执行功能与 1 型糖尿病年轻患者的糖尿病特异性饮食障碍有关。

Executive function is associated with diabetes-specific disordered eating in young adults with type 1 diabetes.

机构信息

Queensland University of Technology, School of Psychology and Counselling, 170 Victoria Park Rd, Kelvin Grove, QLD 4059, Australia; Institute of Health and Biomedical Innovation, 60 Musk Avenue, Kelvin Grove, QLD 4059, Australia.

出版信息

J Psychosom Res. 2018 Aug;111:1-12. doi: 10.1016/j.jpsychores.2018.05.001. Epub 2018 May 8.

DOI:10.1016/j.jpsychores.2018.05.001

PMID:29935740

Abstract

OBJECTIVES

Disordered eating behavior in young adults with type 1 diabetes is overrepresented and associated with significant negative health consequences. Thus, determining the key correlates of these behaviors is essential. The aim of the present study was to determine the association between executive function and disordered eating in young adults with type 1 diabetes, relative to a control group without diabetes.

METHODS

74 young adults with type 1 diabetes and 201 demographically similar control participants completed an online survey containing the Eating Disorders Examination Questionnaire (EDE-Q), Diabetes Eating Problems Survey- Revised (DEPS-R), Behavior Rating Inventory of Executive Function- Adult version, Depression Anxiety and Stress Scales, and 3 subscales of the Family Environment Scale (independence, control, and cohesion).

RESULTS

Hierarchical multiple regressions showed that lower executive function was associated with significantly greater disordered eating (as measured by the DEPS-R) over and above psychological and family functioning in the type 1 diabetes group (ΔR = 0.056, β = 0.366, p = .031). The same relationship was not found when disordered eating was measured by the EDE-Q in either the diabetes group (ΔR = 0.049, β = 0.342, p = .054), or the control group (ΔR = 0.010, β = 0.136, p = .100).

CONCLUSIONS

Executive function may play a greater role in the development and/or maintenance of disordered eating in groups with type 1 diabetes relative to those without. This relationship may contribute to the over-representation of eating problems in this clinical group, and may represent a target for prevention or intervention.

摘要

目的

1 型糖尿病青年中饮食失调行为较为突出，与严重的负面健康后果相关。因此，确定这些行为的关键相关因素至关重要。本研究旨在确定 1 型糖尿病青年与无糖尿病对照组相比，执行功能与饮食失调之间的关联。

方法

74 名 1 型糖尿病青年和 201 名年龄、性别相匹配的对照组参与者完成了一项在线调查，其中包括饮食失调检查问卷（EDE-Q）、糖尿病饮食问题调查修订版（DEPS-R）、行为评定量表-成人版（BRIEF-A）、抑郁焦虑和压力量表（DASS-21）以及家庭环境量表的 3 个分量表（独立性、控制和凝聚力）。

结果

分层多元回归显示，在 1 型糖尿病组中，较低的执行功能与饮食失调（以 DEPS-R 衡量）显著相关，且超过了心理和家庭功能（ΔR=0.056，β=0.366，p=0.031）。当使用 EDE-Q 衡量糖尿病组或对照组的饮食失调时，并没有发现这种关系（糖尿病组：ΔR=0.049，β=0.342，p=0.054；对照组：ΔR=0.010，β=0.136，p=0.100）。