Department of Psychology, University of Campania "L. Vanvitelli", Italy.
Department of Psychology, University of Campania "L. Vanvitelli", Italy.
J Psychosom Res. 2018 Jun;109:44-50. doi: 10.1016/j.jpsychores.2018.03.169. Epub 2018 Mar 31.
To examine changes over a five-year period in body image accuracy and dissatisfaction, as well as relationships with disordered eating behaviors (DEBs), in young patients with type 1 diabetes.
Of 81 children (42 male, 39 female) with type 1 diabetes first assessed at ages 5.1-10.06 years, 67 (83%) were re-enrolled and interviewed as adolescents (aged 10.07-15.08 years) at follow-up. DEBs were assessed using a parent-report standardized measure. Height and weight were determined, and BMI was calculated. Glycemic control was assessed by glycated hemoglobin.
BMI increased from childhood to adolescence. The general tendency towards body size underestimation (i.e., perceiving the body to be smaller than it is) and dissatisfaction, already described at baseline, was found unchanged at follow-up, revealing continuing attitude towards body image problems. Body-size perception accuracy, degree of body-size dissatisfaction, and HbA1c did not increase significantly over five years, but the presence of DEBs was observed. Degree of body dissatisfaction was found to be a significant predictor for DEBs (standardized beta = 0.272, p < 0.05).
Body image problems persisted over the five-year study period and were found associated with higher levels of DEBs. Identification of such body image characteristics may be useful in developing strategies for intervention early in the course of illness.
研究 1 型糖尿病年轻患者在五年内体像准确性和不满的变化，以及与饮食失调行为（DEBs）的关系。
共有 81 名年龄在 5.1-10.06 岁的 1 型糖尿病患儿（42 名男性，39 名女性）首次接受评估，其中 67 名（83%）在随访时作为青少年（年龄在 10.07-15.08 岁）重新入组并接受访谈。使用父母报告的标准化量表评估 DEBs。测量身高和体重，计算 BMI。糖化血红蛋白评估血糖控制情况。
BMI 从儿童期到青春期增加。在基线时已经描述的普遍存在的对体型低估（即，认为自己的身体比实际小）和不满的趋势，在随访时仍未改变，表明仍存在身体形象问题。体型感知准确性、体型不满程度和 HbA1c 在五年内没有显著增加，但观察到存在 DEBs。体型不满程度被发现是 DEBs 的一个显著预测因素（标准化β=0.272，p<0.05）。
体像问题在五年的研究期间持续存在，并与更高水平的 DEBs 相关。识别这些体像特征可能有助于在疾病早期制定干预策略。
