Relationship between eating problems and internalizing behaviors in youth: A scoping review
DOI:
https://doi.org/10.31948/rc.v32i1.4681Keywords:
eating disorders, youth, internalized behaviors, emotional distressAbstract
Adolescence is a period of life in which there is a high comorbidity between eating, emotional and affective problems; however, in empirical evidence, instability is reported in the associations between these variables. Therefore, a study was conducted on the advances in knowledge on these relationships, whose objective was to map the scientific production on the relationship between eating problems and internalized behaviors in adolescents, covering a period from 2019 to 2024. A scoping review of articles published in the EBSCO, ScienceDirect, Scopus, and PsycArticles databases was conducted. 52,643 records were found, of which 24 were selected for the present analysis. The results indicated that adolescents are more likely to present eating disorders with internalized behaviors, particularly in late adolescence, becoming more common the relationship between bulimia and anorexia nervosa, with behaviors such as anxiety and depression. In addition, females are more likely to suffer from eating disorders than males by a ratio of 9 to 1. These findings suggest prevention and intervention strategies for adolescents with eating disorders and internalizing behaviors.Author Biographies
Cyntia Espinosa Acosta, Instituto Mexicano del Seguro Social
Histotecnólogo, Instituto Mexicano del Seguro Social (IMSS)
Jaime Humberto Moreno Méndez, Universidad Católica de Colombia
Doctor en Deporte y Salud, Universidad Miguel Hernández de Elche; docente investigador, Universidad Católica de Colombia
References
Abaatyo, J., Twakiire, G., Favina, A., Gideon, M., & Zari, G. (2024). Body image, eating distress and emotional behavioral difficulties among adolescents in Mbarara, Southwestern Uganda. BMC Public Health, 24(1493), 1-10. https://doi.org/10.1186/s12889-024-18973-1 DOI: https://doi.org/10.1186/s12889-024-18973-1
Achenbach, T. M., & Rescorla, L. (2001). Manual for the ASEBA School: Age Forms, & Profiles. Child Behavior Checklist for Ages 6-18, Teacher's report from, youth self-report and integrated system of multi-informant assessment. University of Vermont. https://doi.org/10.1037/t47452-000 DOI: https://doi.org/10.1037/t47452-000
Arksey, H., & O'Malley, L. (2005). Scoping Studies: Towards a Methodological Framework. International Journal of Social Research Methodology, 8(1), 19-32. https://doi.org/10.1080/1364557032000119616 DOI: https://doi.org/10.1080/1364557032000119616
Ayuzo-del Valle, N. C. y Covarrubias-Esquer, J. D. (2019). Trastornos de la conducta alimentaria. Revista Mexicana de Pediatría, 86(2), 80-86. https://www.scielo.org.mx/scielo.php?pid=S0035-00522019000200080&script=sci_abstract
Baker, J. H., Higgins Neyland, M. K., Thornton, L. M., Runfola, C. D., Larsson, H., Lichtenstein, P., & Bulik, C. (2019). Body dissatisfaction in adolescent boys. Developmental Psychology, 55(7), 1566-1578. https://doi.org/10.1037/dev0000724 DOI: https://doi.org/10.1037/dev0000724
Baladia, E. (2016). Percepción de la imagen corporal como factor predisponente, precipitante y perpetuante en los trastornos de la conducta alimentaria (TCA). Revista Española de Nutrición Humana y Dietética, 20(3), 161-163. https://renhyd.org/renhyd/article/view/303
