Prevalence of Eating Disorders in Young Patients With Type 1 Diabetes From Two Different Italian Cities

Iafusco, Dario; Vanelli, Maurizio; Gugliotta, Maria; Iovane, Brunella; Chiari, G; Prisco, Francesco

doi:10.2337/diacare.27.9.2278

Cited by 17 publications

(9 citation statements)

References 5 publications

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“…The high prevalence of EDs identified at EDI-3 in the sample studied, is in agreement with data from literature reporting a high prevalence of EDs and DEB in diabetic patients, with rates exceeding those observed in the general population, and which vary according to the characteristics of the sample, to the rating tools applied and to the criteria used to formulate a diagnosis [1, 4, 6, 7, 13, 15]. ED prevalence rates according to DSM-5 are moreover higher compared to the rates of clinical risk of ED reported at EDI-3, thus highlighting the increased ability of a structured interview such as the amended version of module H of SCID-1, to identify cases of ED compared to those detected using a self-administered tool lacking specificity for the assessment of EDs in diabetes.…”

Section: Discussionsupporting

confidence: 90%

“…Frequently a DEB will be manifested only as a change in the eating pattern of diabetic patients [3]. Reports present in the literature are largely in agreement over the high rates of EDs, DEB, binge eating and bulimic symptoms observed in patients with both type 1 [4–13], and type 2 diabetes [8, 14], reporting generally higher rates of EDs in diabetic patients compared to the general population [1, 4, 6, 7, 13, 15]. A recent review and meta-analysis of 6 ED studies and 8 focusing on DEB, reported a higher prevalence for both conditions amongst adolescents and young adults with type 1 diabetes than in age-matched non-diabetic controls [13].…”

Section: Introductionmentioning

confidence: 74%

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Assessment of eating disorders with the diabetes eating problems survey – revised (DEPS-R) in a representative sample of insulin-treated diabetic patients: a validation study in Italy

et al. 2017

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BackgroundThe purpose of the study was to evaluate in a sample of insulin-treated diabetic patients, with type 1 or type 2 diabetes, the psychometric characteristics of the Italian version of the DEPS-R scale, a diabetes-specific self-report questionnaire used to analyze disordered eating behaviors.MethodsThe study was performed on 211 consecutive insulin-treated diabetic patients attending two specialist centers. Lifetime prevalence of eating disorders (EDs) according to DSM-IV and DSM-5 criteria were assessed by means of the Module H of the Structured Clinical Interview for DSM IV Axis I Disorder and the Module H modified, according to DSM-5 criteria. The following questionnaires were administered: DEPS-R and the Eating Disorder Inventory – 3 (EDI-3). Test/retest reproducibility was assessed on a subgroup of 70 patients. The factorial structure, internal consistency, test-retest reliability and concurrent validity of DEPS-R were assessed.ResultsOverall, 21.8% of the sample met criteria for at least one DSM-5 diagnosis of ED. A “clinical risk” of ED was observed in 13.3% of the sample. Females displayed higher scores at DEPS-R, a higher percentage of at least one diagnosis of ED and a higher clinical risk for ED. A high level of reproducibility and homogeneity of the scale were revealed. A significant correlation was detected between DEPS-R and the 3 ED risk scales of EDI-3.ConclusionsThe data confirmed the overall reliability and validity of the scale. In view of the significance and implications of EDs in diabetic patients, it should be conducted a more extensive investigation of the phenomenon by means of evaluation instruments of demonstrated validity and reliability.Electronic supplementary materialThe online version of this article (doi:10.1186/s12888-017-1434-8) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 74%

Assessment of eating disorders with the diabetes eating problems survey – revised (DEPS-R) in a representative sample of insulin-treated diabetic patients: a validation study in Italy

et al. 2017

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“…Les symptômes de dépression sont fortement associés aux troubles de l'alimentation et touchent jusqu'à 50 % des personnes atteintes d'un tel trouble (41). Chez les adolescentes, le diabète de type 1 semble être un facteur de risque pour les troubles de l'alimentation, tant sur le plan de la prévalence des comportements associés aux troubles de l'alimentation (42,43) que celui de l'omission ou de la réduction délibérée des doses d'insuline (qu'on appelle diaboulimie). On a observé que le syndrome de fringale nocturne se manifeste chez les personnes atteintes de diabète de type 2 et qui présentent des symptômes de dépression.…”

Section: Troubles De L'alimentationunclassified

Diabète et santé mentale

Robinson¹,

Luthra²,

Vallis³

2013

Canadian Journal of Diabetes

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“…Depressive symptoms are highly comorbid with eating disorders, affecting up to 50% of patients (41). Type 1 diabetes in young adolescent women appears to be a risk factor for development of an eating disorder, both in terms of an increased prevalence of established eating disorder features (42,43) as well as through deliberate insulin omission or underdosing (called diabulimia). Night eating syndrome (NES) has been noted to occur in individuals with type 2 diabetes who have depressive symptoms.…”

Section: Eating Disordersmentioning

confidence: 99%