Department of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy.
Department of the Woman, of the Child and of the General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
Int J Eat Disord. 2022 Aug;55(8):1108-1119. doi: 10.1002/eat.23764. Epub 2022 Jun 25.
To assess the prevalence of disordered eating behaviors (DEBs) in a large sample of Italian adolescents with type 1 diabetes and to explore potential demographic, clinical, and psychological differences (understood as emotional and behavioral problems) among adolescents with and without DEBs.
Adolescents (11-19 years) with type 1 diabetes completed the Diabetes Eating Problems Survey-revised (DEPS-r) and the Youth Self Report (YSR). Demographic and clinical data were also collected.
Of 690 adolescents with type 1 diabetes (mean age 14.97 ± 1.81, n = 337 girls) assessed in this study, 28.1% (21% boys, 35% girls) were DEPS-r positive (score ≥ 20). Girls had higher DEPS-r total scores (p < .0001, d = .42) than boys, although no age differences were found in mean DEPS-r total scores (p = .961). In both genders, adolescents with DEBs had significantly higher zBMI (p < .0001, d = .52) and HbA1c values (p < .0001, d = .54) and showed more emotional and behavioral problems (both as internalizing and externalizing problems) than those without DEBs (all p < .0001). These differences were largely confirmed in all age groups. Adolescents reporting insulin misuse had higher HbA1c values (p = .001, d = .26), higher DEPS-r mean scores (p < .0001, d = 1.07), and greater psychological problems (all p < .001) than those who did not.
DEBs are prevalent among adolescents with type 1 diabetes, and those with eating problems showed adverse clinical and psychological conditions. Routine screening for DEBs and of general psychological condition should be a fundamental part of diabetes care, especially during adolescence.
This nationwide study indicated that DEBs are common in adolescents with T1D, and those suffering from them show poorer clinical conditions and higher emotional and behavioral problems. As such, it offers important contributions for those working with EDs and in the T1D field, as it provides a deeper understanding of the co-occurring DEBs-emotional/behavioral problems in youths with T1D and highlights the importance of continuous monitoring of their psychological condition by a multidisciplinary team.
评估意大利大型青少年 1 型糖尿病患者中饮食失调行为（DEB）的流行率，并探讨 DEB 患者与非 DEB 患者之间潜在的人口统计学、临床和心理差异（理解为情绪和行为问题）。
青少年（11-19 岁）接受了糖尿病饮食问题调查修订版（DEPS-r）和青少年自我报告（YSR）的评估。还收集了人口统计学和临床数据。
在这项研究中，评估了 690 名青少年 1 型糖尿病患者（平均年龄 14.97±1.81 岁，n=337 名女孩），其中 28.1%（男孩 21%，女孩 35%）DEPS-r 阳性（得分≥20）。女孩的 DEPS-r 总分高于男孩（p<.0001，d=0.42），尽管平均 DEPS-r 总分没有年龄差异（p=0.961）。在两性中，患有 DEB 的青少年 zBMI（p<.0001，d=0.52）和 HbA1c 值（p<.0001，d=0.54）更高，并且表现出更多的情绪和行为问题（内部和外部问题）比没有 DEB 的青少年更严重（p<.0001）。在所有年龄组中，这些差异基本得到证实。报告胰岛素滥用的青少年 HbA1c 值更高（p=0.001，d=0.26），DEPS-r 平均得分更高（p<.0001，d=1.07），心理问题更大（均 p<.001）比没有的。
DEB 在青少年 1 型糖尿病患者中很常见，并且有饮食问题的患者表现出不良的临床和心理状况。DEB 和一般心理状况的常规筛查应该是糖尿病护理的一个基本组成部分，尤其是在青少年时期。
这项全国性研究表明，DEB 在 T1D 青少年中很常见，并且患有这些疾病的青少年表现出较差的临床状况和更高的情绪和行为问题。因此，它为与 ED 一起工作的人和 T1D 领域的人提供了重要的贡献，因为它更深入地了解了 T1D 青少年中同时存在的 DEB-情绪/行为问题，并强调了由多学科团队对其心理状况进行持续监测的重要性。
