Exploring emotional dysregulation characteristics and comorbid psychiatric disorders in type 1 diabetic children with disordered eating behavior risk

Kafalı, Helin Yılmaz; Özbaran, Burcu; Özen, Samim; Köse, Sezen; Tahıllıoğlu, Akın; Darcan, Şükran; Gökşen, Damla

doi:10.1016/j.jpsychores.2020.109960

Cited by 13 publications

(14 citation statements)

References 43 publications

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“…Although DSED risk has been reported to be more frequent in females, our study shows that gender is not a determinant, which is also supported by a few studies [ 33 , 36 – 38 ]. Compared to boys, girls are more concerned with dieting and focus more on body weight, and thus, have higher risk of DEBs.…”

Section: Discussionsupporting

confidence: 90%

“…Our findings indicate that while the parents' educational status and familial economic status is not associated with DSED risk, adolescents with divorced parents are more likely to have DSED. The relation between sociodemographic characteristics and eating disorders in adolescents with T1DM has been investigated in several studies with different questionnaires [ 25 , 33 , 36 , 37 ]. Colton et al [ 25 ] found no relationship between family income and eating disorders in their study on adolescent girls with T1DM.…”

Section: Discussionmentioning

confidence: 99%

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Diabetes-specific eating disorder and possible associated psychopathologies in adolescents with type 1 diabetes mellitus

et al. 2023

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Purpose It was aimed to investigate the frequency of the risk of diabetes-specific eating disorder (DSED) in adolescents with type 1 diabetes mellitus (T1DM) and to reveal the accompanying psychopathologies. Methods Adolescents with T1DM aged 12–18 who applied to the pediatric diabetes outpatient clinic between July 2021 and March 2022 were included. Diabetes Eating Problem Survey-Revised (DEPS-R) was applied to all patients to determine the risk of DSED. In order to detect accompanying psychopathologies, Eating Disorder Examination Questionnaire (EDE-Q), Child Anxiety and Depression Scale-Child version (RCADS) and Parenting Style Scale were applied. After completing the scales, semi-structured interviews were conducted with all patients by a child and adolescent psychiatrist. Results Ninety-two adolescents (45 boys, 47 girls) were included. DSED risk was found in 23.9% of the cases. A positive correlation was found between DEPS-R and EDE-Q scores (p = 0.001, rho = 0.370). RCADS mean scores were significantly higher in the group with DSED risk (p < 0.001). When the Parenting Style Scale was evaluated, psychological autonomy scores were significantly lower in the group with DSED risk (p = 0.029). As a result of the psychiatric interviews, 30 (32.6%) patients had at least 1 psychiatric disorder. Of these, 2 patients were diagnosed with eating disorder. Conclusion Almost one-fourth of adolescents with T1DM were found to be at risk of DSED. Routine screening of adolescents with T1DM with the DEPS-R scale may provide early detection of DSED, and referral of those at risk to child psychiatry enables early diagnosis and intervention for both eating disorders and accompanying psychopathologies. Level of evidence Level III: Evidence obtained from cohort or case-control analytic studies.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Diabetes-specific eating disorder and possible associated psychopathologies in adolescents with type 1 diabetes mellitus

et al. 2023

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“…Also, finding is in congruent with Hsieh et al [ 19 ] findings showed that mindfulness has significant moderating effects on the relationship between caregiving stress and depressive symptoms in caregivers of patients with lung cancer. finding is in congruent with Yilmaz Kafali et al [ 49 ] findings showed that significant relationship emotional dysregulation and psychiatric comorbidities associated with person with type 1 diabetes mellitus (T1DM). The result is in congruent with Abravanel and Sinha [ 1 ] findings showed that significant mediating role of emotion dysregulation on the relationship between lifetime cumulative adversity and depressive symptomatology.…”

Section: Discussionsupporting

confidence: 89%

“…Young-Hyman et al [ 50 ] found significant relationship between depressive symptoms, emotion dysregulation and bulimic symptoms in youth with diabetes. Yilmaz Kafali et al [ 49 ] found significant relationship emotional dysregulation and psychiatric comorbidities associated with person with type 1 diabetes mellitus (T1DM). Abravanel and Sinha [ 1 ] found significant mediating role of emotion dysregulation on the relationship between lifetime cumulative adversity and depressive symptomatology.…”

Section: Introductionmentioning

confidence: 99%

Spiritual intelligence, mindfulness, emotional dysregulation, depression relationship with mental well-being among persons with diabetes during COVID-19 pandemic

