title: Binge eating and emotional eating behaviors among adolescents and young adults with bipolar disorder.
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).
  
  
  CONCLUSIONS
  Cross-sectional design. Within-group analyses were underpowered. Diet quality was measured using a brief self-report screener.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Centre for Youth Bipolar Disorder, Department of Psychiatry, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, ON, Canada, M4N 3M5.
authors.forename: Katharine
authors.initials: K
authors.lastname: Martin
authors.affiliation: Centre for Youth Bipolar Disorder, Department of Psychiatry, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, ON, Canada, M4N 3M5.
authors.forename: Julia
authors.initials: J
authors.lastname: Woo
authors.affiliation: Centre for Youth Bipolar Disorder, Department of Psychiatry, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, ON, Canada, M4N 3M5.
authors.forename: Vanessa
authors.initials: V
authors.lastname: Timmins
authors.affiliation: Centre for Youth Bipolar Disorder, Department of Psychiatry, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, ON, Canada, M4N 3M5.
authors.forename: Jordan
authors.initials: J
authors.lastname: Collins
authors.affiliation: Centre for Youth Bipolar Disorder, Department of Psychiatry, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, ON, Canada, M4N 3M5.
authors.forename: Alvi
authors.initials: A
authors.lastname: Islam
authors.affiliation: Centre for Youth Bipolar Disorder, Department of Psychiatry, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, ON, Canada, M4N 3M5.
authors.forename: Dwight
authors.initials: D
authors.lastname: Newton
authors.affiliation: Centre for Youth Bipolar Disorder, Department of Psychiatry, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, ON, Canada, M4N 3M5. Electronic address: benjamin.goldstein@sunnybrook.ca.
authors.forename: Benjamin I
authors.initials: BI
authors.lastname: Goldstein
mesh_terms: D000293:Adolescent; D056912:Binge-Eating Disorder / Q000150:complications / Q000453:epidemiology* / Q000523:psychology*; D001714:Bipolar Disorder / Q000150:complications / Q000453:epidemiology* / Q000523:psychology*; D015897:Comorbidity; D003430:Cross-Sectional Studies; D039721:Diagnostic and Statistical Manual of Mental Disorders; D004032:Diet; D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D009752:Nutritional Status; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D012923:Social Class; D055815:Young Adult
keywords: Adolescent; Binge eating; Bipolar disorder; Diet; Nutrition