A narrative review of binge eating disorder in adolescence: prevalence, impact, and psychological treatment strategies
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Abstract: Binge eating disorder (BED) represents one of the most problematic clinical conditions among youths. Research has shown that the developmental stage of adolescence is a critical stage for the onset of eating disorders (EDs), with a peak prevalence of BED at the age of 16–17 years. Several studies among adults with BED have underlined that it is associated with a broad spectrum of negative consequences, including higher concern about shape and weight, difficulties in social functioning, and emotional-behavioral problems. This review aimed to examine studies focused on the prevalence of BED in the adolescent population, its impact in terms of physical, social, and psychological outcomes, and possible strategies of psychological intervention. The review of international literature was made on paper material and electronic databases ProQuest, PsycArticles, and PsycInfo, and the Scopus index were used to verify the scientific relevance of the papers. Epidemiological research that examined the prevalence of BED in adolescent samples in accordance with Diagnostic and Statistical Manual of Mental Disorders , 4th Edition showed a prevalence ranging from 1% to 4%. More recently, only a few studies have investigated the prevalence of BED, in accordance with the Diagnostic and Statistical Manual of Disorders , Fifth Edition criteria, reporting a prevalence of ~1%–5%. Studies that focused on the possible impact that BED may have on physical, psychological, and social functioning showed that adolescents with BED have an increased risk of developing various adverse consequences, including obesity, social problems, substance use, suicidality, and other psychological difficulties, especially in the internalizing area. Despite the evidence, to date, reviews on possible and effective psychological treatment for BED among young population are rare and focused primarily on adolescent females. Keywords: binge eating, adolescence, prevalence, impact, treatment
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Prevalence rates vary from 1 to 5% for BED and from 2.5 to 4.6% for subclinical forms of BED like LOC, with higher prevalence of LOC and BED in obese youth than in the general population.
“According to a recent review [3] prevalence rates vary from 1 to 5% for BED and from 2.5 to 4.6% for subclinical forms of BED like LOC [12], with higher prevalence of LOC and BED in obese youth than in the general population.”
From Correlates of interpersonal emotion regulation problems in Loss of Control eating (LOC) in youth: study protocol of the combined online and App based questionnaire, laboratory and randomized controlled online intervention i-BEAT trial (2021) · cites this paper as [3]
The Results and Summary sections on BED prevalence report approximately 1%–5% for adolescent BED and 2.5% and 4.6% in two studies of subthreshold BED. The Results also report about 2% BED prevalence in one obese adolescent sample versus 1.2% in general-population samples, but the review does not establish the broader claim that both BED and loss-of-control eating are more prevalent in obese youth. Page numbers are unavailable in our copy. (LLM, conf=0.84)
Experimental — accuracy not yet measuredBED variants are common during puberty and early adulthood.
“Current research [3, 4] shows that BED variants are common during puberty and early adulthood”
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Frequency and Patterns of Eating Disorder Symptoms in Early Adolescence
Micali, N., Ploubidis, G. B., Stavola, B. L. D., Simonoff, E. A., & Treasure, J. L. (2013) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2013.10.200 · Cited by 106 · see citing works
Eating Disorders in Adolescents
Weis, R. (2008) · Sage eBooks · doi:10.4135/9781483329352.n14 · Cited by 91 · see citing works
Allen, K. L., Byrne, S. M., Oddy, W. H., & Crosby, R. D. (2013) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-013-9747-7 · Cited by 90 · cited 1× · see citing works
“However, associations with stress and anxiety symptoms had large effect size.(68) Given that prevalence studies have underlined that SBED is very frequent in adolescent population, we considered four studies(18,32,40,60) that have examined the impact of both BED and SBED on psychological well-being.”
Wu, M., Lu, L. H., Lowes, A., Yang, S., Passarotti, A. M., Zhou, X. J., & Pavuluri, M. N. (2013) · Human Brain Mapping · doi:10.1002/hbm.22368 · Cited by 82 · see citing works
Dialectical Behavior Therapy Modified for Adolescent Binge Eating Disorder: A Case Report
Safer, D. L., Couturier, J. L., & Lock, J. (2007) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2006.06.001 · Cited by 80 · cited 6× · see citing works
“IPT was associated with a significant higher reduction of objective binge eating ( p 0.05) at the 12-month follow-up Safer et al 83 16 DBT (30 sessions over 6 months) None 1 0 DBT was associated with decreased binge eating episodes by the end of treatment and abstinence at 3-month follow-up…”
InfluentialLee-Winn, A. E., Reinblatt, S. P., Mojtabai, R., & Mendelson, T. (2016) · Eating Behaviors · doi:10.1016/j.eatbeh.2016.03.021 · Cited by 78 · cited 4× · see citing works
“Criteria required binge eating episodes at least twice per week for 6 months, but the new DSM-5 changed this threshold to at least once a week for 3 months.(10) Generally, binge eating episodes are preceded by intense feeling of craving,(11) and several researchers have suggested that binge eating may serve as a malad…”
InfluentialThe course of binge eating from adolescence to young adulthood
Goldschmidt, A. B., Wall, M., Loth, K., Bucchianeri, M., & Neumark-Sztainer, D. (2013) · Health Psychology · doi:10.1037/a0033508 · Cited by 73 · cited 1× · see citing works
“In the general population, international research has reported that 26% of female and 13% of male adolescents have experienced an episode of binge eating at least once in the last 12 months(33) and that subclinical symptoms of BED can be associated with a higher risk of developing BED(34) and/or other adverse outcomes…”
Suicidal behavior in adolescents and adults with bulimia nervosa
Crow, S. J., Swanson, S. A., Grange, D. L., Feig, E. H., & Merikangas, K. R. (2014) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2014.05.021 · Cited by 71 · see citing works
Paciello, M., Fida, R., Tramontano, C., Cole, E., & Cerniglia, L. (2013) · European Journal of Developmental Psychology · doi:10.1080/17405629.2012.759099 · Cited by 68 · see citing works
Self-citationPreparing Literature Reviews: Qualitative and Quantitative Approaches
(2003) · doi:10.4324/9781315265872 · Cited by 68 · cited 1×
“The methodological approach adopted in this paper consists of a narrative review, 45,46 an interpretive-qualitative form of research that, when include some features of a systemic methodology, 47 can allow synthesizing the findings of literature about a specific theme and improve our knowledge on…”
Gondoli, D. M., Corning, A. F., Salafia, E. H. B., Bucchianeri, M. M., & Fitzsimmons‐Craft, E. E. (2011) · Body Image · doi:10.1016/j.bodyim.2010.12.005 · Cited by 68 · cited 1× · see citing works
“17 25–27 For these reasons, although EDs can affect individuals of all ages, adolescence represents a peak lifetime period of increased vulnerability for the onset of EDs.”