Behar, R., Barahona, M., Iglesias, B. y Casanova, D. (2007). Trastorno depresivo, ansiedad social y su prevalencia en trastornos de la conducta alimentaria. Revista Chilena de Neuro-Psiquiatría, 45(3), 211-220. https://doi.org/10.4067/S0717-92272007000300005 DOI: https://doi.org/10.4067/S0717-92272007000300005
Bermúdez, P., Machado, K. y García, I. (2016). Trastorno del comportamiento alimentario de difícil tratamiento: Caso clínico. Archivos de Pediatría del Uruguay, 87(3), 240-244. http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-12492016000300006
Chambergo-Michilot D., Diaz-Barrera M., & Benites-Zapata V. (2021). Revisiones de alcance, revisiones paraguas y síntesis enfocada en revisión de mapas: aspectos metodológicos y aplicaciones. Revista Peruana de Medicina Experimental y Salud Pública, 38(1) 136-142. https://doi.org/10.17843/rpmesp.2021.381.6501 DOI: https://doi.org/10.17843/rpmesp.2021.381.6501
Choi, M., Lee, S., Kim, J., & lee, J. (2024). The interaction of race/ethnicity and school-connectedness in presenting internalizing and externalizing behaviors among adolescents. Children and Youth Services Review, 161, 107605. https://doi.org/10.1016/j.childyouth.2024.107605 DOI: https://doi.org/10.1016/j.childyouth.2024.107605
Díaz Santos, C. y Santos Vallín, L. (2018). La ansiedad en la adolescencia. Enfermería Comunitaria. Revista de SEAPA, 6(1), 21-31. https://dialnet.unirioja.es/descarga/articulo/6317303.pdf
Dosal, A., Marchese, M., Denhardt, B., Díaz, R., Obleada, K., Feldman, M., Reese, J., & Sobalvarro, S. (2023). Longitudinal changes in body composition, anxiety, and depression in a clinical sample of adolescents with anorexia nervosa. Journal of Adolescent Health, 72(3), 28-71. https://doi.org/10.1016/j.jadohealth.2022.11.086 DOI: https://doi.org/10.1016/j.jadohealth.2022.11.086
Eck, K. M., & Byrd-Bredbenner, C. (2021). Disordered eating concerns, behaviors, and severity in young adults clustered by anxiety and depression. Brain and Behavior, 11(12), 1-8. https://doi.org/10.1002/brb3.2367 DOI: https://doi.org/10.1002/brb3.2367
Elran-Barak, R. (2021). Analyses of posts written in online eating disorder and depression/anxiety moderated communities: Emotional and informational communication before and during the COVID-19 outbreak. Internet Interventions, 26, 2-12. https://doi.org/10.1016/j.invent.2021.100438 DOI: https://doi.org/10.1016/j.invent.2021.100438
Espinosa, A. (2020). Asociación entre la depresión y los trastornos de conducta alimentaria en los adolescentes de 15 a 17 años en una preparatoria de Querétaro [Trabajo de especialización, Universidad Autónoma de Querétaro]. Repositorio institucional UAQ. https://ri-ng.uaq.mx/handle/123456789/2030
Fernández Poncela, A. M. (2014). Adolescencia, crecimiento emocional, proceso familiar y expresiones humorísticas. EDUCAR, 50(2), 445-466. https://doi.org/10.5565/rev/educar.659 DOI: https://doi.org/10.5565/rev/educar.659
Fernández-Sánchez, H., King, K. y Enríquez-Hernández, C. B. (2020). Revisiones sistemáticas exploratorias como metodología para la síntesis del conocimiento científico. Enfermería Universitaria, 17(1), 87-94. https://doi.org/10.22201/eneo.23958421e.2020.1.697 DOI: https://doi.org/10.22201/eneo.23958421e.2020.1.697
