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Diabetes-specific eating disorder and social exclusion in adolescents with type 1 diabetes

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Abstract

Background 

Adolescents with type 1 diabetes are at risk of developing eating disorders and social exclusion, and these disorders are associated with serious diabetes-related medical and social complications.

Objective

The present study, which had a descriptive and correlational design, was conducted to determine the relationship between diabetes-specific eating disorders and social exclusion in adolescents with Type 1 Diabetes (T1DM) who were treated at a university hospital in Türkiye between November 2021 and April 2022.

Method

The sampling of the study consisted of 124 adolescents who had T1DM between the ages of 14 and 18 who were followed up in the pediatric endocrinology clinic of a university hospital. The data of the study were collected with the Descriptive Characteristics Form, the Diabetes-Specific Eating Disorder Scale (DEPS-R), and the Adolescent Social Exclusion Scale (OES-A). The study was conducted with the permission of the institution and ethics committee, and written consent was obtained from the adolescents and parents. The descriptive statistics, Mann–Whitney U-Test, Kruskal–Wallis Analysis of Variance, and Simple Linear Regression Analysis were used in the evaluation of the data.

Results

The mean scores of the DEPS-R and OES-A scales of the adolescents who had T1DM were 43.29 ± 17.15 and 34.51 ± 8.41, respectively. A relationship was detected between the OES-A mean scores of the adolescents and the DEPS-R mean scores, and the OES-A mean score explained 74.7% of the DEPS-R mean score (R2 = 0.747) (p ≤ 0.001).

Conclusion

It was determined in the present study that adolescents with T1DM had high levels of social exclusion and eating disorders. It was also found that as the level of social exclusion of adolescents with T1DM increased, the level of eating disorders increased.

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Data Availability

Based on a request, the data supporting the current work’s results is available from the corresponding author.

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Author information

Authors and Affiliations

  1. Department of Pediatric Nursing, Faculty of Health Sciences, Erciyes University, Kayseri, Türkiye

    Harun Özbey

  2. Department of Pediatric Nursing, Faculty of Health Science, Erciyes University, Kayseri, Türkiye

    Harun Özbey & Meral Bayat

  3. Faculty of Health Science, Erciyes University, Kayseri, Türkiye

    İrem Kalkan

  4. Department of Pediatrics, Faculty of Medicine, Erciyes University, Kayseri, Türkiye

    Nihal Hatipoğlu

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  1. Harun Özbey
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  2. Meral Bayat
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  4. Nihal Hatipoğlu
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Contributions

All authors made substantial contributions to the conception or design of the work or the acquisition, analysis, or interpretation of data for the work.

Corresponding author

Correspondence to Harun Özbey.

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Ethical Clearance

Ethics Committee (Decision No: 2021/697) and institutional permission were obtained for the study. Before the study started, the purpose of the study was explained to the adolescents and written and verbal consent was obtained from their parents and themselves. This study was supported by Erciyes University Scientific Research Projects Department with the project code no: TSA-2022-11738.

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The authors declare that there are no conflict of interests.

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Özbey, H., Bayat, M., Kalkan, İ. et al. Diabetes-specific eating disorder and social exclusion in adolescents with type 1 diabetes. Int J Diabetes Dev Ctries 44, 122–127 (2024). https://doi.org/10.1007/s13410-023-01223-2

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  • DOI: https://doi.org/10.1007/s13410-023-01223-2

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