Problematic Eating Behavior Research Articles

MEDIA VIDEO ANIMASI MINDFUL EATING DAPAT DIGUNAKAN UNTUK MEMBANTU MENGATASI DISORDERED EATING PADA MAHASISWA

Disordered Eating (DE) or eating behavior problems are one of the issues that are increasingly significant among college students. Academic pressures and cultural changes influence the concept of the ideal body, leading to unhealthy eating behaviors. Mindful Eating (ME), which emphasizes awareness and appreciation of eating behaviors, effectively addresses disordered eating behaviors. However, there are still many cases of DE among collage students, especially women. This research aimed to develop a canvas-based animation video to help college students overcome DE. The type research method in this study used Research and Development (R&D) with the ADDIE (Analyze, Design, Development, Implementation, and Evaluation) model, but only up to the development stage in this study. Canva-based animation video validation involves three experts: expert materials, linguists, and media experts, with an average result of 80.3 (decent category, revised as necessary). Next, it was tested on prospective users (n = 37) who were selected by simple random sampling. The results of product assessment by prospective users amounted to 91.1 (very feasible category, no need to revise). The ME Knowledge Questionnaire measured the impact of video use (reliability = 0.621). The results of the comprehension score based on the pre-test and post-test on students obtained an average N-Gain score of 0.84 with an average score of 0.84 with a high category. Based on the analysis results, it can be concluded that ME video products are feasible to use as learning media to increase ME knowledge and overcome ED problems in collage students.

Exploring the relationship between problematic eating behaviors and bipolar disorder: A study on candidates for bariatric surgery

BackgroundObesity is a major concern in patients with bipolar disorder (BD) and problematic eating behaviors have been suggested to mediate their relationship. The association between problematic eating behaviors and obesity has been studied but limited data have explored the role of BD. We investigated problematic eating behaviors among patients with BD compared with candidates for bariatric surgery (BS), with or without BD, and explored the possible correlations between mood spectrum, impulsivity, body mass index (BMI). Methods50 euthymic patients with BD and 200 subjects eligible for BS, 48 with BD (BS + BD) and 152 without BD (BS-BD), were recruited at the Psychiatric Clinic of University of Pisa. Assessments included: Structured Clinical Interview (SCID-5), Emotional Eating Scale (EES), Yale Food Addiction Scale (YFAS), Eating Disorder Inventory (EDI-2), Eating Disorder Questionnaire (EDE-Q), Night Eating Scale (NES), Grazing Questionnaire (GQ), Mood Spectrum Self-Report (MOOD-SR), Barratt Impulsivity Scale (BIS). ResultsBS + BD reported significantly higher EDI-2 and EDE-Q scores than the other groups. BD and BS + BD showed significantly higher BIS-11 scores than BS-BD. Among BS, EES and YFAS were associated with mood spectrum symptoms. LimitationsSmall BD sample size, BS may have underreported psychiatric symptoms to get approved for surgery, the interview didn't inquire about BS receiving GLP-1 agonists therapy. ConclusionsResults showed a high prevalence of problematic eating behaviors among patients with BD and severely obese. Problematic eating behaviors may aggravate BD symptoms. Mood spectrum symptoms in obese subjects need to be carefully researched in as relate to severity and post-surgical course of BS.

HUBUNGAN ANTARA TINGKAT PENGETAHUAN ORANG TUA DENGAN PERILAKU MAKAN ANAK STUNTING USIA BALITA DI SIDOARJO, JAWA TIMUR

Stunting is a form of growth failure due to malnutrition over a long period. Poor eating behavior is one of the causes of lack of nutrition in children. If there is no good control over the child's eating behavior during the golden period of growth and development, the child may fall into a stunting condition. The phenomenon found in toddlers in Sidoarjo, East Java is eating behavior problems such as picky eaters and feeling full quickly. The purpose of this study was to analyze the relationship between the level of knowledge and the eating behavior of toddler who experienced stunting in Sidoarjo, East Java. The design of this research is a correlation study with a cross sectional approach. The number of samples in this study amounted to 30 respondents, the sampling technique used is total sampling. The variable in this study were the level knowledge of parents and eating behavior of stunting toddler. The instrument in this research the knowledge and the toddler Eating Behavior Questionnaire. The analysis used is Proportional Percentage Descriptive Statistical Analysis. The results showed that 18 (53%) of parents had enough knowledge about eating behavior of stunting toddler. The results showed that 18 (60%) children had a tendency to eat a food approach (like to eat). The relationship between the level of knowledge and eating behavior of stunting toddler of the Spearman Rank correlation test with a value of p = 0.358 and r + 0.174. The results showed there is no relationship level was very low and the direction of the relationship was negative, It is hoped that the head of the Posyandu Kader will be able to increase parental knowledge regarding the need for intake and the importance of providing food according to the child's developmental stage, creativity in serving, quantity and quality of food, as well as factors that affect child growth and development, especially in the incidence of stunting.