Franco Paredes, K., Martínez Moreno, A. G., Díaz Reséndiz, F. J., López-Espinoza, A., Aguilera Cervantes, V. y Valdés Miramontes, E. (2010). Conductas de riesgo y sintomatología de trastornos del comportamiento alimentario en estudiantes universitarios del Sur de Jalisco, México. Revista Mexicana de Trastornos Alimentarios, 1(2), 102-111. https://doi.org/10.22201/fesi.20071523e.2010.2.16 DOI: https://doi.org/10.22201/fesi.20071523e.2010.2.16
García Palacios, A. (2014). El trastorno por atracón DSM-5. Cuadernos de Medicina Psicosomática y Psiquiatría de Enlace, (110), 70-74. https://dialnet.unirioja.es/descarga/articulo/4803021.pdf
Guerrero-Cuevas, B., Valero-Aguayo, L., Solano-Martínez, D., Priore-Molero, C., Perea-Barba, A. y Afán de Rivera, M. A. (2020). Detección de problemas alimentarios y su relación con hábitos alimentarios en adolescentes. Revista Mexicana de Trastornos Alimentarios, 10(3), 261-273. https://doi.org/10.22201/fesi.20071523e.2019.2.567 DOI: https://doi.org/10.22201/fesi.20071523e.2019.2.567
Jiménez Segura, A. J. y Marlo Manayay Liang, M., (2023). Depresión y ansiedad asociadas al trastorno de conductas alimentarias en internos de medicina de la Universidad Señor de Sipán, 2023 [Tesis de pregrado, Universidad Señor de Sipán]. Repositorio USS. https://repositorio.uss.edu.pe/handle/20.500.12802/10842
Keshishian, C., Nassim, K., Becker, D., Franko, D., Herzog, J., & Kamryn, T. (2021). Comorbid depression and substance use prospectively predict eating disorder persistence among women with anorexia nervosa and bulimia nervosa. Journal of Behavioral and Cognitive Therapy, 31(4), 309-315. https://doi.org/10.1016/j.jbct.2021.09.003 DOI: https://doi.org/10.1016/j.jbct.2021.09.003
Larsen, A., Lilja, M., Sturidsson, K., Blatny, M., Hrdlicka, M., Stickley, A., & Ruchkin, V. (2020). Bulimia symptoms in Czech youth: prevalence and association with internalizing problems. Eating and Weight Disorders. 25, 1543-1552. https://doi.org/10.1007/s40519-019-00790-w DOI: https://doi.org/10.1007/s40519-019-00790-w
Levac, D., Colquhoun, H., & O'Brien, K. K. (2010). Scoping studies: advancing the methodology. Implementation Science, 5(69), 1-9. https://doi.org/10.1186/1748-5908-5-69 DOI: https://doi.org/10.1186/1748-5908-5-69
Liao, Z., Birgegård, A., Monell, E., Borg, C., & Forsén, E. (2024). Maladaptive exercise in eating disorders: lifetime and current impact on mental health and treatment seeking. Journal of Eating Disorder, 12(86), 1-11. https://doi.org/10.1186/s40337-024-01048-2 DOI: https://doi.org/10.1186/s40337-024-01048-2
Lin, J. A., Jhe, G., Vitagliano, J. A., Milliren, C., Spigel, R., Woods, E., Forman, S., & Richmond, T. (2021). The Association of malnutrition, illness duration, and pre-morbid weight status with anxiety and depression symptoms in adolescents and young adults with restrictive eating disorders: a cross-sectional study. Journal Eating Disorder, 9(60), 1-10. https://doi.org/10.1186/s40337-021-00415-7 DOI: https://doi.org/10.1186/s40337-021-00415-7
Losada, A. V., Leonardelli E. y Magliola, M. (2015). Influencia sociocultural y los trastornos de la conducta alimentaria en adolescentes. Revista Electrónica de Psicología Iztacala, 18 (1), 380-416. https://repositorio.uca.edu.ar/handle/123456789/8934
McConville, M. (2007). Adolescencia: el self emergente y la psicoterapia. Sociedad de Cultura Valle-Incian.
