Clinical Research Directory

Effects of tDCS on Cognitive Flexibility and EEG Oscillations in Orthorexia Nervosa

Orthorexia Nervosa (ON); is a condition characterized by individuals being overly focused on healthy eating habits, constantly checking and classifying the foods they will consume. ON has not yet been clinically defined as an eating disorder or in a different category, and has not been included in DSM-5. Cognitive flexibility can be defined as a person's ability to quickly change their thinking and behaviors to adapt to different situations and changing conditions. It has been reported that cognitive flexibility skills are impaired in ON. There is evidence that tDCS, a neuromodulation method, increases cognitive flexibility skills. On the other hand, although there are EEG studies on eating disorders, there is no EEG study directly studying ON, and there is no information on the EEG profiles of individuals with high ON scores. For this reason, EEG studies on eating disorders and obsessive behaviors are generally generalized to orthorexia nervosa and are interpreted. This study aims to compare the EEG oscillations and cognitive flexibility skills of individuals with high ON scores with a control group and to examine the effects of anodal tDCS application on these two variables. For this purpose, a total of 48 individuals, 24 healthy and 24 high ON scores, will be included in the study. Participants will be randomly assigned to tDCS experimental and control groups. Therefore, 48 participants will be divided into 4 different subgroups of 12 people each. Data collection tools will be Informed Consent Form, Demographic Information Form, Beck Depression Inventory, Orthorexia Nervosa Test (TON-17), Cognitive flexibility task. First, participants will be subjected to a cognitive flexibility task by taking simultaneous EEG recordings, then tDCS stimulation will be initiated (active or sham) and after stimulation, a cognitive flexibility task will be performed by taking simultaneous EEG recordings again. EEG analyses will be performed using the Brain-Vision Analyzer program. Repeated Measures Analysis of Variance (within-group and between-groups) will be used in statistical analyses.

The Effect of a Mindfulness-Based Eating Behavior Training on Eating Attitudes

In recent years, the increasing interest in healthy eating and access to "pure" foods has led to the widespread adoption of selective and control-oriented eating attitudes. In some individuals, this situation has contributed to an increase in tendencies toward Orthorexia Nervosa (ON), in which the pursuit of healthy eating takes on a pathological dimension. ON is characterized by perfectionism related to healthy eating, intense anxiety, cognitive rigidity, and, over time, the development of guilt, avoidance behaviors, and social restriction. The promotion of such behaviors through media and social media further hinders the recognition of ON and facilitates its hidden spread. The concept of mindfulness, which has gained prominence in recent years, aims to help individuals observe bodily sensations, emotional responses, and thoughts that arise during the eating process with a nonjudgmental awareness. In the literature, the relationship between ON and mindfulness has mostly been examined through cross-sectional studies, while intervention-based studies targeting orthorexic individuals remain limited. The aim of this study is to examine the effects of a mindfulness-based eating behavior training program developed for orthorexic individuals on eating attitudes. The study will be conducted using a randomized controlled experimental design within the framework of an original program developed with contributions from expert researchers in the fields of psychology and nutrition. The effects of the training program applied to the intervention group will be evaluated comparatively with those of the control group. Data obtained from the study will be analyzed using SPSS, RStudio, and JASP software packages. The distributional properties of the variables will be examined using visual and analytical methods. Group comparisons, changes over time, and group-by-time interaction effects will be analyzed using appropriate parametric and nonparametric statistical methods, and the level of statistical significance will be set at p \< 0.05.