Eating Behaviors in Children in out of Home Care: A Scoping Review

Food shortages have been described as features of child neglect and consequential problematic eating behavior in children in out of home care has been reported in some countries. Other predictors of eating difficulties such as trauma and absence of routine are also high in this cohort. Research in this area is in its infancy and etiological understanding is limited. This scoping review sought to: (1) describe the patterns of eating behavior demonstrated by children in out of home care, (2) summarize the evidence base for any mechanisms behind these patterns and (3) synthesize existing information about appropriate interventions and lines of enquiry for these. Systematic searches were conducted, resulting in 16 studies eligible for inclusion. Patterns and inconsistencies are described; children in out of home care are particularly vulnerable to aberrant eating patterns and future lines of enquiry should consider mechanisms and potential intervention.

Bardet-Biedl syndrome improved diagnosis criteria and management: Inter European Reference Networks consensus statement and recommendations.

Four European Reference Networks (ERN-EYE, ERKNet, Endo-ERN, ERN-ITHACA) have teamed up to establish a consensus statement and recommendations for Bardet-Biedl syndrome (BBS). BBS is an autosomal recessive ciliopathy with at least 26 genes identified to date. The clinical manifestations are pleiotropic, can be observed in utero and will progress with age. Genetic testing has progressively improved in the last years prompting for a revision of the diagnostic criteria taking into account clinical Primary and Secondary features, as well as positive or negative molecular diagnosis. This consensus statement also emphasizes on initial diagnosis, monitoring and lifelong follow-up, and symptomatic care that can be provided to patients and family members according to the involved care professionals. For paediatricians, developmental anomalies can be at the forefront for diagnosis (such as polydactyly) but can require specific care, such as for associated neuro developmental disorders. For ophthalmology, the early onset retinal degeneration requires ad hoc functional and imaging technologies and specific care for severe visual impairment. For endocrinology, among other manifestations, early onset obesity and its complications has benefited from better evaluation of eating behaviour problems, improved lifestyle programs, and from novel pharmacological therapies. Kidney and urinary track involvements warrants lifespan attention, as chronic kidney failure can occur and early management might improve outcome. This consensus recommends revised diagnostic criteria for BBS that will ensure certainty of diagnosis, giving robust grounds for genetic counselling as well as in the perspective of future trials for innovative therapies.

FEEDING BEHAVIORS IN CHILDREN WITH AUTISM SPECTRUM DISORDER: A CROSS-SECTIONAL STUDY

This study aimed to examine the behavioral feeding problems in a sample of children with Autism Spectrum Disorder (ASD) and to examine the relationship of feeding problems to child sex and parents feelings about strategies to cope. This was a cross-sectional study of children aged 6-15 years with ASD. The parents or caregivers of the children/adolescents with ASD completed the following: sociodemographic information, questions about nutrition, and the Behavioral Pediatric Feeding Assessment Scale (BPFAS) for assessing the child’s behavioral feeding problems and parents’ feelings. Height and weight were used to calculate body mass index (BMI) percentiles. These percentiles for age and sex were used to define overweight and obesity (≥85th and ≥95th percentiles, respectively). The sample of the study consisted of 70 children with ASD (male: 49, female: 21), of which 45.8% were obese. The frequency of obesity in the males with ASD was higher than that in the females with ASD. BPFAS scores were higher in the females than in the males for all frequencies (total score, total problem score, child total score, child problem, parent total score, and parent problem). BPFAS total score was higher in the underweight children group (especially in the females). This study demonstrated that problematic feeding behaviors in children with ASD may differ according to sex. Behavioral interventions should be developed according to differences in feeding behavior.