Munsch, S., Meyer, A., & Biedert, E. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2012.08.009 · Cited by 64 · cited 1× · see citing works
“85 Moreover, despite traditional BWL programs being found to be effective in the treatment of BED in adults, 74 they are specifically focused on the objective overeating episodes, neglecting the aspects of loss of control which are particularly central in BED in adolescence.”
Tabler, J., & Utz, R. (2015) · International Journal of Eating Disorders · doi:10.1002/eat.22395 · Cited by 61 · cited 1× · see citing works
“Research that has focused on the possible consequences of BED on physical, psychological, and social functioning has evidenced that adolescents suffering from BED have an increased risk of developing a variety of adverse outcomes, which may persist into young adulthood.(63) Specifically, we reported data from 12 studi…”
Kessler, R. C., Shahly, V., Hudson, J. I., Supina, D., Berglund, P. A., Chiu, W. T., Gruber, M. J., Aguilar‐Gaxiola, S., Alonso, J., Andrade, L. H., et al. (2013) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796013000516 · Cited by 60 · cited 1× · see citing works
“…among adults with BED have shown that this ED is associated with various adverse consequences, including higher distress and concern about shape and weight, 43 social impairment, 8,44 and both clinical and subclinical forms of psychological difficulties, especially anxiety and depressive symptoms.”
Cognitive Behavioral Treatment for Recurrent Binge Eating in Adolescent Girls: A Pilot Trial
DeBar, L. L., Wilson, G. T., Yarborough, B. J., Burns, B., Oyler, B., Hildebrandt, T., Clarke, G. N., Dickerson, J., & Striegel, R. H. (2013) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2012.04.001 · Cited by 58 · cited 1× · see citing works
“In accordance with the NICE guidelines,(93) CBT is recommended to be the standard treatment for adult subjects suffering from BED, and our review has confirmed its effectiveness in reducing binge eating symptoms and the severity of risk factors also among adolescent population.(79) Moreover, it has also been evidenced…”
Evolution of cognitive-behavioral therapy for eating disorders
Agras, W. S., Fitzsimmons‐Craft, E. E., & Wilfley, D. E. (2017) · Behaviour Research and Therapy · doi:10.1016/j.brat.2016.09.004 · Cited by 58 · see citing works
Forrest, L. N., Zuromski, K. L., Dodd, D. R., & Smith, A. R. (2017) · International Journal of Eating Disorders · doi:10.1002/eat.22582 · Cited by 57 · cited 2× · see citing works
“3%, respectively.(18,32,66) The presence of several self-harm behaviors among BED adolescents has also been evidenced.”
Lifestyle and socioeconomic correlates of breakfast skipping in Hong Kong primary 4 schoolchildren.
Tin, S. P. P., Ho, S., Mak, K.-H., Wan, K.-L., & Lam, T.-H. (2011) · Preventive Medicine · doi:10.1016/j.ypmed.2010.12.012 · Cited by 55
Evaluation of the DSM-5 severity indicator for binge eating disorder in a clinical sample
Grilo, C., Ivezaj, V., & White, M. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.05.003 · Cited by 54 · see citing works
Empirical Identification and Validation of Eating Disorder Phenotypes in a Multisite Clinical Sample
Eddy, K. T., Crosby, R. D., Keel, P. K., Wonderlich, S. A., Grange, D. L., Hill, L., Powers, P. S., & Mitchell, J. E. (2009) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e3181927389 · Cited by 52 · see citing works
Female Adolescents with Eating Disorders, Parental Psychopathological Risk and Family Functioning
Tafà, M., Cimino, S., Ballarotto, G., Bracaglia, F., Bottone, C., & Cerniglia, L. (2016) · Journal of Child and Family Studies · doi:10.1007/s10826-016-0531-5 · Cited by 49 · see citing works
Self-citationLavender, J. M., Utzinger, L. M., Cao, L., Wonderlich, S., Engel, S., Mitchell, J., & Crosby, R. (2015) · Journal of Abnormal Psychology · doi:10.1037/abn0000135 · Cited by 49 · see citing works
Marital functioning and binge eating disorder in married women
Whisman, M. A., Dementyeva, A., Baucom, D. H., & Bulik, C. M. (2011) · International Journal of Eating Disorders · doi:10.1002/eat.20935 · Cited by 47 · cited 1× · see citing works
“…among adults with BED have shown that this ED is associated with various adverse consequences, including higher distress and concern about shape and weight, 43 social impairment, 8,44 and both clinical and subclinical forms of psychological difficulties, especially anxiety and depressive symptoms.”