Mercado Ríos, M., González Ortega, L. Y. y Romero-Acosta, K., (2022). Relación entre síntomas internalizados y riesgo de trastorno de la conducta alimentaria en adolescentes. Psicología desde el Caribe, 39(1), 23-39. https://doi.org/10.14482/psdc.39.1.152.46 DOI: https://doi.org/10.14482/psdc.39.1.152.46
Mérida Pérez, C. y López Hartmann, R. (2013). Prevalencia de los trastornos de la conducta alimentaria y su relación con la ansiedad y depresión en adolescentes de secundaria de la ciudad de La Paz. Revista de Investigación Psicológica, (10), 69-85. https://dialnet.unirioja.es/metricas/documentos/ARTREV/9223191
Moreno Encinas, A., Moraleda Merino, J., Graell-Berna M., Villa-Asensi, J. R., Álvarez, T., Lacruz-Gascón, T. y Sepúlveda García, A. R. (2021). Modelo de interiorización y exteriorización para explicar el inicio de la psicopatología de los trastornos alimentarios en la adolescencia. Behavioral Psychology / Psicología Conductual, 29(1), 51-72. https://doi.org/10.51668/bp.8321103s DOI: https://doi.org/10.51668/bp.8321103s
Moreno Redondo, F. J., Benítez Brito, N., Pinto Robayna, B., Ramallo Fariña, Y., & Díaz Flores, C. (2019). Prevalencia de trastornos de la conducta alimentaria (TCA) en España: necesidad de revisión. Revista Española de la Nutrición Humana y Dietética, 23(1), 130-131. https://www.renhyd.org/renhyd/article/view/891
Muha, J., Schumacher, A., Campisi, S. C., & Korczak, D. J. (2024). Depression and emotional eating in children and adolescents: A systematic review and meta-analysis. Appetite, 200, 107511. https://doi.org/10.1016/j.appet.2024.107511 DOI: https://doi.org/10.1016/j.appet.2024.107511
Murray, S. B., Nagata, J. M., Griffiths, S., Calzo, J. P., Brown, T. A., Mitchison, D., & Mond, J. M. (2017). The enigma of male eating disorders: A critical review and synthesis. Clinical Psychology Review, 57, 1-11. https://doi.org/10.1016/j.cpr.2017.08.001 DOI: https://doi.org/10.1016/j.cpr.2017.08.001
O'Brien, K., Latner, J., Puhl, R., Vartanian, L., Giles, C., Griva, K., & Carter, A. (2016). The relationship between weight stigma and eating behavior is explained by weight bias internalization and psychological distress. Appetite, 102, 70-76. https://doi.org/10.1016/j.appet.2016.02.032 DOI: https://doi.org/10.1016/j.appet.2016.02.032
Oliva-Peña, Y., Ordóñez-Luna, M., Santana-Carvajal, A., Marín-Cárdenas, A., Andueza-Pech, G., y Gómez-Castillo, I. (2016). Concordancia del IMC y la percepción de la imagen corporal en adolescentes de una localidad suburbana de Yucatán. Revista Biomédica, 27(2), 49-60. https://doi.org/10.32776/revbiomed.v27i2.24 DOI: https://doi.org/10.32776/revbiomed.v27i2.24
Osorio, L. C. y Zuluaga, A., (2022). Síntomas conductuales y emocionales de adolescentes que consultan a un programa especializado de trastornos de la conducta alimentaria. Revista Colombiana de Psiquiatría, 51(4), 318-325. https://doi.org/10.1016/j.rcp.2020.11.024 DOI: https://doi.org/10.1016/j.rcp.2020.11.024
Pérez, C. (2007). Alimentación y educación nutricional en la adolescencia. Trastornos de la Conducta Alimentaria, 6, 600-634. https://dialnet.unirioja.es/servlet/articulo?codigo=2480142
Pineda García, G., Gómez-Peresmitre, G., Velasco Ariza, V., Platas Acevedo, S. y Áramburo Vizcarra, V. (2014). Riesgo de anorexia y bulimia en función de la ansiedad y la edad de la pubertad en universitarios de Baja California-México. Revista Mexicana de Trastornos Alimentarios, 5(2), 80-90. https://doi.org/10.1016/S2007-1523(14)72003-8 DOI: https://doi.org/10.1016/S2007-1523(14)72003-8
Pocuca, N., Geoffroy, M.-C., Paquin, S., Archambault, K., Séguin, J. R., Parent, S., Boivin, M., Tremblay, R. E., Côté, S., & Castellanos-Ryan, N. (2023). A thorough investigation of the bifactor model of psychopathology in a representative birth cohort: Testing internal and predictive validity to inform models of comorbidity. Journal of Psychopathology and Clinical Science, 132(2), 123-134. https://doi.org/10.1037/abn0000816 DOI: https://doi.org/10.1037/abn0000816
