心理因素、年龄和体重指数对1型糖尿病成年男性和女性饮食失调精神病理学的影响。
The impact of psychological aspects, age, and BMI on eating disorder psychopathology among adult males and females with type 1 diabetes.
作者信息
Wisting Line, Siegwarth Cecilie, Skrivarhaug Torild, Dahl-Jørgensen Knut, Rø Øyvind
机构信息
Regional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital, Norway.
Oslo Diabetes Research Centre, Oslo, Norway.
出版信息
Health Psychol Open. 2020 Nov 24;7(2):2055102920975969. doi: 10.1177/2055102920975969. eCollection 2020 Jul-Dec.
This study investigated correlates of eating disorder (ED) psychopathology among adults with type 1 diabetes (T1D). A total of 282 males ( = 112) and females ( = 170) with T1D (18-79 years) participated. Overall, psychological aspects (i.e. illness perceptions, coping strategies, insulin beliefs, anxiety, and depression) were associated with ED psychopathology. Associations were generally stronger among females than males. In a regression model, age, BMI, personal control, and anxiety explained 51% of the variance in ED psychopathology among females, whereas BMI, personal control, and anxiety explained 47% of the variance among males. Greater clinical awareness of health psychological aspects may contribute to reduce the risk of developing ED.
本研究调查了1型糖尿病（T1D）成年患者饮食失调（ED）心理病理学的相关因素。共有282名18至79岁的T1D男性（n = 112）和女性（n = 170）参与。总体而言，心理方面（即疾病认知、应对策略、胰岛素信念、焦虑和抑郁）与ED心理病理学相关。女性中的关联通常比男性更强。在回归模型中，年龄、体重指数（BMI）、个人控制和焦虑解释了女性ED心理病理学中51%的变异，而BMI、个人控制和焦虑解释了男性中47%的变异。对健康心理方面有更高的临床认识可能有助于降低发生ED的风险。
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