Binge Eating Disorder in Adolescents
An eating disorder is a mental illness characterized by an altered approach to food intake and a distorted perception of the body. Although increasingly easier to diagnose, binge eating disorder in adolescents tends to go unnoticed. For this reason, it’s important to be aware of it and take action.
What is binge eating disorder?
According to the Diagnostic Manual of the American Psychiatric Association, binge eating disorder is defined as:
- The recurrent presence of binge eating, that is, the intake in a short period of time of an amount greater than would be consumed by another person in the same circumstances and duration. Episodes usually occur at least once a week for at least 3 months.
- A feeling of lack of control over what’s ingested at that time.
In addition, it’s associated with eating very quickly, without hunger, until feeling completely full, thus producing discomfort, and doing so alone, due to shame, and a feeling of guilt or disappointment after the episode.
Likewise, binge eating’s usually preceded by a dietary restriction or comes afterward. In short, it’s a vicious cycle and is difficult to get out of as time goes by. It’s often a pattern observed in adolescents with bulimia or night eating syndrome, although it doesn’t have to be.
The prevalence is 26.3% of binge eating disorder, although it’s especially prominent in adolescents who are overweight or obese, and can increase to 30-50% in those whose goal is to lose weight.
Risk factors for binge eating disorder in adolescents
Regarding its development, as with most diseases, the cause is multifactorial. Among the most studied are personality, as well as the social and family environment.
Generally, they tend to be insecure, have low self-esteem, and have low adaptation to change. They’re even impulsive and unable to regulate their own emotions toward themselves or others. In addition, they’re unhappy with their body.
It’s also associated with poor stress and anxiety management and depressive symptoms. However, depression is thought to be a consequence of binge eating.
Are certain foods consumed or doesn’t it matter?
For a long time, the tendency was to turn to unhealthy sweet or salty foods, as they activate the brain’s reward systems. Therefore, when eating them, the pleasure and sense of well-being are greater, as they’re palatable due to their high content of rapidly absorbed sugars and trans fats. The most involved are:
- Cookies
- Chocolate
- Potato chips
- Gummy candies
- Salted nuts
But the most recent studies show that those with binge eating disorder may also turn to healthy foods such as fruit, dates, raisins, olives, etc. So, the importance lies in the reason for binge eating and not the type of food ingested. Therefore, they’re usually foods to which the person has access at home or those that they avoid as a rule because they consider them to be forbidden.
The treatment of binge eating disorder in adolescents
Finally, the treatment of binge eating disorder in adolescents consists of a combination of psychology and nutritional education. This treatment is focused on behavioral change and the establishment of regular eating habits without posing a problem for the adolescent’s health or quality of life.
With regard to eating, the aim is to increase awareness during meals, paying attention to hunger and satiety signals. The main objective to be achieved is for the adolescent to eat at least 3 meals a day without producing any negative feelings.
At the same time, a psychologist will be in charge of addressing the causes that have led the adolescent to behave in this way and offering them tools to manage the problem. In addition, they’ll allow the child to express their emotions throughout the therapeutic process. In short, it’s important that, as parents, you show your support, recognize the situation, and help your teen overcome it.
All cited sources were thoroughly reviewed by our team to ensure their quality, reliability, currency, and validity. The bibliography of this article was considered reliable and of academic or scientific accuracy.
- Asociación Contra la Anorexia y la Bulimia (ACAB). Trastorno por atracón. http://www.acab.org/es/que-son-los-trastornos-de-la-conducta-alimentaria/trastorno-por-atracon
- Asociación Americana de Psiquiatría (APA). (2013). Manual Diagnóstico y Estadístico de los Trastornos Mentales (5 ª ed.). Arlington, VA:. American Psychiatric Publishing.
- He J, Cai Z, Fan X (2017) Prevalence of binge and loss of control eating among children and adolescents with overweight and obesity: An exploratory meta-analysis. Int J Eat Disord, 50(2):91-103.
- Mairs R, Nicholls D. (2016) Assessment and treatment of eating disorders in children and adolescents. Arch Dis Child, 101(12):1168-75.
- Pasold TL, McCracken A, Ward-Begnoche WL. (2014) Binge eating in obese adolescents: emotional and behavioral characteristics and impact on health-related quality of life. Clin Child Psychol Psychiatry, 19(2): 299-312.
- Zhu H, Luo X, Cai T, He J, Lu Y, Wu S (2016) Life Event Stress and Binge Eating Among Adolescents: The Roles of Early Maladaptive Schemas and Impulsivity. Stress Health, 32(4): 395-401.
- Schulte EM, Avena NM, Gearhardt AN (2015) Which foods may be addictive? The roles of processing, fat content, and glycemic load. Plos One, 18(2).
- Gearhardt AN, Rizk MT, Treat TA (2014) The association of food characteristics and individual differences with ratings of craving and liking. Appetite, 79:166-73.