Wojujutari

Oladejo

Akanni

et al. 2021

J Diabetes Metab Disord

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Purposes The study examined the mediation moderated effects of spiritual intelligence and mindfulness on the relationship between emotional dysregulation, depression and mental well-being. It also investigated the mediating effects of mindfulness on the relationship between spiritual intelligence and mental well-being in persons with diabetes. Methods A cross-sectional survey was carried out among 636 (age 32–74 years; mean = 40.31; SD = 8.40) people living with diabetes who are registered patients and were attending the clinic in Department of Endocrinology, Ondo State Specialist Hospital, Okitipupa and Federal Medical Centre, Lokoja. The data were analysed using Pearson Multiple correlation and mediation moderated model 29 and mediation model 4 of PROCESS macro. The analyses were carried out with PROCESS macro for IBM/SPSS Version 25.0. Results Showed significant and positive direct relationship between depression on mental well-being of person with diabetes, β = 0.39, 95 % CI (0.29, 0.48). Results showed mindfulness (β = 0.00, 95 % CI: 0.00, 0.00) and spiritual intelligence (β = -0.01, 0.00, 95 % CI: -0.01, -0.01) significantly moderated the existing direct relationship between depression and mental well-being of persons with diabetes Results showed significant and positive indirect relationship between depression and mental well-being via emotional dysfunctional of persons with diabetes, β = 0.46, 95 % CI (0.44, 0.48). Results showed mindfulness (β = -0.02, 95 %, CI; -0.03, -0.02) and spiritual intelligence (β = -0.00, 95 %, CI: 00.00, -0.01) significant moderated the existing indirect relationship between depression and mental well-being occurred via emotional dysfunctional of persons with diabetes. Results showed significant direct relationship between spiritual intelligence and mental well-being of persons with diabetes, β = -0.12, 95 %, CI: (0.09, 0.16). Results showed mindfulness significantly mediates the existing direct relationship between spiritual intelligence and mental well-being of persons with diabetes, β = -0.11, 95 %, CI: (0.08, 0.15). Results also significant direct relationship between spiritual and mindfulness of persons with diabetes, β = 0. 0.25, 95 % CI: 0.18, 0.31). Conclusion Emotional dysregulation play mediating role of the association between depression and mental well-being of persons with diabetes was moderated by spiritual intelligence and mindfulness. Therefore, the study concludes that pay attention spiritual intelligence and mindfulness in management of diabetes will enhance mental well-being of persons with diabetes.

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“…Even though studies in individuals without T1D (Keski‐Rahkonen & Mustelin, 2016; Swanson et al, 2011) have shown that eating problems are strongly associated with psychopathological conditions (e.g., mood and anxiety disorders), in most studies analyzing the co‐occurrence of T1D and DEBs in adolescents, associated psychopathological comorbidities have received relatively little attention. To date, the few studies that have assessed comorbid psychopathology in adolescents with T1D and DEBs described the latter as being associated with executive function problems (Cecilia‐Costa et al, 2021), self‐regulation deficits (Grylli et al, 2010), emotion regulation strategies difficulties (Yilmaz Kafali et al, 2020), and emotional and behavioral problems (d'Emden et al, 2013; Troncone et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of disordered eating behaviors in adolescents with type 1 diabetes: Results of multicenter Italian nationwide study

Troncone

Affuso

Cascella

et al. 2022

Intl J Eating Disorders

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Objective To assess the prevalence of disordered eating behaviors (DEBs) in a large sample of Italian adolescents with type 1 diabetes and to explore potential demographic, clinical, and psychological differences (understood as emotional and behavioral problems) among adolescents with and without DEBs. Method Adolescents (11–19 years) with type 1 diabetes completed the Diabetes Eating Problems Survey‐revised (DEPS‐r) and the Youth Self Report (YSR). Demographic and clinical data were also collected. Results Of 690 adolescents with type 1 diabetes (mean age 14.97 ± 1.81, n = 337 girls) assessed in this study, 28.1% (21% boys, 35% girls) were DEPS‐r positive (score ≥ 20). Girls had higher DEPS‐r total scores (p < .0001, d = .42) than boys, although no age differences were found in mean DEPS‐r total scores (p = .961). In both genders, adolescents with DEBs had significantly higher zBMI (p < .0001, d = .52) and HbA1c values (p < .0001, d = .54) and showed more emotional and behavioral problems (both as internalizing and externalizing problems) than those without DEBs (all p < .0001). These differences were largely confirmed in all age groups. Adolescents reporting insulin misuse had higher HbA1c values (p = .001, d = .26), higher DEPS‐r mean scores (p < .0001, d = 1.07), and greater psychological problems (all p < .001) than those who did not. Discussion DEBs are prevalent among adolescents with type 1 diabetes, and those with eating problems showed adverse clinical and psychological conditions. Routine screening for DEBs and of general psychological condition should be a fundamental part of diabetes care, especially during adolescence. Public significance statement This nationwide study indicated that DEBs are common in adolescents with T1D, and those suffering from them show poorer clinical conditions and higher emotional and behavioral problems. As such, it offers important contributions for those working with EDs and in the T1D field, as it provides a deeper understanding of the co‐occurring DEBs–emotional/behavioral problems in youths with T1D and highlights the importance of continuous monitoring of their psychological condition by a multidisciplinary team.

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Exploring emotional dysregulation characteristics and comorbid psychiatric disorders in type 1 diabetic children with disordered eating behavior risk

Cited by 13 publications

References 43 publications

Diabetes-specific eating disorder and possible associated psychopathologies in adolescents with type 1 diabetes mellitus

Diabetes-specific eating disorder and possible associated psychopathologies in adolescents with type 1 diabetes mellitus

Spiritual intelligence, mindfulness, emotional dysregulation, depression relationship with mental well-being among persons with diabetes during COVID-19 pandemic

Prevalence of disordered eating behaviors in adolescents with type 1 diabetes: Results of multicenter Italian nationwide study

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