25 Years of psychological research investigating disordered eating in people with diabetes: what have we learnt?

Broadley, Melanie; Zaremba, Natalie; Andrew, Brooke; Ismail, Khalida; Treasure, Janet; White, Melanie J.; Stadler, Marietta

doi:10.1111/dme.14197

Cited by 34 publications

(56 citation statements)

References 49 publications

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“…Disordered eating behaviours are associated with higher instances of serious diabetes‐related complications, including diabetic ketoacidosis and microvascular complications [2]. However, despite the problems posed by disordered eating, ‘clinically usable’ intervention approaches are limited in this population [3], with only one randomized controlled trial addressing this issue on record [4].…”

Section: Introductionmentioning

confidence: 99%

A brief self‐compassion intervention for adolescents with type 1 diabetes and disordered eating: a feasibility study

Boggiss¹,

Consedine²,

Schache³

et al. 2020

Diabet. Med.

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Aim To examine the feasibility and acceptability of a brief self-compassion intervention for adolescents with type 1 diabetes and disordered eating behaviour. Methods Twenty-seven adolescents with type 1 diabetes were recruited and randomized to receive the brief (two 2.5-h sessions) self-compassion intervention, either in the intervention group (n=11) or in a waitlist control group (n=8). The intervention was adapted from the standardized eight-session 'Making Friends with Yourself' programme, and sessions were delivered 1 week apart. Acceptability was assessed through qualitative questionnaires and feasibility was assessed based on session attendance and recruitment metrics. Possible changes to disordered eating behaviour, self-care behaviours, diabetes-related distress, self-compassion, stress and glycaemic control were also assessed. Results Nineteen participants completed the study, and they reported an increased sense of common humanity (acknowledging that we are not alone), mindfulness, and coping resources. In terms of feasibility, recruitment took longer than expected (8 months) and not all participants were able to attend both sessions (nine could only attend one of the two sessions). Conclusions While self-compassion is a strong conceptual fit for the issues of type 1 diabetes and disordered eating behaviour in adolescence, and the intervention content appears acceptable, feasibility issues were such that brief selfcompassion programmes will probably need to be adapted into digital interventions for future research. (Trial registration number: ANZCTR 12619000541101).

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Section: Introductionmentioning

confidence: 99%

A brief self‐compassion intervention for adolescents with type 1 diabetes and disordered eating: a feasibility study

Boggiss¹,

Consedine²,

Schache³

et al. 2020

Diabet. Med.

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“…Females with T1D also showed greater body image dissatisfaction than males ( Araia et al, 2017 ). Societal pressure to conform to a “thin ideal” and pubertal/developmental factors (e.g., peripubertal weight gain causing higher body dissatisfaction) were proposed as explanations for body dissatisfaction and related higher prevalence of DEB in girls and young women compared to young men with T1D ( Young-Hyman and Davis, 2010 ; Broadley et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Body Image Problems and Disordered Eating Behaviors in Italian Adolescents With and Without Type 1 Diabetes: An Examination With a Gender-Specific Body Image Measure

et al. 2020

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To examine body image problems and their associations with disordered eating behavior in adolescents with type 1 diabetes and well-matched healthy peers. Methods: Using a cross-sectional design, 183 adolescents with type 1 diabetes (13.02-18.05 years) were recruited from diabetes centers in southern Italy and compared to healthy peers matched for age and gender. Participants completed self-report measures of disordered eating behaviors (DEPS-r and EDI-3RF) and a gender-specific body image problem questionnaire (SATAQ-4R). Socio-demographic and clinical data (zBMI, HbA1c, and disease duration) were also collected. Hierarchical multiple linear regression analyses were computed to determine the relative importance of diabetes variables and body image problems on participants' disordered eating behaviors after controlling for demographic variables. Results: Adolescents with type 1 diabetes showed diabetes-specific eating problems in 37.7% of cases and had more eating problem symptoms (assessed as drive for thinness and bulimia) than healthy peers. Male adolescents with type 1 diabetes did not display more body image problems (p > 0.05); females with type 1 diabetes compared to females in the control group were found to be more pressured by family (p = 0.025) but less by media (p = 0.022) to improve their appearance and attain a thin body. zBMI and body image problems contributed to a significant increase in disordered eating behavior risk both in male and female adolescents with diabetes and in healthy peers (zBMI 0.213 < β < 0.426, p < 0.05; body image 0.243 < β < 0.572, p < 0.05).