Mazzeo, S., Lydecker, J. A., Harney, M. B., Palmberg, A. A., Kelly, N., Gow, R. W., Bean, M., Thornton, L., Tanofsky-Kraff, M., Bulik, C., et al. (2016) · Eating Behaviors · doi:10.1016/j.eatbeh.2016.06.014 · Cited by 46 · cited 7× · see citing works
“Finally, Mazzeo et al 84 examined the effectiveness of DBT in adolescent girls, compared to a BWL treatment control group, reporting a significant reduction Both IPT and HE were associated with a significant decrease in expected BMI gain ( p 0.001), BMI z score ( p = 0.003), BMI percentile ( p 0.001), anxiety and depr…”
InfluentialBinge Eating and Weight-Related Quality of Life in Obese Adolescents
Ranzenhofer, L. M., Columbo, K. M., Tanofsky‐Kraff, M., Shomaker, L. B., Cassidy, O. L., Matheson, B. E., Kolotkin, R. L., Checchi, J. M., Keil, M. F., McDuffie, J. R., et al. (2012) · Nutrients · doi:10.3390/nu4030167 · Cited by 45 · see citing works
Cerniglia, L., Cimino, S., Ballarotto, G., Casini, E., Ferrari, A., Carbone, P., & Cersosimo, M. (2015) · Transportation Research Part F Traffic Psychology and Behaviour · doi:10.1016/j.trf.2015.09.002 · Cited by 42 · cited 1× · see citing works
“17 25–27 For these reasons, although EDs can affect individuals of all ages, adolescence represents a peak lifetime period of increased vulnerability for the onset of EDs.”
Self-citationAssessing eating disorder symptoms in adolescence: Is there a role for multiple informants?
Swanson, S. A., Aloisio, K. M., Horton, N. J., Sonneville, K. R., Crosby, R. D., Eddy, K. T., Field, A. E., & Micali, N. (2014) · International Journal of Eating Disorders · doi:10.1002/eat.22250 · Cited by 42 · cited 2× · see citing works
“Interestingly, it has been evidenced that in adolescents, BED frequently manifests in attenuated, subclinical forms.(18,38,39) Indeed, studies with subthreshold adolescents(10,18,32,40,60) found a twofold BED prevalence.”
Klein, A. S., Skinner, J. B., & Hawley, K. (2013) · Psychotherapy · doi:10.1037/a0033130 · Cited by 41 · cited 1× · see citing works
“…focused on reducing interpersonal difficulties associated with the onset and/or maintenance of BED; and 4) dialectical behavior therapy (DBT), 76,77 which is directly focused on emotional dysregulation and difficulties in coping with one’s own emotions, by promoting the capacity to recognizing,…”
Coughlan, H., Tiedt, L., Clarke, M. C., Kelleher, I., Tabish, J., Molloy, C., Harley, M., & Cannon, M. D. (2013) · Journal of Adolescence · doi:10.1016/j.adolescence.2013.10.004 · Cited by 35 · see citing works
Test-retest reliability of the proposed DSM-5 eating disorder diagnostic criteria
Sysko, R., Roberto, C. A., Barnes, R., Grilo, C., Attia, E., & Walsh, B. (2012) · Psychiatry Research · doi:10.1016/j.psychres.2011.12.021 · Cited by 32 · see citing works
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Eating disorders in children and adolescents: Abnormal states
Jaffa, T., & McDermott, B. (2006) · doi:10.1017/cbo9780511543890 · Cited by 30 · cited 1×
“BED is the most prevalent form of ED and one of the primary chronic illnesses among adolescents.(17) Adolescence is a transitional developmental stage characterized by rapid and deep physical, psychological, and neural development changes, and it represents a critical period for the onset of EDs, including BED.”
BackgroundRoizen, M. (2009) · Yearbook of Anesthesiology and Pain Management · doi:10.1016/s1073-5437(09)79184-3 · Cited by 23 · see citing works
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Self-citationInfluence of Sociocultural Pressures on Body Image Dissatisfaction
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Assessment of eating disorders: interview or self-report questionnaire
Fairburn, C. G., & Beglin, S. J. (1994) · International Journal of Eating Disorders · doi:10.1002/1098-108x(199412)16:4
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Sorted by citations
Kjeldbjerg, M. L., & Clausen, L. (2021) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-021-01850-2 · Cited by 100 · see citing works
“The prevalence of BED in children and adolescents has been described in summarizing articles [14, 15], but systematic reviews of these age groups are scarce [5, 16, 17] and no meta-analysis has been done.”
BackgroundMethodInfluentialBinge Eating Disorder in Children and Adolescents
Bohon, C. (2019) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2019.05.003 · Cited by 76 · see citing works
Update on Binge Eating Disorder
Guerdjikova, A. I., Mori, N. N., Casuto, L., & McElroy, S. L. (2019) · Medical Clinics of North America · doi:10.1016/j.mcna.2019.02.003 · Cited by 96 · see citing works
Nagata, J. M., Iyer, P., Chu, J., Baker, F., Gabriel, K. P., Garber, A., Murray, S. B., Bibbins-Domingo, K., & Ganson, K. (2021) · International Journal of Eating Disorders · doi:10.1002/eat.23489 · Cited by 60 · see citing works
An update on gastrointestinal disturbances in eating disorders.
Hetterich, L., Mack, I., Giel, K., Zipfel, S., & Stengel, A. (2019) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2018.10.016 · Cited by 53 · see citing works
Ahorsu, D. K., Lin, C., Imani, V., Griffiths, M. D., Su, J., Latner, J. D., Marshall, R. D., & Pakpour, A. H. (2020) · International Journal of Eating Disorders · doi:10.1002/eat.23219 · Cited by 49 · see citing works
Giannopoulou, I., Kotopoulea-Nikolaidi, M., Daskou, S., Martyn, K., & Patel, A. (2020) · Nutrients · doi:10.3390/nu12020396 · Cited by 52 · see citing works
“This is of even greater importance due to the latest popularity and pre-occupation of the young generations with ‘healthy’ and ‘clean diets’ and the increasing stigma of overweight and obesity [25].”
