Prediction of the Onset of Disturbed Eating Behavior in Adolescent Girls With Type 1 Diabetes

Marion Patricia Olmsted · Patricia Colton · Denis Daneman · Anne C. Rydall · Gary Rodin

138 citations0/0 files storedDiabetes Care

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Eating Disorders and Behaviors Nutrition, Health and Food Behavior Diabetes Management and Education

Abstract

OBJECTIVE: The purpose of this study was to identify predictors of the onset of disturbed eating behavior (DEB) in adolescent girls with type 1 diabetes. RESEARCH DESIGN AND METHODS: In this prospective study, participants completed the Children's Eating Disorder Examination interview and self-report measures at baseline and at four follow-up assessments over 5 years. Participants were 126 girls with type 1 diabetes, aged 9-13 years at baseline. Of the 101 girls who did not have DEB at baseline, 45 developed DEB during the follow-up period; the 38 for whom data were available for the assessment before onset of DEB were compared with 38 age-matched girls who did not develop DEB. DEB was defined as dieting for weight control, binge eating, self-induced vomiting, or the use of diuretics, laxatives, insulin omission, or intense exercise for weight control. RESULTS: Logistic regression indicated that a model including BMI percentile, weight and shape concern, global and physical appearance-based self-worth, and depression was significantly associated with DEB onset (chi(2) = 46.0, 5 d.f., P < 0.0001) and accounted for 48.2% of the variance. CONCLUSIONS: Even though scores on the measures were within the published normal range, the onset of DEB was predicted by higher depression and weight and shape concerns and lower global and physical appearance-based self-worth as well as higher BMI percentile 1-2 years earlier compared with those not developing DEB. Early interventions focused on helping girls with diabetes develop positive feelings about themselves, their weight and shape, and their physical appearance may have protective value.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 138 citations exist upstream.

References

1987The inventory of parent and peer attachment: Individual differences and their relationship to psychological well-being in adolescence 2011Children’s Depression Inventory (CDI)2002Risk and maintenance factors for eating pathology: A meta-analytic review.2004Coming to Terms With Risk Factors for Eating Disorders: Application of Risk Terminology and Suggestions for a General Taxonomy.1987The eating disorder examination: A semi-structured interview for the assessment of the specific psychopathology of eating disorders 2007Risk factors for eating disorders.1984The Children's Depression Inventory: A systematic evaluation of psychometric properties.1984The Children's Depression Inventory: A systematic evaluation of psychometric properties.

Cited by

2011Binge Eating, Mood, and Quality of Life in Youth With Type 2 Diabetes 2020Eating Disorders and Diabetes 2017Gender differences in disordered eating behaviors and body dissatisfaction among adolescents with type 1 diabetes: Results from diabetes MILES youth—Australia 2017Disordered eating and insulin restriction in type 1 diabetes: A systematic review and testable model

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.