DRA dengan Token Ekonomi untuk Menurunkan Perilaku Makan yang Menyimpang: Sebuah Studi Kasus pada Anak

Children of homeless people often experience various issues, one of which is eating behavior problems. Eating food from trash cans is a common eating behavior problem encountered. Therefore, an intervention is needed to reduce this issue. This case study aims to test the effectiveness of differential reinforcement of alternative behavior (DRA) with token economy in reducing eating behavior problems. Assessment is conducted through interviews, observations, and psychological tests, while the intervention is carried out over nine sessions. The results of the intervention show a decrease in the behavior of taking food from trash cans. In addition to replacing old behavior with more adaptive behavior, the role of attention from adults around them is one of the main contributors to the effectiveness of the intervention.

Autistic traits and eating behaviors in Chinese preschoolers: Role of sensory profiles and home environment

ObjectiveThis study aims to 1) explore the association between autistic traits and eating behaviors in Chinese preschoolers; 2) explore the mediating role of sensory processing patterns on the relation of autistic traits and eating-related behaviors; and 3) examine home nurturing environment as a moderator between autistic traits and eating-related behaviors. We hypothesize that there is a significant association between autistic traits and eating behaviors, which is mediated by sensory processing patterns and moderated by the home nurturing environment. Method509 children aged 3–4 years participated in this cross-sectional research. They were assessed using the Social Responsiveness Scale-Second Edition (SRS-2) for autistic traits, the Chinese Preschoolers' Eating Behavior Questionnaire (CPEBQ) for eating-related behaviors, the Short Sensory Profile-Second Edition (SSP-2) for sensory processing patterns, and the Children Home Nurture Environment Questionnaire (CHNEQ) for home nurturing environment. Mediation regression analyses were used to examine the role of sensory processing patterns, while moderation analyses to examine the role of home nurturing environment. ResultsWe observed a positive association between autistic traits and eating behavior problems among typically developed children. Sensory processing patterns significantly mediated the impact of autistic traits on children's eating-related behaviors and home nurturing environment also moderated this relationship. DiscussionOur research suggests that Chinese preschoolers with higher autistic traits may face more eating challenges when they possess more heightened sensory processing patterns, while living in supportive home environments helps to improve their eating behaviors. These findings contribute to the understanding of how and to what extent eating problems are influenced by autistic traits, and they offer insight into the alleviation of eating problems from the perspectives of sensory patterns and family nurturing environments.

Does adult attachment mediate the relationship between primary emotion traits and eating disorder symptoms?

Primary emotion traits and attachment patterns, have been linked to various mental disorders. This study aims to shed more light on the less studied relationship with eating disorder (ED) symptoms. A total of 921 non-clinical subjects (69.9% females) were assessed for primary emotions traits (B-ANPS-GL), attachment insecurity (ECR-RD8), and eating disorder pathology (EDE-Q8). A theoretically derived model was evaluated by means of a path analysis with attachment anxiety as assumed mediator variable. Global problematic eating behavior showed negative correlations with the positive emotions PLAY, CARE, and LUST (r = -0.10 to -0.24), positive correlations with the negative primary emotions ANGER, FEAR, and SADNESS (r = 0.12-0.27), as well as with attachment anxiety (r = 0.22, all p < 0.01). Path analyses revealed direct effects between eating behavior pathology with LUST (β = -0.07 to -0.15) and FEAR (β = 0.12-0.19; all p < 0.05). The association of SADNESS and Weight (β = 0.05) and Shape Concern (β = 0.06, p < 0.001) was fully mediated by attachment anxiety. Overall, the path model explained 17% of the variance for attachment anxiety and 6% of the Restraint, 13% for Eating, 10% for Weight and 14% for Shape Concern Subscales. The findings shed light on the multifactorial relationship between affective traits, attachment security, and eating disorder pathology. In line with previous research, the results emphasize the role of attachment and affective functioning in ED symptoms.

Survey on the Patterns of Feeding Difficulties and Behaviors in Filipino Children with Autism Spectrum Disorder Seen in a Philippine Tertiary Hospital and the Impact of the COVID-19 Pandemic.

