Abstract
The purpose of this study is to examine associations of disordered eating behaviors (DEBs) with body image problems, parents’ eating disorder symptoms, and emotional and behavioral problems among adolescents with type 1 diabetes (T1D). 200 adolescents (M age = 15.24 ± 1.45 years) with T1D completed a self-report measure of DEBs and body ideal internalization, and their parents completed self-report measures of parents’ eating problems and child’s psychological symptoms. Seventy-three (36.5%) adolescents were DEPS-r—positive (scores ≥ 20), with higher rates among girls (χ2 = 9.034, p = .003). Adolescents with T1D and DEBs reported lower SES, worse metabolic control, higher zBMI (p < .001), more eating disorder symptoms, more body image problems, and more emotional and behavioral problems than adolescents with T1D but no DEBs (all p < .05). Parents of adolescents with DEBs showed higher levels of bulimia (p = .028) than parents of adolescents without DEBs. In both genders, pressure to conform to societal norms about body image (p < .01) and externalization symptoms (p < .05) emerged as significant predictors of DEBs. Findings suggest that adolescents with T1D and DEBs showed an alarming psychological condition, with higher level of body image and more emotional and behavioral problems.
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Acknowledgements
The authors thank the Staff of the outpatients clinics at the pediatric diabetes unit “G. Stoppoloni” of the University of Campania “Luigi Vanvitelli” for their help in data collection, in particular Dr Alessandra Cocca, Dr Lisa Caredda, Dr Stefania Picariello, Dr Emilia Frongione, and Dr Serena Rollato; and all the patients, parents, and children who agreed to take part in the investigation.
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The authors contributed to the study as follows: AT designed the study, analyzed the data and wrote the manuscript. D.I. supervised this work, designed the study and contributed to the manuscript. AZ, CC, SC, AP, GF, AG, and A.C. collected data and contributed to the data analyses and to the manuscript.
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Authors Alda Troncone, Antonietta Chianese, Angela Zanfardino, Crescenzo Cascella, Santino Confetto, Alessia Piscopo, Giovanni Loffredo, Anna Golino, and Dario Iafusco declare that they have no conflict of interest
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Troncone, A., Chianese, A., Zanfardino, A. et al. Disordered Eating Behaviors Among Italian Adolescents with Type 1 Diabetes: Exploring Relationships with Parents’ Eating Disorder Symptoms, Externalizing and Internalizing Behaviors, and Body Image Problems. J Clin Psychol Med Settings 27, 727–745 (2020). https://doi.org/10.1007/s10880-019-09665-9
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DOI: https://doi.org/10.1007/s10880-019-09665-9