International Diabetes Center at Park Nicollet, Minneapolis, MN 55416, USA.
Int J Eat Disord. 2012 Mar;45(2):252-6. doi: 10.1002/eat.20928. Epub 2011 Apr 14.
Describe characteristics of patients who have both an eating disorder and type 1 diabetes and compare their responses on psychological tests with those with an eating disorder and no diabetes at time of initial assessment to an eating disorder facility.
A chart audit conducted on all 48 patients with ED-DMT1 who were seen collaboratively by the diabetes and eating disorder treatment teams between 2005 and 2008 at Park Nicollet Health Services and 96 (1:2) matched eating disordered controls.
Diabetes was diagnosed an average of 10.2 years (SD = 9.4) before the diagnosis of an eating disorder; HbA1c at initial assessment was 11% (±3.2%). Those without diabetes reported greater depression (p = .048) and greater state and trait anxiety (p = .015 and p = .039, respectively) at initial assessment.
Persons with both an eating disorder and type 1 diabetes were less psychologically compromised than their matched cohorts with an eating disorder only. These findings may not remain constant during the course of treatment.
描述同时患有饮食失调和 1 型糖尿病的患者的特征，并将他们在初始评估时的心理测试反应与仅患有饮食失调而无糖尿病的患者以及饮食失调治疗机构的患者进行比较。
对 2005 年至 2008 年期间在帕克尼科莱特健康服务中心由糖尿病和饮食失调治疗团队共同诊治的 48 名 ED-DMT1 患者进行了图表审计，并与 96 名（1:2）匹配的饮食失调对照组进行了比较。
糖尿病的诊断平均比饮食失调的诊断早 10.2 年（SD = 9.4）；初始评估时的 HbA1c 为 11%（±3.2%）。无糖尿病的患者在初始评估时报告了更严重的抑郁（p =.048）和更严重的状态和特质焦虑（p =.015 和 p =.039）。
同时患有饮食失调和 1 型糖尿病的患者在心理上的受损程度低于仅患有饮食失调的患者。这些发现可能在治疗过程中不会保持不变。