To describe patterns of feeding difficulties and behaviors of Filipino children diagnosed with Autism Spectrum Disorder (ASD). An electronic mealtime survey was administered to caregivers of 3- to 9-year-old children diagnosed with ASD in a Philippine tertiary government hospital. Descriptive statistics and correlation analyses between feeding difficulties measured as Mealtime Survey Score, sociodemographic data, and early feeding history were performed. The impact of the COVID-19 pandemic to these was analyzed through a binomial test. All of the 115 study subjects reported at least one problematic feeding behavior, with picky eating being the most frequent (61.74%). Significantly, more feeding difficulties were observed among the children with reported early feeding difficulties during their 2nd and 3rd year of life. There were no documented statistically significant changes in feeding behaviors during the past six months of the COVID-19 pandemic. There is a high prevalence of feeding difficulties and problematic feeding behavior among Filipino children with ASD, however no significant changes to these during the past six months of the COVID-19 pandemic were documented. Present feeding difficulties and behaviors were associated with history of early feeding difficulties, highlighting the need to include feeding difficulties in screening tools, and early training programs and interventions for children with ASD.

Distinguishing the role of adverse life events in suicidality and non-suicidal self-injury in Spanish adolescents and young adults

Adverse life events have been shown to increase the chances of harmful thoughts, or behavior against oneself. This study aims to fill this gap by identifying how adverse life events (witnessing a friend’s or family member’s self-injury, eating behavior problems, concern about sexual orientation, physical or sexual abuse) experienced by adolescents and young adults are associated with different indicators of suicidality and non-suicidal self-injury behaviors, according to gender and age. Participants were 625 young people aged between 12 and 25 years (Mean = 15.91, SD = 2.44), of whom 61.7% were girls. Of total participants, 53.44% reported adverse life events. Physical or sexual abuse was more associated with suicidality and non-suicidal self-injury compared to being witness to a friend’s self-injury. Girls who experienced physical abuse had more suicidal ideation than boys, while boys who experienced sexual abuse had more suicidal ideation than girls. Young adults who had experienced sexual abuse and those who witnessed a friend’s self-injury reported more non-suicidal self-injury attempts than adolescents in the same situations. For eating problems, adolescents showed more non-suicidal self-injury attempts than young adults. The findings underline the importance of considering adverse life events in order to prevent suicidality and non-suicidal self-injury behavior.

A comprehensive investigation of the association between menopause symptoms and problematic eating behavior in peri- and post-menopause cisgender women

ABSTRACT Midlife individuals assigned female at birth are at risk for problematic eating behavior, associated with negative health outcomes. Little is known about how menopausal symptoms may increase risk in this population. The current study aimed to understand how a comprehensive range of menopause symptoms were globally associated with problematic eating behaviors. A total of 281 cisgender women (176 post-menopause, 105 peri-menopause) from the United States aged 40 to 64 were recruited utilizing Prolific, an online survey platform. Participants answered questionnaires about menopause symptoms and problematic eating. Participants were selected using demographic and health information provided in a screener survey. Participants also completed the Eating Disorder Questionnaire (EDE-Q), Women’s Health Questionnaire (WHQ), Patient Health Questionnaire-8 (PHQ-8), Generalized Anxiety Disorder-7 (GAD-7), and Pittsburgh Sleep Quality Index (PSQI). Using Structural Equation Modeling, menopause symptoms explained 16.7 percent of the variance in problematic eating. Higher frequency and severity of anxiety, depression, sleep concerns, cognitive complaints, pain, and vasomotor symptoms was associated with greater frequency and severity of problematic eating behaviors, β = .40, p < .001. Invariance testing showed no significant differences between peri- and postmenopausal women. These findings support the association between menopause symptoms and problematic eating in Midlife cisgender women and highlight the need for continued investigation.

Effect of maternal eating behaviors and attitudes towards the feeding process on feeding problems of pre-school age children

Background & AimsFeeding problems in pre-school children are common and negative maternal feeding practices may even worsen the child's problematic eating behaviour. Therefore, investigating the effects of maternal eating behaviors and attitudes towards the feeding process on pre-school children’s feeding problems may be helpful for preventing feeding problems. This study sought to investigate the effects of maternal eating behaviors and attitudes towards the feeding process on feeding problems of pre-school children. MethodsMothers of 373 children aged 3-6 were included in this cross-sectional study and data was collected by an online questionnaire including the scales of three factor eating questionnaire (TFEQ), mother’s attitudes towards the feeding process (MATFPS) and behavioral pediatric feeding assessment (BPFAS), as well as demographics and anthropometric measures (height and weight). Spearman’s rho test was used to calculate correlation coefficients between the, TFEQ, MATFP and BPFA scales. In order to identify independent predictors of child feeding behaviors, a multiple linear regression model was used. ResultsResults showed that uncontrolled eating subscale was positively (r=0.160, p<0.001) and cognitive restriction subscale negatively (r=-0.126, p<0.05) correlated with MATFP. MATFP was also positively correlated with BPFA (r=0.368, p<0.001). Regression analysis indicated that BPFA was significantly predicted by MATFP which was the most important contributor of child feeding problems (β=0.24 t=4.88, p<0.001). ConclusionsThis study indicated that maternal eating behaviors were related to maternal attitudes towards the feeding process and, mothers’ attitudes were associated with feeding problems of their pre-school children.

