Eating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria.
Psychol Psychother. 2010 Sep;83(Pt 3):289-301. doi: 10.1348/147608309X481180. Epub 2010 Feb 25.
Pathology of the regulative mechanisms of self seems to be connected with eating disorders (EDs). The present study aimed to explore the hypothesis that there are differences in self-regulation in adolescent girls with Type 1 diabetes with and without EDs.
A cross-sectional design was employed comparing patterns of self-regulation in adolescent girls with Type 1 diabetes with and without EDs in two eating status groups.
For the presence of EDs, 76 adolescent girls with Type 1 diabetes were assessed. Of these, 23 were diagnosed with an ED. In addition, dimensions of self-regulation as conceptualized in terms of Kohuts' psychodynamic theory of self were assessed.
Adolescent girls with Type 1 diabetes and an ED were higher in three aspects of self-regulation - negative body self, object depreciation, and narcissistic gain from illness - in comparison with their peers without EDs.
This study is the first to show evidence of deficits in self-regulation in adolescent girls with Type 1 diabetes and EDs. The importance of evaluating parameters of self-regulation for treatment planning for these youths is outlined.
自我调节机制的病理学似乎与饮食失调（EDs）有关。本研究旨在探讨以下假设，即患有 1 型糖尿病的青春期女孩在有无 ED 的情况下，自我调节存在差异。
采用横断面设计，比较有无 ED 的 1 型糖尿病青春期女孩在两种进食状态组中的自我调节模式。
为了确定 ED 的存在，对 76 名患有 1 型糖尿病的青春期女孩进行了评估。其中，23 名被诊断为 ED。此外，还评估了自我调节的维度，这些维度是根据科胡特的自我动力理论来概念化的。
与没有 ED 的同龄人相比，患有 1 型糖尿病和 ED 的青春期女孩在三个方面的自我调节能力更高——消极的身体自我、物体贬低和从疾病中获得的自恋收益。
这项研究首次证明了患有 1 型糖尿病和 ED 的青春期女孩自我调节能力存在缺陷。概述了评估这些青少年自我调节参数对治疗计划的重要性。
