“…Amongst girls with T1DM and comorbid ED 35% of the variance has been explained by lower self-esteem and higher BMI scores [44] Similar research with people with T1DM has found DEB is significantly predicted by weight and shape worries, higher depression rates, higher BMI scores and lower appearance-based self-worth (p <0.001) [45]. These factors accounted for 48.2% of variance, offering support for the dual pathway model Olmsted et al, Daneman et al [46] FIGURE 1 and Pinhas-Hamiel et al [47] specify that T1DM specific factors interact with individual, family and social risks to lower the threshold for an ED. The initial weight loss seen prior to …”
Section: Models Of Comorbidity Of Ed and T1dmmentioning
Type One Diabetes Mellitus (T1DM) is one of the most significantly impacting health conditions around the world and requires daily insulin administration to manage. Research has highlighted the impact on mental health but in particular there are elevated levels of eating disorders (ED) within T1DM. The current review aimed to systematically draw together the existing research that has explored the impact of psychological treatment within this population specifically focusing on adaptations made and the impact on insulin omission. A total of 95 papers were found and 10 were included in review. The papers ranged in methodology and rigour making comparisons difficult. The review concludes that an individualised intervention addressing both ED and T1DM difficulties appears to be the most effective. There is a lack of reporting on insulin omission within the literature and more research on the function of this behaviour is needed.
“…Amongst girls with T1DM and comorbid ED 35% of the variance has been explained by lower self-esteem and higher BMI scores [44] Similar research with people with T1DM has found DEB is significantly predicted by weight and shape worries, higher depression rates, higher BMI scores and lower appearance-based self-worth (p <0.001) [45]. These factors accounted for 48.2% of variance, offering support for the dual pathway model Olmsted et al, Daneman et al [46] FIGURE 1 and Pinhas-Hamiel et al [47] specify that T1DM specific factors interact with individual, family and social risks to lower the threshold for an ED. The initial weight loss seen prior to …”
Section: Models Of Comorbidity Of Ed and T1dmmentioning
Type One Diabetes Mellitus (T1DM) is one of the most significantly impacting health conditions around the world and requires daily insulin administration to manage. Research has highlighted the impact on mental health but in particular there are elevated levels of eating disorders (ED) within T1DM. The current review aimed to systematically draw together the existing research that has explored the impact of psychological treatment within this population specifically focusing on adaptations made and the impact on insulin omission. A total of 95 papers were found and 10 were included in review. The papers ranged in methodology and rigour making comparisons difficult. The review concludes that an individualised intervention addressing both ED and T1DM difficulties appears to be the most effective. There is a lack of reporting on insulin omission within the literature and more research on the function of this behaviour is needed.
“…1 The 2002 issue focused on the pathophysiology of eating disorders and the impact of the diagnosis. The conversation now continues with an emphasis on the importance of the collaborative effort between the eating disorders and diabetes health care teams and includes not only those with type 1 diabetes but also those diagnosed with type 2 diabetes and disordered eating.…”
“…In fact, poor glycemic control has been found among adolescents and young adult females with eating disorders [70][71][72] and among adolescents that perceived themselves as being overweight. 73 Furthermore, not taking insulin in order to avoid weight gain is actually considered one of the DSM-IV diagnostic criteria for bulimia.…”
Section: -69mentioning
confidence: 99%
“…73 Furthermore, not taking insulin in order to avoid weight gain is actually considered one of the DSM-IV diagnostic criteria for bulimia. 72 However, there are very few if any studies specifically assessing the relationship between the desire to lose weight and glycemic control among US adults with diabetes.…”
Section: -69mentioning
confidence: 99%
“…[66][67][68][69][70][71][72] Furthermore, adolescents with diabetes perceiving themselves as overweight have reported poor glycemic control. 73 Thus, it may be that individuals that want to lose weight are less likely to be adherent to treatment regimens and consequently have suboptimal or poor glycemic control.…”
Section: Glycemic Control and Desire To Lose Weightmentioning
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