Disordered eating behaviors in adolescents with type 1 diabetes: A cross‐sectional population‐based study in Italy

Cherubini, Valentino; Skrami, Edlira; Iannilli, Antonio; Cesaretti, Alessandra; Paparusso, Anna Maria; Alessandrelli, Maria Cristina; Carle, Flavia; Ferrito, Lucia; Gesuita, Rosaria

doi:10.1002/eat.22889

Cited by 45 publications

(57 citation statements)

References 34 publications

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“…As confirmed by both eating problem measures adopted in this study (i.e., diabetes-specific measure and generic tool) and in line with previous evidence from Italian samples (Pinna et al, 2017;Cherubini et al, 2018;Troncone et al, 2019), DEBs were more frequent in adolescents with T1D than in healthy peers. DEBs were found in both genders, although -as reported in DEB studies with adolescents from the general and the T1D population (Neumark-Sztainer et al, 2011;Wisting et al, 2013;Baechle et al, 2014;Colton et al, 2015) -they were found to a greater extent in girls than in boys, regardless of health status.…”

Section: Disordered Eating Behaviors (Debs)supporting

confidence: 91%

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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: Disordered Eating Behaviors (Debs)supporting

confidence: 91%

“…Similarly, the association between DEBs and lower SES, poorer glycemic control, and duration of illness confirmed what has already been reported by previous studies on adolescents with T1D (Young et al, 2013;Pinhas-Hamiel et al, 2015;Cherubini et al, 2018;Troncone et al, 2019).…”

Section: Body Image Problems and Debssupporting

confidence: 90%

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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“…This contradicts the general assumption that "social distancing" and isolation-creating anxiety, sadness, anger, and perception/sense of loneliness-may have a negative psychological impact [1] and even exacerbate eating disorder risks [44], further compromising individuals with psychopathological and eating problems [27,28,45,46]. Furthermore, recent evidence from Italian samples [47][48][49][50][51] describe youths with T1D as suffering from DEBs more frequently than healthy peers. In contrast, children and adolescents with T1D evaluated in this study did not show higher DEBs than controls.…”

Section: Discussionmentioning

confidence: 96%

The impact of the COVID-19 lockdown on disordered eating behaviors in youths with type 1 diabetes: Analysis of cross-sectional survey data.

Troncone

Chianese

Zanfardino

et al. 2020

Preprint

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Background: Recent research indicates that patients with type 1 diabetes (T1D) are at higher risk for disordered eating behaviors (DEBs) than their peers without diabetes. The present study aimed at examining the impact of the COVID-19 lockdown on DEBs in a sample of Italian children and adolescents with T1D and in matched-pair healthy controls.Methods: 138 children and adolescents with T1D (aged 8.01-19.11 years, 65 boys) attending a Southern Italian diabetic service and 276 age- and gender-matched healthy peers voluntarily completed a cross-sectional online survey of eating behaviors (ChEAT and Eat-26), anthropometric characteristics, and clinical characteristics. Results: 8.69% (N=12) of participants with T1D and 13.4% (N=37) of controls had ChEAT/EAT-26 scores indicating presence of DEBs, with no differences between patients—whether children (total ChEAT score F(1, 157)=.104, p=.748) or adolescents (total EAT-26 score F(1, 255)=.135, p=.731)—and healthy peers. zBMI values were lower than those measured in the latest diabetes visit (p<.0001), while HbA1c values remained unchanged (p=.110). In both groups, adolescents had lower Oral Control scores than children (T1D: F(1, 138)= 20.411, p<.0001, η2 =.132, controls: F(1, 276)=18.271, p<.0001, η2 =.063); additionally, gender (female) and age were found to be significant predictors of several ChEAT/EAT-26 scores.Discussion: Psychological conditions in relation to DEB symptoms of children and adolescents with T1D were not aggravated by lockdown conditions. Results indicated DEBs as more of a female adolescent developmental issue rather than as a result of the challenges of living with a chronic illness aggravated by outbreak. Possible effects of parental pressure on their children’s eating behaviors in the context of home confinement and of using a non-diabetes-specific measure to assess DEBs are discussed.

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“…Based on other studies suggesting the prevalence of disordered eating of 27% for boys and 42% for girls in T1D,31 we estimated that we would need to screen approximately 50 adolescents to enrol at least 20 adolescents (who score over the cut-off on the DEPS-R). We will use the observed changes in psychological outcomes (eg, DEPS-R) and physical health outcomes to calculate the required sample size for a subsequent fully powered RCT.…”

Section: Methods and Analysismentioning

confidence: 99%

Protocol for a feasibility study: a brief self-compassion intervention for adolescents with type 1 diabetes and disordered eating

et al. 2020

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IntroductionAdolescents with type 1 diabetes are at a higher risk of developing psychiatric disorders, particularly eating disorders, compared with their healthy peers. In turn, this increases the risk for sub-optimal glycaemic control and life-threatening diabetes-related complications. Despite these increased risks, standard diabetes care does not routinely provide psychological support to help prevent or reduce mental health risks. There is an urgent need to develop ‘clinically usable’ psychosocial interventions that are acceptable to patients and can be realistically integrated into clinical care. This study aims to examine the feasibility and acceptability of a brief self-compassion intervention for adolescents with type 1 diabetes and disordered eating behaviour.Methods and analysisThis feasibility study will examine the effectiveness of a brief self-compassion intervention, compared with a waitlist control group. Participants aged 12–16 years will be recruited from three diabetes outpatient clinics in Auckland, New Zealand. The brief self-compassion intervention is adapted from the standardised ‘Making Friends with Yourself’ intervention and will be delivered in a group format over two sessions. Apart from examining feasibility and acceptability through the flow of participants through the study and qualitative questions, we will assess changes to disordered eating behaviour (primary outcome), self-care behaviours, diabetes-related distress, self-compassion, stress and glycaemic control (secondary outcomes). Such data will be used to calculate the required sample size for a fully powered randomised controlled trial.Ethics and disseminationThis trial has received ethics approval from the Health and Disability Ethics Committee (research project number A+8467). Study results will be disseminated through peer-reviewed journals and conferences.Trial registration numberANZCTR (12619000541101).

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Disordered eating behaviors in adolescents with type 1 diabetes: A cross‐sectional population‐based study in Italy

Cited by 45 publications

References 34 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

The impact of the COVID-19 lockdown on disordered eating behaviors in youths with type 1 diabetes: Analysis of cross-sectional survey data.

Protocol for a feasibility study: a brief self-compassion intervention for adolescents with type 1 diabetes and disordered eating

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