Disordered Eating

Last Updated: September 6, 2023

Disordered eating describes a pattern of irregular eating behavior that lies between normal eating and a clinical eating disorder. Disordered eating behaviors may not be frequent or severe enough to meet the diagnostic criteria of a clinical eating disorder, but they can still be harmful to a person’s health and progress to an eating disorder over time.

research-feedResearch feed
What is disordered eating?

Disordered eating involves abnormal eating behaviors such as impulsive eating, purging, and food restriction; it is influenced by various factors and is often associated with negative body image. Although these behaviors are less severe than eating disorders, they can still significantly affect body weight and overall health.

What are the main signs and symptoms of disordered eating?

The main signs and symptoms of disordered eating include frequent dieting, anxiety about food, chronic weight fluctuations, and rigid food-related rituals. Individuals may also experience distorted thoughts about food and body image and feelings of guilt, and they may engage in compensatory behaviors like exercise or purging.

How is disordered eating diagnosed?

Disordered eating is identified using the diagnostic tools for eating disorders, but it is not a formal diagnosis because it doesn't meet the clinical criteria. Health providers can assess disordered eating behaviors through questionnaires on dietary history, nutrient intake, and eating habits.

What are some of the main medical treatments for disordered eating?

Most interventions for disordered eating are experimental and are not classified as medical treatments. However, a small study indicated that telephone-provided cognitive behavioral therapy was effective in reducing disordered eating among participants who had undergone bariatric surgery.

Are there any other treatments for disordered eating?

Intuitive eating and cognitive-dissonance-based group treatment are the most effective interventions for preventing or reducing disordered eating behaviors, and mindfulness shows promise for adults but may not be suitable for adolescents. Additionally, yoga may improve mood, but it does not address disordered eating risk factors, and other body image interventions could also be beneficial.

What causes disordered eating?

Disordered eating can be triggered by stressful life events, childhood trauma, and serious health diagnoses; it often develops as a means to regain control. Additional risk factors include dieting, perfectionism, negative self-image, bullying, and problematic social media use, which can lead to body comparison and dissatisfaction.

Supplements Demystified: Get Our Unbiased, Evidence-Based Guide

Don't miss out on the latest research

Update History
References
  1. ^Pereira et alDisordered Eating: Identifying, Treating, Preventing, and Differentiating It From Eating DisordersDiabetes Spectrum.(2007)
  2. ^Sockalingam S, Leung SE, Ma C, Hawa R, Wnuk S, Dash S, Jackson T, Cassin SEThe Impact of Telephone-Based Cognitive Behavioral Therapy on Mental Health Distress and Disordered Eating Among Bariatric Surgery Patients During COVID-19: Preliminary Results from a Multisite Randomized Controlled Trial.Obes Surg.(2022-Jun)
  3. ^Katcher JA, Suminski RR, Pacanowski CRImpact of an Intuitive Eating Intervention on Disordered Eating Risk Factors in Female-Identifying Undergraduates: A Randomized Waitlist-Controlled Trial.Int J Environ Res Public Health.(2022-Sep-23)
  4. ^Atkinson MJ, Diedrichs PCExamining the efficacy of video-based microinterventions for improving risk and protective factors for disordered eating among young adult women.Int J Eat Disord.(2021-May)
  5. ^Wilksch SM, O'Shea A, Taylor CB, Wilfley D, Jacobi C, Wade TDOnline prevention of disordered eating in at-risk young-adult women: a two-country pragmatic randomized controlled trial.Psychol Med.(2018-Sep)
  6. ^Osborne EL, Ainsworth B, Chadwick P, Atkinson MJThe role of emotion regulation in the relationship between mindfulness and risk factors for disordered eating: A longitudinal mediation analysis.Int J Eat Disord.(2023-Feb)
  7. ^Omiwole M, Richardson C, Huniewicz P, Dettmer E, Paslakis GReview of Mindfulness-Related Interventions to Modify Eating Behaviors in Adolescents.Nutrients.(2019-Dec-02)
  8. ^Pacanowski CR, Diers L, Crosby RD, Mackenzie M, Neumark-Sztainer DYoga's impact on risk and protective factors for disordered eating: a pilot prevention trial.Eat Disord.(2020)
  9. ^Baceviciene M, Jankauskiene RAssociations between Body Appreciation and Disordered Eating in a Large Sample of Adolescents.Nutrients.(2020-Mar-12)
  10. ^Froreich FV, Vartanian LR, Grisham JR, Pinkus RTThe psychological effects of blind and open weighing in women with a high drive for thinness: A mixed method inquiry.Body Image.(2021-Dec)
  11. ^Courtney C Simpson, Suzanne E MazzeoCalorie Counting and Fitness Tracking Technology: Associations With Eating Disorder SymptomatologyEat Behav.(2017 Aug)
  12. ^Levinson CA, Fewell L, Brosof LCMy Fitness Pal calorie tracker usage in the eating disorders.Eat Behav.(2017-Dec)
  13. ^Francisco-Javier Hinojo-Lucena, Inmaculada Aznar-Díaz, María-Pilar Cáceres-Reche, Juan-Manuel Trujillo-Torres, José-María Romero-RodríguezProblematic Internet Use as a Predictor of Eating Disorders in Students: A Systematic Review and Meta-Analysis StudyNutrients.(2019 Sep 9)
  14. ^Samantha L Hahn, Niko Kaciroti, Daniel Eisenberg, Heidi M Weeks, Katherine W Bauer, Kendrin R SonnevilleIntroducing Dietary Self-Monitoring to Undergraduate Women via a Calorie Counting App Has No Effect on Mental Health or Health Behaviors: Results From a Randomized Controlled TrialJ Acad Nutr Diet.(2021 Aug 19)