students. The study sample consists of 339 students who volunteered to participate in the research. Data were collected using the Sociodemographic Data Form, the Social Media Use Integration Scale (SMUIS), and the ORTO-11 scale. The mean ORTO-11 scale score of the nursing students was 27.98 ± 4.92, and 30.38% were under 25 points. A significant negative relationship was found between the ORTO-11 scores and the SMUIS total scores (r = -0.136, p=0.01), the Integration into Social Routines sub-dimension (r = -0.138, p=0.01), and the duration of social media use (r = -0.11, p = 0.04). It was found that there was no difference between orthorexia tendencies according to the type of social media tools used by the students, but the orthorexia nervosa tendency increased as the duration of social media use increased. Curriculum studies can be recommended so that nursing faculty students can reach accurate information about the effects of social media and healthy nutrition.

Keywords:

Eating disorders, Nursing students, Orthorexia Nervosa, Social media,

PDF

___

Akın, A., Özbay, A. & Baykut, İ. (2015). Sosyal medya kullanımı ölçeği'nin Türkçe formu'nun geçerliği ve güvenirliği. Journal of International Social Research, 8(38), 647-652.
Aktürk, Ü., Gül, E. & Erci, B. (2019). The effect of orthorexia nervosa levels of nursing students and diet behaviors and socio-demographic characteristics. Ecology of Food and Nutrition, 58(4), 397-409. https://doi.org/10.1080/03670244.2019.1602529
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. 5th Edition (DSM-5), Washington DC: American Psychiatric Publishing.
Arslantaş, H., Adana, F., Öğüt, S., Ayakdaş, D. & Korkmaz, A. (2017). Relationship between eating behaviors of nursing students and orthorexia nervosa (obsession with healthy eating): A cross-sectional study. Journal of Psychiatric Nursing, 8(3), 137-144.
Arusoğlu, G. (2018). Beslenme ve diyetetik bölümü erkek öğrencilerinde ortoreksiya nervoza eğiliminin belirlenmesi. Akademik Sosyal Araştırmalar Dergisi, 6(86), 56-71.
Arusoğlu, G., Kabakçi, E., Köksal, G. & Merdol, T. K. (2008). Orthorexia nervosa and adaptation of ORTO-11 into Turkish. Turkish Journal of Psychiatry, 19(3), 283-291.
Asil, E. & Sürücüoğlu, M.S. (2015). Orthorexia nervosa in Turkish dietitians. Ecology of Food and Nutrition, 54(4), 303-313. https://doi.org/10.1080/03670244.2014.987920
Ayran, G., Süleyman, Z., Avcı, Ü. & Arık, U. (2021). The effect of internet addiction on eating attitude and body image in university students. Journal of Child and Adolescent Psychiatric Nursing, 34(3), 199-205. https://doi.org/10.1111/jcap.12320.
Bilgiç, Ş., Özcanan, A. & Altay, Z. (2017). Y kuşağı hemşirelik öğrencileri için mobil telefonun anlamı: Nitel bir araştırma. Yükseköğretim ve Bilim Dergisi, 7(3), 644-650.
Brytek-Matera, A., Donini, L. M., Krupa, M., Poggiogalle, E. & Hay, P. (2015). Orthorexia nervosa and self-attitudinal aspects of body image in female and male university students. Journal of Eating Disorders, 3(1) 2. https://doi.org/10.1186/s40337-015-0038-2
Cena, H., Barthels, F., Cuzzolaro, M., Bratman, S., Brytek-Matera, A., Dunn, T., ...Donini, L. M. (2019). Definition and diagnostic criteria for orthorexia nervosa: A narrative review of the literature. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 24(2), 209-246. https://doi.org/10.1007/s40519-018-0606-y
Çiçekoğlu, P. & Tunçay, G. Y. (2018). A comparison of eating attitudes between vegans/vegetarians and nonvegans/nonvegetarians in terms of orthorexia nervosa. Archives of Psychiatric Nursing, 32(2), 200-205. https://doi.org/10.1016/j.apnu.2017.11.002
Donini, L. M., Marsili, D., Graziani, M. P., Imbriale, M. & Cannella, C. (2004). Orthorexia nervosa: a preliminary study with a proposal for diagnosis and an attempt to measure the dimension of the phenomenon. Eat Weight Disord, 9(2), 151-157. https://doi.org/10.1007/BF03325060
