Cited by 20Eating Disorders and BehaviorsNutrition, Health and Food BehaviorBody Image and Dysmorphia Studies

Exploring the Link between Mindful Eating, Instagram Engagement, and Eating Disorders: A Focus on Orthorexia Nervosa

Open access
Christodoulou, Efstratios, Markopoulou, Verra, Koutelidakis, Antonios E.·2024·Psychiatry International

Abstract

Mindful eating is an increasingly popular dietary practice that may mediate the symptomatology of eating disorders. Orthorexia nervosa is a recently proposed eating disorder characterized by excessive concern for body image, healthy eating, and calorie control. The purpose of this study is to investigate the relationship between mindful eating, Instagram engagement, and eating disorders, with a focus on orthorexia nervosa. This cross-sectional study involving 407 adults explored the interplay between mindful eating, psychological distress, and eating disorders, notably orthorexia nervosa and their association with Instagram use. The data extraction and analysis were conducted employing SPSS v28 and R-Statistics. Utilizing Mindful Eating Scale (MES-16), Eating Disorder Examination Questionnaire Short (EDE-QS), Orthorexia Nervosa Questionnaire-Revised (ORTO-R), and Depression Anxiety Stress Scale (DASS-21) validated scales, alongside inquiries into Instagram usage, significant correlations emerged. MES-16 demonstrated a robust negative association with both EDE-QS (r = −0.501, p < 0.001) and ORTO-R (r = −0.519, p < 0.001), while EDE-QS and ORTO-R showed significant correlations with depression, anxiety, and stress (p < 0.001). Variations in ORTO-R mean scores were notably distinct across different mindful eating adherence categories (p < 0.001), emphasizing the negative relationship between mindful eating and orthorexia nervosa. Additionally, participants with extensive daily Instagram use displayed significantly higher ORTO-R scores compared to minimal users (p < 0.05). These findings suggest a negative link between mindful eating with eating disorders and orthorexia nervosa, highlighting mindful eating’s potential role in reducing orthorexia nervosa tendencies. Furthermore, Instagram use seems associated with psychological distress and elevated orthorexia nervosa levels.

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Crossref · 10.3390/psychiatryint5010003

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  • Study findings exploring the relationship between mindful eating and eating disorder risk are limited.

    “In these studies, eating disorder risk is negatively associated with mindfulness, but study findings exploring the relationship between mindful eating and eating disorder risk are limited [33, 34, 36].”

    From Four Facet Mindful Eating and Eating Disorder Risk: Mediation By Depression and Body Mass Index. (2026) · cites this paper as [33]

    The Discussion (page unavailable) calls this the first known study of mindful eating, Instagram use, and eating disorders with a focus on orthorexia in a Greek population. That supports a narrow research gap, but not the broader claim that findings on mindful eating and eating-disorder risk generally are limited. (LLM, conf=0.78)

    Experimental — accuracy not yet measured
  • Most existing studies have focused on single mindfulness dimensions, clinical samples, or intervention-based contexts, leaving gaps in understanding how these variables operate in general adult populations [31, 33, 36].

    “Most existing studies have focused on single mindfulness dimensions, clinical samples, or intervention-based contexts, leaving gaps in un­ derstanding how these variables operate in general adult pop­ ulations [31, 33, 36].”

    From Four Facet Mindful Eating and Eating Disorder Risk: Mediation By Depression and Body Mass Index. (2026) · cites this paper as [33]

    The Discussion (page unavailable) calls this the first known study of mindful eating, Instagram use, and eating disorders in a Greek population, and the Subjects section reports a sample of 407 adults. That supports a gap for this particular combination of variables, but the paper does not establish that most existing studies focused on single mindfulness dimensions, clinical samples, or interventions, or that the same gap applies to general adult populations broadly. (LLM, conf=0.76)

    Experimental — accuracy not yet measured
  • Prior studies have reported a negative association between eating disorder risk and mindfulness or mindful eating.

    “In these studies, eating disorder risk is negatively associated with mindfulness, but study findings exploring the relationship between mindful eating and eating disorder risk are limited [33, 34, 36].”

    From Four Facet Mindful Eating and Eating Disorder Risk: Mediation By Depression and Body Mass Index. (2026) · cites this paper as [33]

    The Discussion reports a negative correlation between mindful eating and eating disorders and says it is consistent with previous research. It does not establish that studies of the mindful-eating–eating-disorder-risk relationship are generally limited; its claim to be the first known study concerns the narrower combination of mindful eating, Instagram use, and eating disorders in a Greek population. (LLM, conf=0.83)

    Experimental — accuracy not yet measured
  • Earlier studies found that mindful eating was associated with lower eating disorder risk in non-clinical samples.

    “This is in accordance with earlier studies in which mindful eating was associated with lower eating disorder risk in non-clinical samples [33, 34].”

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1 of the 59 references couldn’t be matched to a known paper.

Research works printed but not linked: 2

  1. Horovitz O, Argyrides M. Orthorexia and Orthorexia Nervosa: A Comprehensive Examination of Prevalence, Risk Factors, Diagnosis, and Treatment. Nutrients. 2023; 15(17):3851. https://doi.org/10.3390/nu15173851 · DOI
  2. Horovitz O, Argyrides M. Orthorexia and Orthorexia Nervosa: A Comprehensive Examination of Prevalence, Risk Factors, Diagnosis, and Treatment. Nutrients. 2023;15(17):3851. Published 2023 Sep 3. doi:10.3390/nu15173851 · DOI

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Authors
Christodoulou, E., Markopoulou, V., & Koutelidakis, A. E.
Affiliations
  • University of the Aegean (GR)
  • Laboratory of Nutritional and Public Health, Department of Food Science and Nutrition, University of the Aegean, 81400 Myrina, Greece
Venue
Psychiatry International
Publisher
MDPI AG
Published
2024-01-05
Volume
5
Issue
1
Pages
27-38
ISSN
2673-5318 (ISSN-L)
OpenAlex
W4390616544
Cited by
20
References
59
Citations by year
2026: 7 · 2025: 9 · 2024: 4
FWCI
10.07
Type
journal article
Language
en
Open access
Locations
  • Psychiatry International (publishedVersion, cc-by)
  • Preprints.org (acceptedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
Keywords
mindful eating, orthorexia nervosa, Instagram use, social media engagement, eating disorders, psychological distress, depression, anxiety, stress, body image concern, healthy eating

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