Prevalence of eating disorders and psychiatric comorbidity in a clinical sample of type 2 diabetes mellitus patients

Papelbaum, Marcelo; Appolinário, José Carlos; Moreira, Rodrigo de Oliveira; Ellinger, Vivian; Kupfer, Rosane; Coutinho, Walmir

doi:10.1590/s1516-44462005000200012

Cited by 60 publications

(25 citation statements)

References 14 publications

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“…Evaluation of psychiatric conditions has shown that the presence of DEBs and eating disorders are associated with comorbid anxiety disorders (Papelbaum et al, 2005) and elevated levels of depressive symptoms (Herpertz et al, 2001) in T1D patients and depressive symptoms and obesity in T2D patients (Nicolau et al, 2015; Çelik et al, 2015; Hood et al, 2014). …”

Section: Disordered Eating Behaviors and Eating Disordersmentioning

confidence: 99%

Psychological conditions in adults with diabetes.

Groot

Golden

Wagner

2016

American Psychologist

138

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Type 1 (T1D) and Type 2 diabetes (T2D) represent a demanding set of biopsychosocial challenges for patients and their families, whether the age of disease onset occurs in childhood, adolescence, or adulthood. Psychological conditions, defined as syndromes, disorders, and diabetes-specific psychological issues affect a larger proportion of individuals with T1D and T2D compared to the general population. In this review, we summarize the prevalence, impact and psychological treatments associated with the primary categories of psychological conditions that affect adults with T1D and T2D: depressive symptoms and syndromes, anxiety disorders, eating behaviors and disorders and serious mental illness. The implications of the literature for psychologists are discussed, and priorities for future research to advance the science of psychological conditions for adults with T1D and T2D are identified.

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Section: Disordered Eating Behaviors and Eating Disordersmentioning

confidence: 99%

Psychological conditions in adults with diabetes.

Groot

Golden

Wagner

2016

American Psychologist

138

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“…5,9 An association of ED with T1D may be much more hazardous than an ED alone in that it involves a serious lack of metabolic control, higher mortality rates and higher risk of complications, such as diabetic retinopathy. 10,11 Studies on this subject in Brazil have focused on the presence of BED in T2D 12 and have also included reviews 13,14 and case studies. 15 Due to the importance and complexity of both ED and T1D, as well as the lack of research on Brazilian samples of patients with T1D and ED, the objective of this study was to evaluate the presence of risk behaviors for ED in adolescents and adults with T1D and to investigate possible associations of these behaviors with gender, nutritional status, variables related to T1D, and body satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Risk behaviors for eating disorder in adolescents and adults with type 1 diabetes

Philippi

Cardoso

Koritar

et al. 2013

Rev. Bras. Psiquiatr.

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Objective: To evaluate the frequency of risk behaviors for eating disorder (ED) in patients with type 1 diabetes (T1D) and their association with gender, nutritional status, variables related to T1D, and body satisfaction. Method: 189 individuals with T1D (12-56 years old) answered the Bulimic Investigation Test (BITE), the Eating Attitude Test (EAT), the Binge Eating Scale (BES), Stunkard's Figure Rating Scale, and questions regarding control of T1D. Association between ED risk behaviors and the selected variables was assessed with the chi-square test and Student's t-test; factors that influenced the risk of ED were identified by means of logistic regression. Results: Of the patients with T1D, 58.7% were at risk of ED (45, 40, and 16% according to the EAT, BITE and BES, respectively). There were significant differences between groups with and without risk for ED related to BMI (p = 0.009), gender (p = 0.001), insulin omission (p = 0.003), use of the carbohydrate counting method (p = 0.019), and body dissatisfaction (p = 0.001). The risk of ED was nine times higher in patients who reduced or omitted insulin (p = 0.036). Conclusions:Patients with T1D demonstrated a high frequency of body dissatisfaction and ED risk behaviors; the omission or reduction of insulin was an important risk factor.