Donini, L. M., Marsili, D., Graziani, M. P., Imbriale, M. & Cannella, C. (2005). Orthorexia nervosa: validation of a diagnosis questionnaire. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 10(2), e28-e32.
Duran, S. (2016). Sağlık Yüksekokulu öğrencilerinde ortoreksiya nervoza (sağlıklı beslenme takıntısı) riski ve etkileyen faktörler. Pamukkale Tıp Dergisi, 3, 220-226.
Engeln, R., Loach, R., Imundo, M. N. & Zola, A. (2020). Compared to Facebook, Instagram use causes more appearance comparison and lower body satisfaction in college women. Body Image, 34, 38-45. https://doi.org/10.1016/j.bodyim.2020.04.007
Fardouly, J. & Vartanian, L. R. (2016). Social media and body image concerns: Current research and future directions. Current Opinion in Psychology, 9, 1-5. https://doi.org/10.1016/j.copsyc.2015.09.005
Fıçıcıoğlu, H.O. (2018). Sosyal medya kullanan kadınların duygu ve durumlarının iştah üzerine etkisinin değerlendirilmesi (Unpublished master’s thesis). Okan Üniversitesi, İstanbul. https://acikbilim.yok.gov.tr/handle/20.500.12812/630892
Fivian, E. & Wood, C. (2019). The roles of social media, clean eating and self-esteem in the risk of disordered eating: A pilot study of self-reported healthy eaters. International Journal of Food, Nutrition and Public Health, 10(1), 28-39.
Haddad, C., Hallit, R., Akel, M., Honein, K., Akiki, M., Kheir, N., ...Hallit, S. (2020). Validation of the Arabic version of the ORTO-15 questionnaire in a sample of the Lebanese population. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 25(4), 951-960. https://doi.org/10.1007/s40519-019-00710-y
Haddad, C., Obeid, S., Akel, M., Honein, K., Akiki, M., Azar, J. & Hallit, S. (2019). Correlates of orthorexia nervosa among a representative sample of the Lebanese population. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 24(3), 481-493. https://doi.org/10.1007/s40519-018-0631-x
Håman, L., Barker-Ruchti, N., Patriksson, G. & Lindgren, E. C. (2015). Orthorexia nervosa: An integrative literature review of a lifestyle syndrome. International Journal of Qualitative Studies on Health and Well-Being, 10(1), 267-299. https://doi.org/10.3402/qhw.v10.26799
Hefner, V., Woodward, K., Figge, L., Bevan, J. L., Santora, N. & Baloch, S. (2014). The influence of television and film viewing on midlife women's body image, disordered eating, and food choice. Media Psychology, 17(2), 185-207. https://doi.org/10.1016/j.bodyim.2015.06.003
Hootsuit Inc. (2019). Digital in 2019, Essential insights into internet, social media, mobile, and ecommerce use around the World. https://hootsuite.com/resources/digital-in-2019 (Accessed date: 18 August 2021)
Jenkins-Guarnieri, M. A., Wright, S. L. & Johnson, B. (2013). Development and validation of a social media use integration scale. Psychology of Popular Media Culture, 2(1), 38-50. https://psycnet.apa.org/doi/10.1037/a0030277
Khodabakhsh, S. & Leng, C. S. (2020). Relationship between social media usage and body image evaluation in Malaysian youth. Malaysian Journal of Medical Research (MJMR), 4(4), 62-67. https://doi.org/10.31674/mjmr.2020.v04i04.013.
Klassen, K. M., Douglass, C. H., Brennan, L., Truby, H. & Lim, M. S. (2018). Social media use for nutrition outcomes in young adults: a mixed-methods systematic review. International Journal of Behavioral Nutrition and Physical Activity, 15(1), 70. https://doi.org/10.1186/s12966-018-0696-y
Koven, N. S. & Abry, A. W. (2015). The clinical basis of orthorexia nervosa: Emerging perspectives. Neuropsychiatric Disease and Treatment, 11, 385. https://doi.org/10.2147/NDT.S61665
