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Eating-Disordered Behaviour in Adolescents with Type 1 Diabetes
Sónia Gonçalves1, Vânia Barros1, A Rui Gomes1
1School of Psychology, University of Minho, Braga, Portugal.
Canadian Journal of Diabetes
|February 15, 2016
Summary
Adolescents with type 1 diabetes desiring lower weight show increased eating disturbances and lower quality of life. These issues are linked to social physique anxiety and diabetes management concerns.
Area of Science:
- Endocrinology
- Psychology
- Public Health
Background:
- Type 1 diabetes (T1D) management requires careful attention to lifestyle factors.
- Adolescence is a critical period for developing body image and eating behaviors.
- Understanding psychological factors in T1D is crucial for holistic care.
Purpose of the Study:
- To assess eating behaviors, self-esteem, social physique anxiety, and quality of life in adolescents with T1D.
- To explore differences based on desired weight.
- To identify predictors of disordered eating in this population.
Main Methods:
- 79 adolescents with T1D (mean age 15.71) completed validated questionnaires.
- Measures included Eating Disorders Examination Questionnaire (EDE-Q), Rosenberg Self-Esteem Scale (RSES), Social Physique Anxiety Scale (SPAS-R), and Diabetes Quality of Life (DQoL).
Main Results:
- Adolescents desiring weight loss (n=35) were more likely female, exercised regularly, and reported more binge eating and purging.
- This group also showed higher eating disturbances (restraint, weight/shape concerns), social physique anxiety, and lower DQoL.
- Key predictors of eating disturbances were desire for lower weight, higher social physique anxiety, and lower diabetes-specific quality of life.
Conclusions:
- The desire for lower weight in adolescents with T1D is associated with increased disordered eating.
- This desire negatively impacts general quality of life and diabetes management.
- Targeting weight-related concerns and psychological well-being is vital for T1D adolescents.
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