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“…Papelbaum et al reported that occurence of eating disorders increased in type 2 diabetes mellitus patients compared to rates observed in the general population, with the predominance of binge eating disorder. 25 They reported that presence of an eating disorder was associated with higher rates of anxiety disorders. Anxiety has been reported to be as high as 30-40% in persons with diabetes.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Eating Pathology in Patients Diagnosed with Diabetes and Hypertension

Durat¹,

Yıldız²,

Erol³

2017

Turkiye Klinikleri J Health Sci

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A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Patients with diabetes and hypertension must organize to follow a consistent diet and regulate their eating habits. Their minds busy with the diet lists, the foods that are forbidden, limited eating and weight control. The aim of this study is to compare and eating behaviors and psychological conditions of these patients. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : 137 diabetic and 86 hypertensive patients presenting to Health Care Centers were included in the study. Eating Attitudes Test (EAT-40), Bulimic Investigatory Test, Edinburgh (BITE) and General Health Questionnaire (GHQ-12) were used in the study. R Re es su ul lt ts s: : Mean age of the diabetic and hypertensive patients were 56.1±11.5 years and 53.8±13.1 years respectively. There were no statistically differences between two groups with respect to age, height, weight, highest weight and body mass index (BMI). There were no statistical differences between diabetic and hypertensive groups in terms of average BITE, EAT and GHQ score. According to Garner's cut-off value, we demonstrated that 19.7% of diabetic patients and 24.4% of hypertensive patients had disordered eating behavior. There were no statistical differences between two groups in terms of disordered eating behavior (P=0.64). When two groups were compared according to sex, there were no significant differences between average BITE, EAT and GHQ scores, between diabetic and hypertensive men, and between diabetic and hypertensive women. C Co on nl lu us si io on n: : In our study, approximately one-fifth of the patients had disordered eating behaviour. The frequency of disordered eating behaviour were similar between two groups of patients. Patients with eating disorders should be guided towards nutritional health. Clinician should be careful about the eating disorders that may arise in these patients K Ke ey yw wo or rd ds s: : Eating disorders; diabetes complications; hypertension Ö ÖZ ZE ET T A Am ma aç ç: : Diyabetik ve hipertansif hastalar belirli bir diyeti takip etmek ve yeme alışkanlıklarını dü-zenlemek zorundadırlar. Zihinleri genel olarak diyet listeleri, yasaklanmış yiyecekler, kilo kontrolü ile meşguldür. Çalışmamızın amacı bu hastaların yeme alışkanlıklarını ve psikolojik durumlarını karşılaştır-maktır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çalışmaya Sağlık Ocaklarına başvuran 137 diyabetik ve 86 hipertansif hasta alınmıştır. Araştırma verileri Yeme Tutum Testi (YTT-40), Edinburg Bulimik Araştırma Testi (EBAT) ve Genel Sağlık Anketi (GSA-12) kullanılarak toplanmıştır. B Bu ul lg gu ul la ar r: : Diyabetik hasta grubunun yaş ortalaması 56,1±11,5 yıl iken, hipertansif hasta grubunun yaş ortalaması 53,8±13,1 yıl idi. Yaş, boy, kilo, en yük-sek kilo ve beden kitle indeksi (BKİ) açısından gruplar arasında anlamlı bir fark bulunmamıştır. EBAT, YTT ve GSA-12 puan ortalaması açısından iki grup arasında anlamlı fark tespit edilmemiştir. Garner kesme değerine göre diyabetik hastaların %19,7'sinde ve hiper...

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Prevalence of eating disorders and psychiatric comorbidity in a clinical sample of type 2 diabetes mellitus patients

Cited by 60 publications

References 14 publications

Psychological conditions in adults with diabetes.

Psychological conditions in adults with diabetes.

Risk behaviors for eating disorder in adolescents and adults with type 1 diabetes

Comparison of Eating Pathology in Patients Diagnosed with Diabetes and Hypertension

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