BackgroundJahrami, H. A., Saif, Z., Faris, M. A., & Levine, M. (2018) · Eating and Weight Disorders · doi:10.1007/s40519-018-0618-7 · Cited by 44 · see citing works
Moorman, E. L., Warnick, J. L., Acharya, R., & Janicke, D. M. (2020) · Appetite · doi:10.1016/j.appet.2020.104782 · Cited by 40 · see citing works
Anxiety, stress, and binge eating tendencies in adolescence: a prospective approach
Lim, M. C., Parsons, S. D., Goglio, A., & Fox, E. (2021) · Journal of Eating Disorders · doi:10.1186/s40337-021-00444-2 · Cited by 48 · see citing works
“Given the rising incidence of binge eating tendencies in adolescence [5] and the low remission rates from these behaviours [40], it is imperative to gain a more comprehensive picture of the contributing factors towards binge eating patterns to maximise prevention and early intervention.”
BackgroundMichels, N. (2019) · Nutrition Research Reviews · doi:10.1017/s0954422419000143 · Cited by 35 · see citing works
Review of Mindfulness-Related Interventions to Modify Eating Behaviors in Adolescents
Omiwole, M., Richardson, C., Huniewicz, P., Dettmer, E. L., & Paslakis, G. (2019) · Nutrients · doi:10.3390/nu11122917 · Cited by 45 · see citing works
“, interpersonal therapy; IPT) for adolescent BED have also been recently published [16,18,19].”
BackgroundHilbert, A., Petroff, D., Neuhaus, P., & Schmidt, R. (2019) · Psychotherapy and Psychosomatics · doi:10.1159/000503116 · Cited by 30 · see citing works
The social epidemiology of binge-eating disorder and behaviors in early adolescents
Nagata, J. M., Smith-Russack, Z., Paul, A., Saldana, G. A., Shao, I. Y., Al-Shoaibi, A. A. A., Chaphekar, A. V., Downey, A. E., He, J., Murray, S. B., et al. (2023) · Journal of Eating Disorders · doi:10.1186/s40337-023-00904-x · Cited by 32 · see citing works
“BED affects 3–5% of the US population [1–3] and acts as a precursor to an array of medical and psychiatric sequelae, including diabetes, metabolic syndrome, cardiovascular disease, and elevated suicidality [4–6].”
BackgroundInfluentialInguglia, C., Costa, S., Ingoglia, S., & Liga, F. (2019) · The Journal of Genetic Psychology · doi:10.1080/00221325.2019.1621259 · Cited by 30 · see citing works
A narrative review of reward sensitivity, rash impulsivity, and food addiction in adolescents
Kidd, C., & Loxton, N. J. (2021) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2021.110265 · Cited by 36 · see citing works
Moustafa, A. F., Quigley, K. M., Wadden, T., Berkowitz, R., & Chao, A. M. (2021) · Obesity · doi:10.1002/oby.23185 · Cited by 27 · see citing works
“Though it is a new diagnosis, BED has been reported to be the most prevalent eating disorder among adolescents (8,9).”
BackgroundPace, C., & Muzi, S. (2019) · doi:10.6092/2282-1619/2019.7.2161 · Cited by 25
“The average prevalence of binge eating symptoms in our sample was higher than that reported in an international review (1.6%; Marzilli et al., 2018), probably due to the significant gender differences, that confirmed our hypothesis.”
ResultInfluentialCarriere, C., Michel, G., Féart, C., Pellay, H., Onorato, O., Barat, P., & Thibault, H. (2019) · Archives de pédiatrie · doi:10.1016/j.arcped.2019.02.008 · Cited by 25 · see citing works
Sociocultural pressure as a mediator of eating disorder symptoms in a non-clinical Australian sample
Pedersen, L., Hicks, R. E., & Rosenrauch, S. (2018) · Cogent Psychology · doi:10.1080/23311908.2018.1523347 · Cited by 23 · see citing works
“Other studies discuss specific disorders such as on Anorexia Nervosa (AN) or Bulimia (e.g. Marzilli et al., 2018).”
BackgroundHealthy and binge eating behaviours: the motivational processes underlying peer pressure
Barberis, N., Gugliandolo, M., Costa, S., & Cannavò, M. (2021) · Psychology, Health & Medicine · doi:10.1080/13548506.2021.1903054 · Cited by 19 · see citing works
Attachment representations and alexithymia in community adolescents with binge-eating attitudes
Pace, C., Muzi, S., Calugi, S., & Grave, R. D. (2020) · Eating and Weight Disorders · doi:10.1007/s40519-020-00897-5 · Cited by 19 · see citing works
Horovitz, O. (2025) · Nutrients · doi:10.3390/nu17101744 · Cited by 15 · see citing works
“Adolescents with BED often consume large quantities of food in a short period, accompanied by distress and a loss of control [28].”
Sahlan, R. N., Saunders, J. F., Perez, M., Blomquist, K., Fitzsimmons-Craft, E. E., & Bodell, L. P. (2021) · Eating Behaviors · doi:10.1016/j.eatbeh.2021.101502 · Cited by 15 · see citing works
Via, E., & Contreras‐Rodríguez, O. (2023) · Nutrients · doi:10.3390/nu15132994 · Cited by 21 · see citing works
Livet, A., Navarri, X., Pétrin‐Pomerleau, P., Champagne, S., Yunus, F. M., Chadi, N., McVey, G. L., & Conrod, P. (2023) · Adolescents · doi:10.3390/adolescents3020022 · Cited by 19 · see citing works
Lisdexamfetamine in Pediatric Binge Eating Disorder: A Retrospective Chart Review
Guerdjikova, A. I., Blom, T. J., Mori, N. N., Matthews, A. L., Cummings, T. S., Casuto, L., & McElroy, S. L. (2019) · Clinical Neuropharmacology · doi:10.1097/wnf.0000000000000367 · Cited by 24 · see citing works
“Copyright © 2019 Wolters Kluwer H therapy.(3) No medication to date has been systemically explored for the treatment of BED in adolescents.”
