The Impact of The COVID-19 Pandemic On Binge Eating Behaviors In Adolescents And Young Adults

Background: The COVID-19 pandemic and subsequent public health measures have resulted in a worsening of eating disorder symptoms and an increase in psychological distress. The present study examines the impact of the COVID-19 pandemic on adolescents and young adults with bingeing behaviors and binge eating disorder (BED). Additionally, the study explores if individuals with food insecurity experienced increased binge eating symptoms and negative feelings. Method: Participants (n=39) were a convenience sample who participated between November 2020 to January 2021 in a weight and lifestyle management program at an urban New England pediatric hospital. Participants completed online surveys that assessed (1) exposure to and impact of COVID-19 on binge eating behaviors, (2) participants’ and their families’ ability to attain food and its association with bingeing behaviors, and (3) the relationship between food insecurity and negative emotions. Results: : Nearly half of all participants (48.7%) reported moderate to severe bingeing during the COVID-19 pandemic; those who experienced a higher impact of COVID-related stress reported more binge-eating behaviors ( p = 0.03). There were no associations between indicators of food insecurity and binge eating nor between food insecurity and negative feelings Conclusions: : Higher levels of pandemic-related stress were associated with greater binge-eating behaviors. It is necessary for clinicians caring for adolescents and young adults with bingeing behaviors monitor symptoms and provide treatment for their patients despite barriers to care imposed by the COVID-19 pandemic.