Psychometric properties and factor structure of the diabetes eating problem survey – revised (DEPS-R) among adult males and females with type 1 diabetes

Wisting, Line; Wonderlich, Joseph; Skrivarhaug, Torild; Dahl‐Jørgensen, Knut; Rø, Øyvind

doi:10.1186/s40337-018-0232-0

Cited by 43 publications

(66 citation statements)

References 30 publications

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“…It consists of 16 items whose answers are scored on a six-point Likert scale (ranging from 0 = never to 5 = always, in relation to frequency of the behavior). In line with previous research, scores equal to or higher than 20 were considered as suggesting high risk for DEB ( Saßmann et al, 2015 ; Wisting et al, 2018 , 2019 ). The DEPS-r is the most widely validated DEB tool for adolescents with T1D, and it has been demonstrated to possess high internal reliability and high concurrent/criterion validity when compared to a gold standard clinical interview; it also has convergent validity with significant correlations with other validated measures of eating disorders (i.e., EAT-12, EDI, SCOFF, and EDE-Q) ( Pursey et al, 2020 ).…”

Section: Methodssupporting

confidence: 55%

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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Section: Methodssupporting

confidence: 55%

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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“…Scores ≥ 20 are considered clinically significant and have been associated with higher HbA 1c [ 37 ]. Although originally validated with adolescent patients, the DEPS-R has been used with adults with T1D and has demonstrated satisfactory internal consistency and construct validity among adult samples (e.g., [ 43 ]).…”

Section: Methodsmentioning

confidence: 99%

An open trial of app-assisted acceptance and commitment therapy (iACT) for eating disorders in type 1 diabetes

et al. 2021

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Background Eating disorders (EDs) among individuals with type 1 diabetes (T1D) increase the risk of early and severe diabetes-related medical complications and premature death. Conventional eating disorder (ED) treatments have been largely ineffective for T1D patients, indicating the need to tailor treatments to this patient population and the unique conditions under which ED symptoms emerge (in the context of a chronic illness with unrelenting demands to control blood glucose, diet and exercise). The current study was a pilot open trial of iACT, a novel intervention for EDs in T1D grounded in Acceptance and Commitment Therapy (ACT). iACT was based on the premise that ED symptoms emerge as individuals attempt to cope with T1D and related emotional distress. iACT taught acceptance and mindfulness as an alternative to maladaptive avoidance and control, and leveraged personal values to increase willingness to engage in T1D management, even when it was upsetting (e.g., after overeating). A tailored mobile application (“app”) was used in between sessions to facilitate the application of ACT skills in the moment that individuals are making decisions about their diabetes management. Methods Adults with T1D who met criteria for an ED completed 12 sessions of iACT (with three optional tapering sessions). In addition to examining whether treatment was acceptable and feasible (the primary aim of the study), the study also examined whether iACT was associated with increased psychological flexibility (i.e., the ability to have distressing thoughts/feelings about diabetes while pursuing personally meaningful values), and improvements in ED symptoms, diabetes management and diabetes distress. Results Treatment was acceptable to T1D patients with EDs and feasible to implement. Participants reported increased psychological flexibility with diabetes-related thoughts/feelings, and less obstruction and greater progress in pursuing personal values. There were large effects for change in ED symptoms, diabetes self-management and diabetes distress from baseline to end-of-treatment (Cohen’s d = .90–1.79). Hemoglobin A1c also improved, but the p-value did not reach statistical significance, p = .08. Conclusions Findings provide preliminary evidence for iACT to improve outcomes for T1D patients with EDs and support further evaluation of this approach in a controlled trial. Trial registration NCT02980627. Registered 8 July 2016.

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“…Scores of 20 or more indicates a level of disturbed eating warranting further attention. The DEPS-R has been translated and validated among Norwegian adolescents (Wisting et al, 2013) and adults (Wisting et al, 2019b).…”

Section: Methodsmentioning

confidence: 99%

The impact of psychological aspects, age, and BMI on eating disorder psychopathology among adult males and females with type 1 diabetes

Wisting

Siegwarth

Skrivarhaug

et al. 2020

Health Psychology Open

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This study investigated correlates of eating disorder (ED) psychopathology among adults with type 1 diabetes (T1D). A total of 282 males ( n = 112) and females ( n = 170) with T1D (18–79 years) participated. Overall, psychological aspects (i.e. illness perceptions, coping strategies, insulin beliefs, anxiety, and depression) were associated with ED psychopathology. Associations were generally stronger among females than males. In a regression model, age, BMI, personal control, and anxiety explained 51% of the variance in ED psychopathology among females, whereas BMI, personal control, and anxiety explained 47% of the variance among males. Greater clinical awareness of health psychological aspects may contribute to reduce the risk of developing ED.

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Psychometric properties and factor structure of the diabetes eating problem survey – revised (DEPS-R) among adult males and females with type 1 diabetes

Cited by 43 publications

References 30 publications

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

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

An open trial of app-assisted acceptance and commitment therapy (iACT) for eating disorders in type 1 diabetes

The impact of psychological aspects, age, and BMI on eating disorder psychopathology among adult males and females with type 1 diabetes

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