BackgroundAl-Shoaibi, A. A. A., Lavender, J. M., Kim, S. J., Shao, I. Y., Ganson, K. T., Testa, A. M., He, J., Glidden, D. V., Baker, F. C., & Nagata, J. M. (2024) · Appetite · doi:10.1016/j.appet.2024.107419 · Cited by 11 · see citing works
“Individuals Individuals with BED are at higher risk for severe psychological and medical sequelae including depression (Araujo et al., 2010), suicidality, and cardiometabolic diseases (Barakat et al., 2023; Marzilli et al., 2018; Stice et al., 2013; Swanson et al., 2011).”
BackgroundTrait Impulsivity and Choice Impulsivity in Young Adult Students With Probable Binge Eating Disorder
Zheng, D.-H., Liu, M., & Yan, W.-S. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.838700 · Cited by 15 · see citing works
Pace, C., Muzi, S., Parolin, L., Milesi, A., Tognasso, G., & Santona, A. (2021) · Eating and Weight Disorders · doi:10.1007/s40519-021-01183-8 · Cited by 12 · see citing works
Prevalence and correlates of eating disorders in greek-cypriot adolescents and young adults
Koushiou, M., Nikolaou, P., & Karekla, M. (2020) · The European Journal of Counselling Psychology · doi:10.5964/ejcop.v8i1.170 · Cited by 15 · see citing works
Cena, H., Vandoni, M., Magenes, V. C., Napoli, I. D., Marin, L., Baldassarre, P., Luzzi, A., Pasquale, F. D., Zuccotti, G., & Calcaterra, V. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19148300 · Cited by 15 · see citing works
“However, considering the bidirectional impact of obesity and BED in adolescents and the comorbidity presence of other psychiatric and somatic disorders [33,37], treatment programs for young people that are overweight or obese should consider a broader multidimensional approach.”
BackgroundInfluentialStress as a potential moderator of ovarian hormone influences on binge eating in women
Fowler, N., Vo, P. T., Sisk, C., & Klump, K. (2019) · F1000Research · doi:10.12688/f1000research.16895.1 · Cited by 11 · see citing works
Munsch, S., Forrer, F., Naas, A., Mueller, V., Rubo, M., Hannoun, F., & Mugellini, E. (2021) · BMC Psychology · doi:10.1186/s40359-021-00690-8 · Cited by 8 · see citing works
“Current research [3, 4] shows that BED variants are common during puberty and early adulthood, a period characterized by rapid biological changes, e.”
BackgroundChmiel, J., Kurpas, D., Rybakowski, F., & Leszek, J. (2024) · Nutrients · doi:10.3390/nu16101521 · Cited by 8 · see citing works
“Patients with BED often eat secretly, being ashamed of their behavior and lack of ability to control food intake [7].”
BackgroundBao, K., French, E. N., Schleyer, B., Khaikin, S., & Chen, E. Y. (2022) · Psychiatry Research Communications · doi:10.1016/j.psycom.2022.100067 · Cited by 10 · see citing works
Klump, K. L., Kashy, D. A., Culbert, K. M., Sinclair, E. B., Hildebrandt, B. A., Huysse, J. L. V., O’Connor, S. M., Fowler, N., Johnson, A. W., & Sisk, C. L. (2021) · Physiology & Behavior · doi:10.1016/j.physbeh.2021.113394 · Cited by 11 · see citing works
Mastropietro, S., Favieri, F., Forte, G., Locuratolo, N., Mannarelli, D., Pauletti, C., Fattapposta, F., & Casagrande, M. (2022) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-022-00906-x · Cited by 9 · see citing works
“In this case, it is important to underline that food addiction is different from binge eating disorder (DSM 5, 2013) which shows a prevalence ranging from 1 to 5% in the target population (i.e., general population, population with obesity) (Kessler et al., 2013; Marzilli et al., 2018).”
Luo, Y., Morales, J. C., Dunton, G. F., & Mason, T. B. (2025) · Appetite · doi:10.1016/j.appet.2025.108212 · Cited by 8 · see citing works
Valdez, A., Smith, K. E., & Mason, T. B. (2022) · Pediatric Obesity · doi:10.1111/ijpo.12987 · Cited by 9 · see citing works
“Children with BED differ from those without BED in that they experience significant psychosocial and developmental impairment and have higher impulsivity towards food.(22,24,25) Therefore, when studying risk factors for weight gain, it may be meaningful to examine factors separately for those with versus without BED,…”
BackgroundErbaş, İ. M., Paketçi, A., Turan, S., Şişman, A. R., Demir, K., Böber, E., & Abacı, A. (2022) · Journal of Clinical Research in Pediatric Endocrinology · doi:10.4274/jcrpe.galenos.2021.2021-11-1 · Cited by 9 · see citing works
“Finally, BED diagnosis was determined according to a clinical survey, which may be affected by the subjective responses of the individuals with obesity.”
BackgroundInfluentialAagaard, I., Jakobsen, D. D., & Bruun, J. M. (2023) · European Journal of Pediatrics · doi:10.1007/s00431-023-05206-7 · Cited by 7 · see citing works
“Never-theless, given the presence of negative correlations between QoL and overeating in general, it can be argued that a similar association might exist between QoL and emotional over-eating [23].”
BackgroundO'Connor, S., Zickgraf, H. F., Hazzard, V. M., Haller, L., & Wildes, J. (2023) · Eating Behaviors · doi:10.1016/j.eatbeh.2023.101729 · Cited by 7 · see citing works
Adolescent Nutrition: Assuring the Needs of Emerging Adults
Evans, Y. N., & Docter, A. D. (2020) · doi:10.1007/978-3-030-45103-5 · Cited by 7
Shi, X., Duck, S., Jansen, E., Borsarini, B., Blackwell, C. K., Li, Y.-C., & Carnell, S. (2024) · Obesity · doi:10.1002/oby.24199 · Cited by 6 · see citing works
“BE is a core feature of BE disorder (BED), which is one of the most prevalent psychiatric conditions among youth and is associated with psychological distress, reduced quality of life, and comorbidities including obesity, type 2 diabetes, and cardiovascular disease [2].”
