Nespokojenost se vzhledem vlastního těla nebo tělesnou hmotností, vnímání nedostatečné podpory ze sociálního okolí, pocity nesplněných očekávání rodiny i neefektivní zvládání stresu jsou faktory, které mohou potencovat rozvoj poruch příjmu potravy u adolescentů. K predisponujícím faktorům náleží také zvýšená pozornost věnovaná jídlu. Intenzivnější monitoring příjmu potravy je však u diabetiků běžnou součástí jejich léčby. Screening rizika poruch příjmu potravy může být proto u této populace obtížný. Článek si klade za cíl předložit informace o výskytu rizika poruch příjmu potravy u dospívajících diabetiček v porovnání s rizikem u zdravých vrstevníků. K posouzení výskytu rizika poruch příjmu potravy byl zvolen nový dotazník Screening časných příznaků poruch příjmu potravy a Dotazník diabetes specifických problémů se stravováním. Výsledky získané od 230 dívek v průměrném věku 17,6 let ukázaly vyšší výskyt časných příznaků poruch příjmu potravy u dívek bez diabetu. U dívek s diabetem byl však zjištěn častější výskyt vysokého rizika poruch příjmu potravy a souvislost s nízkou úrovní jejich sebehodnocení.Klíčová slova: screening, riziko, poruchy příjmu potravy, diabetes mellitus. Screening the risk of eating disorders in adolescent girls with diabetesDissatisfaction with one's own body or body weight, perception of lack of support from the social environment, feelings of unfulfilled family expectations, and ineffective stress management are factors that can lead to potential development of eating disorders. Increased attention to food is also a predisposing factor. However, a more intensive monitoring of food intake is a common part of treatment for young people with diabetes. Screening the risk of eating disorders may therefore be difficult in this population. The article aims to present information on the incidence of eating disorders in adolescent diabetics compared to the risk in healthy peers. The review article aims to present information on the presence of the risk of eating disorders in adolescent girls with diabetes compared to the risk in healthy peers. New evaluation tool Screen for Early Eating Disorder Signs was used together with a questionnaire Diabetes Eating Problem Survey. The sample included 230 women aged mean 17,6 years. The results have shown a higher incidence of early symptoms of eating disorders among girls without diabetes mellitus. Girls with diabetes mellitus were found to have a high risk of eating disorders and there was an association with low levels of self-esteem.
Aim: The objective was to determine the psychometric properties of the Czech version of the evaluation tool "Screen for early eating disorder signs" (SEEDS-CZ). Design: Validation study. Methods: The group of respondents consisted of young women aged 15-21 (mean = 17.7). From the total of 230 subjects, 106 had type 1 diabetes and 124 were without disease. Psychometric analysis was implemented with regard to factor analysis and reliability. With respect to reliability, the internal consistency was determined by the Cronbach alpha coefficient. In order to verify the domains of the SEEDS-CZ questionnaire, exploration factor analysis with promax rotation and confirmation factor analysis were used. Convergence validity was assessed by correlation with independent testing of the same or similar areas. Results: On the basis of the exploratory factor analysis, three factors arose in the Czech version. Factor 1 (Body Image) was saturated by seven items, Factor 2 (Feelings) was saturated by seven items, and Factor 3 (Quality of life) was saturated by five items. Contrary to the original version, item 5 was assigned to Factor 1. The correlation between factors was strong. Correlations with the Diabetes Eating Problem Survey-Revised version, the Eating Attitude Test-26, and the Rosenberg scale were significant. The Cronbach alpha coefficient was 0.89 for the tool as a whole. Conclusion: The SEEDS-CZ evaluation tool is conceptually consistent with the original version of the SEEDS. From the psychometric point of view, it is suitable for use, particularly with diabetics.
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