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Binge eating and emotional eating behaviors among adolescents and young adults with bipolar disorder

Authors :
Dwight F. Newton
Vanessa Timmins
Benjamin I. Goldstein
Julia Woo
Jordan Collins
Katharine Martin
Alvi H. Islam
Source :
Journal of affective disorders. 195
Publication Year :
2015

Abstract

Background This study investigates nutritional behavior among adolescents and young adults with bipolar disorder (BP) in comparison to those without history of major psychiatric disorder. Methods 131 participants (82 BP, 49 controls) with a mean age of 16.11±1.61 years were included. The self-reported Quick Weight, Activity, Variety & Excess (WAVE) Screener was used to assess dietary habits, yielding a total nutritional score as well as Excess, Variety, and Household Food Insecurity subscale scores. Specifically, the Variety subscale was used to measure daily consumption of essential nutrients; the Excess subscale measured unhealthy eating behaviors such as binge eating and excessive intake of fat and sugar; and the Household Food Insecurity subscale was used to detect food insecurity. Within-group analysis was conducted on participants with BP to identify correlates of unhealthy diet. Results BP participants scored significantly lower than controls on the WAVE (t=2.62, p=0.010), specifically the Excess subscale (t=3.26, p=0.001). This was related to higher prevalence of binge eating and emotional eating behaviors among participants with BP compared to controls. Within-group analyses showed that self-reported emotional dysregulation/impulsivity was associated with maladaptive nutritional behaviors (t=3.38, p=0.035). Limitations Cross-sectional design. Within-group analyses were underpowered. Diet quality was measured using a brief self-report screener. Conclusion Adolescents and young adults with BP have poorer nutritional behaviors compared to controls, and this difference is related to stress-induced eating. This demonstrates the need to screen for stress-induced eating and to intervene when needed in order to optimize nutritional behaviors among adolescents and young adults with BP.

Details

ISSN :
15732517
Volume :
195
Database :
OpenAIRE
Journal :
Journal of affective disorders
Accession number :
edsair.doi.dedup.....c9fab11a01ba552c264f656c4a32ca32