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“…A cukorbetegség esetén ezek még kifejezettebbek lehetnek. A diabetes kialakulásának kezdetén megjelenő, abszolút inzulinhiánnyal magyarázható látványos fogyás, illetve az ezt követő, inzulinkezeléshez kötődő súlygyarapodás (Tímeánál másfél év alatt 15 kg) az arra vulnerábilis személyeknél evészavart indíthat el [8,15,16].…”

Section: Megbeszélésunclassified

Önállóságra éhezve. Az 1-es típusú diabetes mellitus és az anorexia nervosa együttes előfordulása egy serdülő leányban

Máté

Ábrahám

Cserép

et al. 2021

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Összefoglaló. Az 1-es típusú diabetes mellitus (T1DM-) betegek körében az evészavarok előfordulása az átlagpopulációhoz képest körülbelül kétszeresre tehető. Ez a komorbiditás különösen veszélyes mind a magas mortalitási rizikó, mind a súlyos szövődmények lehetősége miatt. Az evészavarban szenvedő, T1DM-mel élő gyermekek és fiatalok hatékony kezelése a diabetológusok, pszichiáterek, pszichológusok, nővérek és dietetikusok összehangolt munkájával valósítható meg. Közleményünkben egy 14,5 éves, T1DM-mel élő, anorexia nervosával diagnosztizált páciensünk multidiszciplináris terápiáját mutatjuk be, kiemelve a különböző szakemberek együttműködésének főbb metszéspontjait. A szoros diabetológiai gondozással párhuzamosan az anorexia nervosa terápiájában a protokollok ajánlásaival megegyezően családterápiát és kognitív viselkedésterápiás elemekkel bővített egyéni terápiát alkalmaztunk. A terápiás folyamat összesen 18 hónapig tartott. Esetünk korábban le nem írt diabetológiai érdekessége, hogy a számottevő súlycsökkenéssel párhuzamosan betegünk inzulinigénye a töredékére csökkent, ami jelentős mértékben érintette a bazálisinzulin-szükségletet is. Orv Hetil. 2021; 162(33): 1341–1346. Summary. The incidence of eating disorders is approximately twice as high in type 1 diabetes mellitus (T1DM) compared to the general population. Comorbidity is related to potentially severe organ complications and consequently higher mortality risk. The effective treatment of eating disorders in T1DM is provided by the teamwork of diabetologists, psychiatrists, psychologists, nurses and dietitians. The purpose of this paper is to present the multidisciplinary treatment of a 14.5-year-old adolescent with T1DM and diagnosed with anorexia nervosa, focusing on the cooperation of the professionals. In line with the current guidelines, both family therapy and cognitive behavioral therapy-informed individual psychotherapy were applied beside the strict diabetes control. Her therapy process lasted 18 months. The unusual diabetological aspect of our case is that the significant weight loss was associated with highly decreased insulin requirement affecting also the basal insulin requirements. Orv Hetil. 2021; 162(33): 1341–1346.

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25 Years of psychological research investigating disordered eating in people with diabetes: what have we learnt?

Cited by 34 publications

References 49 publications

A brief self‐compassion intervention for adolescents with type 1 diabetes and disordered eating: a feasibility study

A brief self‐compassion intervention for adolescents with type 1 diabetes and disordered eating: a feasibility study

Body Image Problems and Disordered Eating Behaviors in Italian Adolescents With and Without Type 1 Diabetes: An Examination With a Gender-Specific Body Image Measure

Önállóságra éhezve. Az 1-es típusú diabetes mellitus és az anorexia nervosa együttes előfordulása egy serdülő leányban

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