Poo Figueroa, A. M., Espinoza, S., Torres, N. y Vera, K. (2022). Representations of beauty standards in health care professionals who attend chilean women diagnosed with Eating Disorder. Revista Mexicana de Trastornos Alimentarios, 12(1), 25-38. https://doi.org/10.22201/fesi.20071523e.2022.1.728 DOI: https://doi.org/10.22201/fesi.20071523e.2022.1.728
Prnjak, K., Fried, E., Mond, J., Hay, P., Bussey, K., Griffiths, S., Trompeter, N., Lonergan, A., & Mitchison, D. (2022). Identifying components of drive for muscularity and leanness associated with core body image disturbance: A network analysis. Psychological Assessment, 34(4), 353-366. https://doi.org/10.1037/pas0001100 DOI: https://doi.org/10.1037/pas0001100
Rea, P., Isha P., & Rajesh, B. (2023). Risk factors and strategies for prevention of depression, anxiety and eating disorders among adolescents during the coronavirus disease 2019 (COVID-19) pandemic: a review. Global Health Journal, 7(2), 78-86. https://doi.org/10.1016/j.glohj.2023.04.004 DOI: https://doi.org/10.1016/j.glohj.2023.04.004
Scott, C. L., Haycraft, E., & Plateau, C. R. (2022). A prospective study of teammate factors on athletes' well-being, disordered eating, and compulsive exercise. Sport, Exercise, and Performance Psychology, 11(3), 290-304. https://doi.org/10.1037/spy0000293 DOI: https://doi.org/10.1037/spy0000293
Stice, E., & Sonja, Y. (2023). Elevated reward, emotion, and memory region response to thin models predicts eating disorder symptom persistence: A prospective functional magnetic resonance imaging study. Journal of Psychopathology and Clinical Science, 132(6), 716-724. https://doi.org/10.1037/abn0000843 DOI: https://doi.org/10.1037/abn0000843
Thörel, N., & Thörel, E. (2024). Combating the volitional stigma of eating disorders: Can empathy reduce the perception that individuals with eating disorders are to blame for their conditions? Stigma and Health, 9(2), 135-148. https://doi.org/10.1037/sah0000355 DOI: https://doi.org/10.1037/sah0000355
Villalobos-Hernández, A., Bojórquez-Chapela, I., Hernández-Serrato, M. I. y Unikel-Santoncini, C. (2023). Prevalencia de conductas alimentarias de riesgo en adolescentes mexicanos: Ensanut Continua 2022. Salud Pública de México, 65(1), 96-101. https://doi.org/10.21149/14800 DOI: https://doi.org/10.21149/14800
Vizcaíno Benítez, M. y Maldonado Gonzáles, E. (2024). Relación entre el bienestar psicológico y la ideación suicida en adolescentes escolarizados. Revista UNIMAR, 42(2), 42-53. https://doi.org/10.31948/ru.v42i2.3579 DOI: https://doi.org/10.31948/ru.v42i2.3579
West, C. E., & Sato, A. F. (2023). Weight and disordered eating among adolescents from low-income backgrounds. Eating Behaviors, 50, 101768. https://doi.org/10.1016/j.eatbeh.2023.101768 DOI: https://doi.org/10.1016/j.eatbeh.2023.101768
Williams, B. M., Brown, M. L., & Levinson, C. A. (2024). State mechanisms of change in eating disorder symptoms and fears during an online imaginal exposure treatment for eating disorders. Journal of Affective Disorders, 351, 499-506. https://doi.org/10.1016/j.jad.2024.01.265 DOI: https://doi.org/10.1016/j.jad.2024.01.265
Woolley, M. G., Schwartz, S. E., Knudsen, F. M., Lensegrav-Benson, T., Quakenbush-Roberts, B., & Twohig, M. P. (2024). Thought-shape fusion in residential eating disorder treatment: Cognitive defusion as a mediator between thought-action fusion and treatment outcome. Eating Behaviors, 54, 101909. https://doi.org/10.1016/j.eatbeh.2024.101909 DOI: https://doi.org/10.1016/j.eatbeh.2024.101909
Zancu, A. S., & Diaconu-Gherasim, L. R. (2024). Weight stigma and mental health outcomes in early-adolescents. The mediating role of internalized weight bias and body esteem. Appetite, 196, 107276. https://doi.org/10.1016/j.appet.2024.107276 DOI: https://doi.org/10.1016/j.appet.2024.107276
How to Cite
Downloads
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Revista Criterios
This work is licensed under a Creative Commons Attribution 4.0 International License.
Revista Criterios es publicada por la Editorial UNIMAR de la Universidad Mariana bajo los términos de la licencia Creative Commons Reconocimiento 4.0 Internacional (CC BY 4.0)
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