When dietary modification turns problematic in patients with esophageal conditions.

Patients with chronic illness affecting the esophagus often modify their eating habits to manage symptoms. Although this begins as a protective strategy, anxiety around eating can become problematic, and lead to poor outcomes. We administered a survey to examine the factors associated with problematic eating behaviors in patients who have reflux and difficulty swallowing (esophageal dysphagia). In total, 277 adult patients aged above 18 diagnosed with achalasia, eosinophilic esophagitis, and gastroesophageal reflux completed an online survey: (1) demographic and disease information; (2) reflux and dysphagia severity (3) eating behaviors, as measured by a study-specific, modified version of the Eating Disorder Questionnaire (EDE-Q) for patients with esophageal conditions; and (4) Food related quality of life (FRQOL). Descriptive statistics, one-way ANOVA, and Pearson's correlations evaluated the sample data and a hierarchical linear regression evaluated predictors of problematic eating behaviors. Problematic eating behaviors were associated with reflux severity, dysphagia severity, symptom anxiety, and hypervigilance, and negatively associated with FRQOL. While reflux and dysphagia severity predicted greater problematic eating, symptom anxiety explained more of these behaviors. Although hypervigilance and anxiety also predicted poorer FRQOL, problematic eating was the largest predictor. Problematic eating behaviors are associated with increased symptom severity and symptom anxiety, and diminished FRQoL. Symptom anxiety, rather than symptom severity, appears to be a driving factor in problematic eating behaviors. Interventions aimed at diminishing symptom anxiety may be useful in reducing problematic eating behaviors in patients with gastrointestinal symptoms.

Incorporating Trauma-Informed Care Strategies Into the Assessment of and Intervention for Food Selectivity: A Pilot Investigation

Autistic children are at an increased risk for both (a) exhibiting problematic eating behaviors such as food selectivity and (b) experiencing potentially traumatic events and correlated posttraumatic stress symptoms. Not only could a history of trauma directly influence the development of food selectivity but may also negatively impact the efficacy and social validity of existing evidence-based interventions. There is currently very little published research on interventions for food selectivity that incorporate commitments and strategies of trauma-informed care. In the current study, we sought to apply a trauma-informed approach to address the food selectivity of an autistic adolescent. Via a combination of single-subject experimental designs, we demonstrated that an intervention package inclusive of multiple trauma-informed care strategies directly contributed to increases in consumption of nonpreferred foods. We describe multiple ways in which we recruited and obtained social validation from the adolescent during his participation. Implications for practitioners and future research are discussed.

Body image and eating behaviors among university students

University students are vulnerable to body image and eating behavior problems. This research aims to understand the body image, eating behavior, and the relationship between body image and eating behavior among students at Universitas Negeri Yogyakarta. The research was conducted with 112 students as participants. Body image and eating behavior scales were used as instruments in this study. Pearson's bivariate correlation was employed as the data analysis technique. The results show that students at Universitas Negeri Yogyakarta have a good body image. Moreover, the students’ eating behavior is restrained, not too controlled, and not too emotional. There is a relationship between body image and cognitive-restrained eating behavior. A relationship between body image and uncontrolled eating was also found. However, no relationship was found between body image and emotional eating behavior. The contribution of body image to cognitive-restrained eating behavior is 7.4%, while the contribution to uncontrolled eating is 75.6%.