Martin, E., Cao, M., Schulz, K., Hildebrandt, T., Sysko, R., Berner, L. A., & Li, X.-B. (2024) · Journal of the American Academy of Child and Adolescent Psychiatry · doi:10.1016/j.jaac.2024.02.015 · Cited by 6 · see citing works
Matheson, B. E., Bohon, C., Grange, D. L., & Lock, J. (2023) · Eating Disorders · doi:10.1080/10640266.2023.2229091 · Cited by 9 · see citing works
“…BED, including CBT, interpersonal psychotherapy, and dialectical behavioral therapy, though outcome results are mixed; further, small sample size and restricted demographics (e.g., some studies only included female participants) limit generalizability (Datta et al., 2022; Marzilli et al., 2018).”
ResultEnhanced Family-Based Treatment for an Adolescent With Binge-Eating Disorder: A Case Report
Baker, J. H., Temes, E. E., Bohon, C., Derenne, J. L., Duvall, A., & Steinberg, D. (2023) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2022.12.001 · Cited by 7 · see citing works
Yakın, E., Obeïd, S., Fekih‐Romdhane, F., Soufia, M., Sawma, T., Samaha, S., Mhanna, M., Azzi, R., Mina, A., & Hallit, S. R. (2022) · Journal of Eating Disorders · doi:10.1186/s40337-022-00673-z · Cited by 6 · see citing works
Brothwood, P. L., & Baudinet, J. (2025) · Journal of Eating Disorders · doi:10.1186/s40337-025-01206-0 · Cited by 5 · see citing works
“Evidence suggests that binge eating disorder (BED) is the most common eating disorder amongst adolescents [1] with recent estimates suggesting a prevalence of 1-4% [2, 3].”
Sleep and binge eating in early adolescents: a prospective cohort study
Nagata, J. M., Huynh, R., Balasubramanian, P., Lee, C. M., Helmer, C. K., Ganson, K., Testa, A., He, J.-B., Lavender, J. M., Kiss, O., et al. (2025) · Eating and Weight Disorders · doi:10.1007/s40519-025-01729-0 · Cited by 5 · see citing works
“Moreover, BED is associated with significant medical and psychiatric sequelae, including type 2 diabetes, cardiovascular disease, and elevated rates of suicidality, depression, and anxiety [2, 3].”
Hamady, H., & Engel‐Yeger, B. (2025) · Journal of Child and Adolescent Mental Health · doi:10.2989/17280583.2024.2438367 · Cited by 3 · see citing works
“However, regions (i.e., prefrontal cortex) associated with higher cognitive functioning including self-regulation, problem solving, inhibition, planning, and emotional regulation, develop at a slower pace an imbalance between the two mechanisms and dysregulated behaviours (Marzilli et al., 2018).”
Hadaye, R., & Rahini, S. (2024) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_1079_23 · Cited by 5 · see citing works
Yan, W.-S., Liu, M., & Liu, S.-J. (2023) · Psychology Research and Behavior Management · doi:10.2147/prbm.s441949 · Cited by 6 · see citing works
Asna, A. F., & Syah, M. N. H. (2021) · doi:10.52023/ijns.v1i1.2517 · Cited by 5
Munsch, S., Dremmel, D., Wilhelm, P., Baierlé, S., Fischer, S., & Hilbert, A. (2019) · PLoS ONE · doi:10.1371/journal.pone.0221814 · Cited by 6 · see citing works
“Moreover, the likelihood is high that children with LOC-E develop a BED or become overweight or obese [1, 3–5, 59].”
BackgroundInfluentialPace, C. S., Muzi, S., & Rogier, G. (2024) · European Review of Applied Psychology · doi:10.1016/j.erap.2023.100936 · Cited by 6 · see citing works
Petersen, J. M., Barney, J. L., Barrett, T. S., Lensegrav-Benson, T., Quakenbush-Roberts, B., & Twohig, M. P. (2023) · Eating Disorders · doi:10.1080/10640266.2022.2141710 · Cited by 4 · see citing works
“…University, 2810 Old Main Hill, Logan, Utah 84322, United States © 2022 Taylor & Francis Eating disorders are a serious problem among adolescents, with prevalence ranging from 1–14%, depending on the sample and symptom presentation (Glazer et al., 2019; Karekla et al., 2020; Marzilli et al., 2018).”
BackgroundMaigaard, S., Andreassen, P., Clausen, L., & Bruun, J. M. (2025) · Journal of Eating Disorders · doi:10.1186/s40337-025-01237-7 · Cited by 4 · see citing works
“The prevalence of BED is estimated to be between 1% and 5% among children, adolescents, and young adults, depending on the sample and the method used [5, 6].”
InfluentialNorton, L., Parkinson, J., MacGuinness, M., Harris, N., & Hart, L. (2023) · Pilot and Feasibility Studies · doi:10.1186/s40814-023-01328-9 · Cited by 4 · see citing works
“Eating disorders have devastating effects on young people and their families [3, 4].”
BackgroundVo, P. T., Racine, S., Burt, S. A., & Klump, K. (2019) · International Journal of Eating Disorders · doi:10.1002/eat.23139 · Cited by 4 · see citing works
“A uthor M anuscript A uthor M anuscript A uthor M anuscript A uthor M anuscript Covariates Pubertal development, body mass index (BMI), and age were included as covariates, as they may influence BE and its associations with risk factors (Klump, 2013; Marzilli et al., 2018).”
BackgroundIntergenerational transfer of binge eating-like behavior: The additive impact of juvenile stress
Dory, E. K., Gueta, A., Loterstein, Y., Moshe, L., Matas, D., Koren, L., & Weller, A. (2024) · Appetite · doi:10.1016/j.appet.2024.107713 · Cited by 3 · see citing works
Liu, K., Zhang, L., Tu, D., & Cai, Y. (2022) · SAGE Open · doi:10.1177/21582440221141273 · Cited by 3 · see citing works
“…studies on EDs have been published, such as epidemiological studies (e.g., Mitchison & Mond, 2015; Udo & Grilo, 2018), clinical medical studies (e.g., Yang et al., 2018), and psychological studies (e.g., Marzilli et al., 2018), which indicate that researchers have long been concerned about EDs.”
