Characteristics of Diabetic Patients with and without an Eating Disorder

Herpertz, Stephan; Albus, Christian; Lohff, Sabine; Michalski, Klaus; Masrour, Michael; Lichtblau, Kerstin; Köhle, Karl; Mann, Klaus; Senf, Wolfgang

doi:10.1055/s-2000-13242

Cited by 5 publications

(2 citation statements)

References 23 publications

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“…As insulin is essential for regulating blood sugar levels in individuals with type 1 diabetes, reducing or omitting insulin leads to elevated blood sugar levels, causing the body to break down fat for energy, resulting in weight loss, which may be the desired outcome for some individuals. Several studies have reported that the fear of weight gain is a core component in the emergence of insulin mismanagement [ 64 , 65 ]. However, the act of reducing or omitting insulin can have severe consequences.…”

Section: Diabetes and Disordered Eating Behaviors/eating Disordersmentioning

confidence: 99%

Eating Disorders and Diabetes: Facing the Dual Challenge

Dziewa,

Bańka,

Herbet

et al. 2023

Nutrients

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Eating disorders and diabetes mellitus are distinct yet closely linked health conditions, presenting distinct challenges in terms of care and management. Eating disorders encompass a spectrum of mental health disorders characterized by abnormal eating behaviors and disruptions in weight regulation. Research indicates that individuals with diabetes might be at an elevated risk of developing eating disorders. The necessity to adhere to specific dietary guidelines, monitor blood sugar levels vigilantly, and manage drug administration can collectively contribute to the emergence of detrimental attitudes toward food and body image. On the other hand, incorrect eating behaviors such as binge eating and purging can disrupt blood sugar control, significantly impacting the development and management of diabetes. This intricate relationship emphasizes the crucial necessity for a comprehensive understanding and specialized care to effectively address the dual challenges faced by individuals dealing with both diabetes and eating disorders. This paper represents the inaugural comprehensive review delving into the intricate connection between eating disorders and diabetes, thereby illuminating previously under-researched areas. The insights gleaned from this review may contribute to developing integrated interventions that aim to improve the overall well-being and quality of life for individuals grappling with the complexities of eating disorders and diabetes.

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Section: Diabetes and Disordered Eating Behaviors/eating Disordersmentioning

confidence: 99%

Eating Disorders and Diabetes: Facing the Dual Challenge

Dziewa,

Bańka,

Herbet

et al. 2023

Nutrients

View full text Add to dashboard Cite

show abstract

“…These may include the patient's inability or reluctance to cooperate with the health-care team, affective disorders, cognitive and behavioral disturbances, factitious disease, stress exceeding the patient's coping ability, manipulative attitudes, etc. One should also consider the possibility of insulin omissions (in particular in women and young patients) in order to attain weight loss, disturbed eating behavior and eating disorders (Herpertz et al, 2000).…”

Section: Psychosocial Issues In Diabetes Mellitusmentioning

confidence: 99%

Diabetes Mellitus as a Model of Psychosomatic and Somatopsychic Interrelationships

Wasserman

Трифонова

2006

Span. J. Psychol.

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The article reviews research on the problem of interrelationship between different physical and psychosocial factors in type 1 diabetes mellitus (DM1). The authors consider methodological principles of health-related quality of life (HRQoL) assessment in DM1 patients and stress the need for an integrated biopsychosocial approach to the management of the disease. DM1 is a chronic metabolic disease with an absolute requirement for insulin replacement therapy. The stress-inducing nature of DM1 is associated with its unexpected and dramatic manifestation in juvenile years, life-threatening nature of severe hypo-/hyperglycaemias and long-term complications, with the burden of diabetes self-management, threat of work disability, employment and career problems etc. These features of DM1 increase the likelihood of the development of anxiety and depressive disorders, which, in turn, may negatively influence the course of diabetes and in particular, diabetes self-care. This necessitates early diagnosis of emotional and behavioral disturbances in DM1 using self-report instruments as well as clinical assessment. Evidence suggests that active problem-focused coping behavior and adequate social support promote adherence to diabetes regimes and may act as a buffer against negative effects of the disease on HRQoL in DM1 patients. The core element in the HRQoL structure is personal disease picture (as opposed by objective clinical picture) -the cognitive-affectivebehavioral complex reflecting the patient's personal perception of the disease. Examination of the personal disease picture and attitude towards the ailment in DM1 patients may help to improve understanding of the mechanisms of poor adjustment. Problems in disease adjustment can be detected also by diabetes-specific HRQoL assessment. The measures of HRQoL can be applied as screening instruments useful in increasing the effectiveness of patient-provider interactions and diabetes care. Keywords: diabetes mellitus, psychosocial factors, disease adjustment, health-related quality of life, psychological assessmentEl artículo revisa la investigación del problema de la interrelación entre diferentes factores físicos y psicosociales en la diabetes melitus tipo 1 (DM1). Los autores consideran los principios de la evaluación de la calidad de vida relacionada con la salud (CVRS) en pacientes de DM1 y ponen de manifiesto la necesidad de un abordaje biopsicosocial integrado del manejo de la enfermedad. La DM1 es una enfermedad metabólica crónica con una necesidad absoluta de terapia de reemplazo de insulina. La naturaleza estresante de la DM1 se asocia con su aparición inesperada y dramática durante los años de juventud, la naturaleza peligrosa de las hipo e hiperglucemias y las complicaciones a largo plazo, con la carga del auto-cuidado de la diabetes, la amenaza de discapacidad laboral, problemas de empleo y carrera, etc. Estas características de la DM1 aumentan la probabilidad de desarrollar trastornos de ansiedad y depresivos que, a su vez, pueden afectar negativamente el curso ...

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Anorexia nervosa und Bulimia nervosa

Csef¹

Therapie Gastroenterologischer Krankheiten

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>>Die Anorexia nervosa und die Bulimia nervosa sind als die Prototypen der psychogenen Essstörungen typische psychosomatische Krankheitsbilder. Nach zahlreichen epidemiologischen Studien nimmt die Häufigkeit beider Essstörungen in den westlichen Zivilisationsländern erheblich zu. Bei der multifaktoriellen Ätiologie und Pathogenese lassen sich relevante biologische, psychische und soziale Faktoren identifizieren. Die Leitsymptome der psychogenen Essstörungen wie Untergewicht, Erbrechen, Durchfälle oder abdominelle Schmerzzustände und gastrointestinale Komplikationen führen nicht selten zu Konsultationen beim Internisten oder Gastroenterologen. Die Hauptsäulen der Therapie bestehen aus Psychotherapie und medikamentöser Therapie (Psychopharmaka). Unbehandelt führen Magensucht und Bulimie zu einem chronischen bis letalen Verlauf. Die Gesamtmortalität liegt trotz verbesserter Therapiestrategien noch bei 10-15%. Prävention, frühzeitige Diagnosestellung und unverzügliche effektive Therapie dieser potenziell heilbaren Krankheitsbilder sind wichtig.

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Characteristics of Diabetic Patients with and without an Eating Disorder

Cited by 5 publications

References 23 publications

Eating Disorders and Diabetes: Facing the Dual Challenge

Eating Disorders and Diabetes: Facing the Dual Challenge

Diabetes Mellitus as a Model of Psychosomatic and Somatopsychic Interrelationships

Anorexia nervosa und Bulimia nervosa

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