Status of Living with Parents, Smartphone Addiction, and Problematic Eating Behavior in Adolescents

Excessive intensity of smartphone use can disrupt eating behavior in adolescents. This study aims to analyze the relationship between smartphone addiction and problematic eating behavior. This research involved 230 junior high school students in Jakarta. The research design uses a cross-sectional study. Data were analyzed using Pearson's correlation and Independent Sample T-Test. The results of the Chi-Square test show that the Asymp. Sig. (2-sided) for the smartphone addiction category with a problematic eating behavior category is 0.000 (p&lt;0.05). The correlation test result shows a relationship between the smartphone addiction category and the duration of smartphone use in the morning, afternoon and evening. The Chi-Square Test shows a relationship between the categories of problematic eating behavior and the duration of smartphone use in the morning and afternoon. The Independent Sample T-Test result shows a significant difference in the daily-life disturbance and positive anticipation dimensions between respondents who live with their complete parents (TOL) and those who do not live with their complete parents (TTOL). The result shows a significant positive relationship between smartphone addiction and problematic eating behavior (r=0.711; p=0.000). Adolescents need to raise awareness to use smartphones as needed. In addition, adolescents are advised to adopt healthy eating habits to optimize their growth.

Eating behavior problems of preschool children during the long-time stay-at-home: A cross-sectional study in Shanghai, China

Eating behavior problems of preschool children during the long-time stay-at-home: A cross-sectional study in Shanghai, China

Parental Feeding Style, Parenting Stress, and Child Mealtime Behaviors in Cystic Fibrosis.

Nutrition and weight gain significantly contribute to overall health outcomes in children with cystic fibrosis (CF). Strong emphasis is placed on these entities by the CF team, which can cause stress for parents and impact parent and child mealtime behaviors. The current study sought to investigate the relationship between parental feeding style, parenting stress, and parent and child mealtime behaviors in families of children with CF. Forty-five parents of a child with CF between the ages of 2 and 10 years were recruited during a CF clinic appointment. They completed surveys assessing child mealtime behaviors, parental feeding style, and parental stress. Medical data including body mass index (BMI) were collected from the medical record. There was a significant difference in behavioral feeding scores based on feeding style (F3,41 = 13.48, p<.001), with authoritarian parents reporting significantly greater mealtime behavior problems than all other parents. There was also a significant difference in parenting stress based on parental feeding style (F3,41=4.11, p<.05), with authoritarian parents showing more stress than authoritative parents (Mdiff=23.70, p<.05). Correlation analyses showed a positive relationship between behavioral feeding problems and parent stress, r(45)=0.403; p<.01. Data suggest parents using an authoritarian feeding style experience more stress and behavioral feeding problems than other parents. More feeding problems were also associated with more stress. Findings help determine how pediatric psychologists can intervene to support positive parenting behaviors that reduce children's mealtime behavior problems and parental stress, thus improving health outcomes in this vulnerable population.

The bidirectional associations between self-esteem and problematic eating behaviors in adolescents.

Theories propose that low self-esteem and problematic eating behaviors (PEBs) negatively impact each other. While previous studies suggested bidirectional associations between self-esteem and PEBs, they did not separate within-person from between-person associations. Therefore, this prospective study investigated the within-person bidirectional associations between self-esteem and four PEBs in adolescence, while accounting for between-person differences. We used two independent longitudinal samples of Dutch adolescents, each including three annually collected waves of data. Sample 1 consisted of 1856 adolescents (Baseline: 50.4% males; Mage = 13.79 years, SDage = 0.72), with measures of self-esteem, emotional eating, restrained eating, and loss of control (LOC) while overeating. Sample 2 consisted of 555 adolescents (Baseline: 49.7% males; Mage = 13.13 years, SDage = 0.68), with measures of self-esteem and LOC eating. The data were analyzed using random intercept cross-lagged panel models (CLPMs). Within persons, lower self-esteem was associated with higher emotional and restrained eating (both Sample 1) one year later, and vice versa. Self-esteem did not predict, nor was predicted by, LOC while overeating (Sample 1) or LOC eating (Sample 2). Between persons, self-esteem was negatively correlated with all PEBs (Samples 1 and 2). We found within-person bidirectional associations between low self-esteem and emotional and restrained eating (but not LOC while overeating/LOC eating), and between-person correlations between low self-esteem and all PEBs. These results have theoretical and practical implications. Within-person processes clarify underlying mechanisms that explain the occurrence of PEBs; between-person associations are important to identify adolescents at risk of PEBs. While theories indicate that low self-esteem and PEBs are inversely associated within individuals, empirical studies have not disentangled within-person processes from between-person differences. This study addressed this disparity, finding that lower self-esteem was bidirectionally associated with higher emotional and restrained eating (but not LOC eating) within persons. These findings suggest that enhancing self-esteem is a viable option for prevention and intervention.