MethodEating Disorders Behaviour and Body Shape, Self-esteem, Body Mass Index Level Relationship in China
Zeng, G., Othman, A. T., Khairani, A. Z., & Salleh, K. M. (2022) · International Journal of Academic Research in Progressive Education and Development · doi:10.6007/ijarped/v11-i1/12123 · Cited by 3 · see citing works
“(Marzilli et al., 2018).”
Screening for Body Image Concerns, Eating Disorders, and Sexual Abuse in Adolescents
Spinner, S., & Rudolph, B. D. (2019) · Elsevier eBooks · doi:10.1016/b978-0-323-66130-0.00012-0 · Cited by 3 · see citing works
Brown, T., Tanti, V., Wilson, N., Griffiths, M. D., Lubman, D. I., Hein, K., & Stavropoulos, V. (2026) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2026.152694 · Cited by 2 · see citing works
Martin, E., Schulz, K. P., Hildebrandt, T., Sysko, R., Berner, L. A., & Li, X. (2025) · Translational Psychiatry · doi:10.1038/s41398-025-03756-y · Cited by 1 · see citing works
“Binge eating disorder (BED) is the most common eating disorder, affecting 1.1% of children and between 1 and 5% of adolescents [1, 2].”
InfluentialPrice, C., Koning, E., Harris, A. L., Trappenberg, N., Hilbert, A., Bartel, S., Chorney, J., Dixon, L. J., Sadek, J., Frank, G. K. W., et al. (2025) · Journal of Clinical Psychopharmacology · doi:10.1097/jcp.0000000000002106 · Cited by 2 · see citing works
Prevalence and Risk Factors for Eating Disorders in Adolescent Female Basketball Players
Valenzuela-Farias, K. I., de la Cruz-Márquez, J. C., Ávila-Cabreja, J. A., Cueto-Martín, M. B., & Siquier-Coll, J. (2025) · Nutrients · doi:10.3390/nu17223547 · Cited by 2 · see citing works
“While ED can affect individuals across all socioeconomic backgrounds, lower socioeconomic status is often linked to a higher incidence of compulsory treatment for anorexia nervosa [30].”
Alsaud, J. S., Aljuaylan, N., Alsaloom, D. S., Alsakaker, A. A., Alfayez, J. S., & Alshehi, R. (2024) · Cureus · doi:10.7759/cureus.71039 · Cited by 3 · see citing works
Forrer, F., Rubo, M., Meyer, A. H., & Munsch, S. (2023) · BMC Psychology · doi:10.1186/s40359-023-01429-3 · Cited by 4 · see citing works
“It has also to be taken into account, that the assessment of LOC and body weight were based on self-report, which is less reliable than interview-based assessment or direct measurement of body weight, respectively [54].”
BackgroundNardo, M. D. D., Marchetti, D., Fulcheri, M., & Verrocchio, M. (2020) · doi:10.6092/2282-1619/mjcp-2564 · Cited by 2
“Some studies show a maximum prevalence of BED at the age of 16-17 years (Marzilli et al., 2018) and at two stages of development: at a mean age of 14 years (Smink et al., 2014) and in later adolescence between 18 and 20 years (Stice et al., 2013).”
BackgroundVerbesserung der Impuls- und Emotionsregulation bei Binge-Eating-Störungen
Legenbauer, T., & Preuss, H. (2019) · Kindheit und Entwicklung · doi:10.1026/0942-5403/a000292 · Cited by 4 · see citing works
Rauen, A. C., Meyer, A. H., Forrer, F., Müller, V. M., & Munsch, S. (2025) · Appetite · doi:10.1016/j.appet.2025.108427 · Cited by 1 · see citing works
Ford, S. K., & Carr, A. (2025) · Clinical Child Psychology and Psychiatry · doi:10.1177/13591045251385271 · Cited by 1 · see citing works
“Similarly, Tan et al. (2022) identi fi ed BN and AN as predominant, while others identi fi ed BED as most prevalent (Marzilli et al., 2018; Ram & Shelke (2023).”
Preuss, H., Kirschbaum‐Lesch, I., Eskic, J., Lukes, S., Pydd, J., Derks, L. M., Hammerle, F., & Legenbauer, T. (2023) · BMJ Open · doi:10.1136/bmjopen-2022-067626 · Cited by 1 · see citing works
Das, R. K., Cawley, E., Simeonov, L., Piazza, G., Schmidt, U., Wiers, R., & Kamboj, S. K. (2022) · Scientific Reports · doi:10.1038/s41598-022-12173-w · Cited by 1 · see citing works
“The desire subscale showed a Session × Time × Group interaction [F(2,82) = 4.”
BackgroundMethodInfluentialTrait Impulsivity and Choice Impulsivity in Young Adults with Probable Binge Eating DisorderPreprint
Yan, W.-S., Zheng, D.-H., & Liu, M. (2021) · Research Square · doi:10.21203/rs.3.rs-907763/v1 · Cited by 1 · see citing works
CARDIOVASCULAR INJURY IN ANOREXIA NERVOSA
Calangea, I., Busnatu, Ș., Pană, M., Jercălău, C., Andrei, C., & Sinescu, C. (2021) · Romanian Medical Journal · doi:10.37897/rmj.2021.2.11 · Cited by 1
Trait Impulsivity and Choice Impulsivity in Young Adults With Binge Eating DisorderPreprint
Zheng, D.-H., Liu, M., & Yan, W.-S. (2021) · Research Square · doi:10.21203/rs.3.rs-524598/v1 · Cited by 1 · see citing works
Stanić, S., & Žuro, D. (2025) · Školski vjesnik · doi:10.38003/sv.74.1.11 · Cited by 1
“Estimates of prevalence in adolescents vary, ranging from 1.6% (Swanson et al., 2011) to 5% (Marzilli et al., 2018), with girls being slightly more likely to be affected than boys (Bohon, 2019, p. 549).”