Malmborg, J., Bremander, A., Olsson, M. C. & Bergman, S. (2017). Health status, physical activity, and orthorexia nervosa: A comparison between exercise science students and business students. Appetite, 109, 137-143. https://doi.org/10.1016/j.appet.2016.11.028
Özge, E. (2018). İnönü Üniversitesi Tıp Fakültesi öğrencilerinin ortoreksiya nervoza belirtilerinin ve yeme tutumlarının saptanması. (Unpublished master’s thesis). İnönü Üniversitesi, Malatya. http://abakus.inonu.edu.tr/xmlui/handle/11616/9121
Puglia, D. R. (2017). Social media use and its impact on body image: The effect of body comparison tendency, motivation for social media use, and social media platform on body esteem in young women. (Unpublished Master’s thesis). The University of North Carolina at Chapel Hill, USA. https://cdr.lib.unc.edu/concern/dissertations/xk81jm13m
Raggatt, M., Wright, C. J., Carrotte, E., Jenkinson, R., Mulgrew, K., Prichard, I. & Lim, M.S.C. (2018). “I aspire to look and feel healthy like the posts convey”: engagement with fitness inspiration on social media and perceptions of its influence on health and wellbeing. BMC Public Health, 18(1), 2-11. https://doi.org/10.1186/s12889-018-5930-7
Sağbas, E. A., Ballı, S. & Şen, F. (2016). Sosyal medya ve gençler üzerindeki etkileri. Uluslararası Gençlik Araştırmaları Kongresi Bildiri Kitabı, (pp:153-163).
Scarff, J. R. (2017). Orthorexia nervosa: an obsession with healthy eating. Federal Practitioner, 34(6), 36.
Sidani, J. E., Shensa, A., Hoffman, B., Hanmer, J. & Primack, B. A. (2016). The association between social media use and eating concerns among US young adults. Journal of the Academy of Nutrition and Dietetics, 116(9), 1465-1472. https://doi.org/10.1016/j.jand.2016.03.021
Strahler, J., Haddad, C., Salameh, P., Sacre, H., Obeid, S. & Hallit, S. (2020). Cross-cultural differences in orthorexic eating behaviors: Associations with personality traits. Nutrition, 77, 110811.
Tiggemann, M. & Zaccardo, M. (2015). “Exercise to be fit, not skinny”: The effect of fitspiration imagery on women's body image. Body Image, 15, 61-67. https://doi.org/10.1016/j.bodyim.2015.06.003
Tiggemann, M. & Zaccardo, M. (2018). ‘Strong is the new skinny’: A content analysis of# fitspiration images on Instagram. Journal of Health Psychology, 23(8), 1003-1011. https://doi.org/10.1177%2F1359105316639436.
Tosyalı, H. & Sütçü, C. S. (2016). Sağlık iletişiminde sosyal medya kullanımının bireyler üzerindeki etkileri. Maltepe Üniversitesi İletişim Fakültesi Dergisi, 3(2), 3-22.
Turan, N., Güven Özdemir, N., Çulha, Y., Özdemir Aydın, G., Kaya, H. & Aştı, T. (2021). The effect of undergraduate nursing students’ e-Health literacy on healthy lifestyle behaviour. Global Health Promotion, 28(3), 6-13.
Turkish Statistical Institute (2020). Household information technologies usage survey. https://data.tuik.gov.tr/Bulten/Index?p=Survey-on-Information-and-Communication-Technology-(ICT)-Usage-in-Households-and-by-Individuals-2020-33679 (Accessed date: 03 September 2021).
Turner, P. G. & Lefevre, C. E. (2017). Instagram use is linked to increased symptoms of orthorexia nervosa. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, Eat Weight Disord-St, 22(2), 277-284. https://doi.org/10.1007/s40519-017-0364-2
Varga, M., Thege, B. K., Dukay-Szabó, S., Túry, F. & van Furth, E. F. (2014). When eating healthy is not healthy: orthorexia nervosa and its measurement with the ORTO-15 in Hungary. BMC Psychiatry, 14(1), 59. https://doi.org/10.1186/1471-244X-14-59
Vaterlaus, J. M., Patten, E. V., Roche, C. & Young, J. A. (2015). # Gettinghealthy: The perceived influence of social media on young adult health behaviors. Computers in Human Behavior, 45, 151-157. https://doi.org/10.1016/j.chb.2014.12.013
World Health Organization. Body Mass Index-BMI. https://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi (Accessed Date: 10 February 2022)