InfluentialBinge Eating Disorder in Adolescents and Emerging Adults
Nesbitt, J. B., & Wassenaar, E. (2020) · Springer eBooks · doi:10.1007/978-3-030-45103-5_17
Mason, T. B., Morales, J. C., Smith, K. E., & Dunton, G. F. (2026) · JCPP Advances · doi:10.1002/jcv2.70132
“Previous research has identified adolescence as a critical period for the development of EDs due to physical, psychological, and social changes that occur during this timeframe (Marzilli et al., 2018).”
The extended community of diet culture around eating disorders: a network analysis of reddit forums
Qiu, J., Levinson, C., Kropko, J., Henry, T. R., & Gates, A. J. (2026) · Applied Network Science · doi:10.1007/s41109-026-00787-2
Oh, H., Lee, U., Shin, B., Kim, Y., Jung, Y.-C., & Kim, E. (2026) · Internet Interventions · doi:10.1016/j.invent.2026.100945
“Crucially, adolescence and young adulthood represent a high-risk period for the onset of binge eating, with prevalence rates rising sharply during these developmental stages (Marzilli et al., 2018).”
Walsh, R. F. L., Sheehan, A. E., Burke, T. A., & Liu, R. T. (2026) · Translational Psychiatry · doi:10.1038/s41398-026-03980-0
“This fi nding parallels that observed in adolescent literature, in which BED was also associated with SI [27].”
Ibrahim, O. M., El-Bakry, A., Baz, H., Khalil, M. A. E. F., Ahmad, G. F., Ayoub, D. R., & El-Makawi, S. M. (2025) · Indian Journal of Psychological Medicine · doi:10.1177/02537176251365051
Longitudinal Associations between Adolescent Electronic Cigarette Use and Eating Behaviors
Sarwar, S., Mason, W. A., Nelson, J. M., Espy, K. A., & Nelson, T. D. (2025) · Substance Use & Misuse · doi:10.1080/10826084.2025.2534491 · Cited by 1 · see citing works
“It is well-established that the unhealthy dietary behaviors typical of adolescents pose a considerable risk to short-and long-term physical and mental health (Appannah et al., 2021; Marzilli et al., 2018).”
Moussaoui, J. R., Manasse, S., & D'Adamo, L. (2025) · JMIR Research Protocols · doi:10.2196/73447
“Binge-spectrum EDs typically start during adolescence [1] and have a 7% to 8% prevalence among adolescents [2,3].”
Medium Effect Size: Korelasi Internalisasi Bentuk Tubuh Ideal dari Media dan Drive for Thinness
Sugiarto, A. A., & Yudiarso, A. (2022) · Journal of Education Humaniora and Social Sciences (JEHSS) · doi:10.34007/jehss.v5i2.1416
Kozioł, K., Kazek, B., Sikora, D., Brzóska, A., Paprocka, J., & Emich‐Widera, E. (2022) · Children · doi:10.3390/children9091360
“It is worth remembering that only 12% of teenagers with this disorder seek out professional help, and it is important to observe children and youth in that respect as well [39].”
BackgroundTrastornos de la conducta alimentaria en niños y adolescentes
Hirot, F., Doyen, C., & Godart, N. T. (2022) · EMC - Tratado de Medicina · doi:10.1016/s1636-5410(22)46844-9 · Cited by 1 · see citing works
Troubles des conduites alimentaires de l’enfant et de l’adolescent
Hirot, F., Doyen, C., & Godart, N. (2022) · International Conference on Embedded and Multimedia Computing · doi:10.1016/s1877-7848(22)47190-5
Alasty, H., Hasani, J., Akbari, M., & Mohammadkhani, S. (2021) · Practice in Clinical Psychology · doi:10.32598/jpcp.9.3.772.1
“Because binge eating is a transdiagnostic construct that includes cognitive, emotional, and behavioral dimensions, the physical or psychological problems of this disorder would lead to increasing economic, social, and clinical costs (Marzilli et al., 2018).”
BackgroundInfluentialBINGE EATING DISORDERS; UPDATED AND EMERGING APPROACHES
Teaima, M. H. M., Hamid, M. M. A., Shoman, N. A., Jasti, B., El-Nabarawi, M. A., & Yasser, M. (2021) · International Journal of Applied Pharmaceutics · doi:10.22159/ijap.2021v13i2.40214
“BED is one of the prominent eating disorders in the United States and worldwide [7] that has the highest incidence in adolescence [8].”
BackgroundDisturbo da binge-eating - Un update
Grave, R. D., Calugi, S., & Sartirana, M. (2020) · IJEDO · doi:10.32044/ijedo.2020.06
Essstörungen bei Kindern und Jugendlichen
Legenbauer, T., & Bühren, K. (2021) · Springer Reference Medizin · doi:10.1007/978-3-662-49289-5_114-1
- Authors
- Marzilli, E., Cerniglia, L., & Cimino, S.
- Affiliations
- Sapienza University of Rome (IT)
- UniNettuno University (IT)
- Corresponding author
- Cerniglia, Luca
- Venue
- Adolescent Health, Medicine and Therapeutics
- Publisher
- Informa UK Limited
- Published
- 2018-01
- Volume
- Volume 9
- Pages
- 17-30
- ISSN
- 1179-318X (ISSN-L)
- PMC
- PMC5759856
- OpenAlex
- W2782349382
- Cited by
- 107
- References
- 108
- Citations by year
- 2026: 4 · 2025: 13 · 2024: 11 · 2023: 18 · 2022: 17 · 2021: 18 · 2020: 10 · 2019: 13 · 2018: 3
- FWCI
- 1.85
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Adolescent Health Medicine and Therapeutics (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- binge eating disorder, adolescence, prevalence, eating disorders, psychological intervention, obesity, suicidality, substance use, social functioning, internalizing problems, adolescent girls
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