Steno Diabetes Center Copenhagen, Herlev, Denmark.
Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Qual Health Res. 2024 Jun;34(7):621-634. doi: 10.1177/10497323231223367. Epub 2024 Jan 5.
Up to 25% of people with type 2 diabetes (T2D) may binge eat which is almost 10 times as many as in the general population. Binge eating is associated with depression, anxiety, and social isolation. Moreover, binge eating may increase the risk of obesity and high blood glucose levels, both of which can accelerate the onset of complications to diabetes and death in people with T2D. Still, little is known about the experiences, needs, and preferences of people with T2D and binge eating that can inform and develop current and future treatment efforts. The aim of the study was therefore to gain in-depth insights into the experiences and biopsychosocial support needs of women and men with T2D and binge eating. Twenty semi-structured individual interviews (65% with females) were conducted and analyzed according to the methodology of Interpretive Description. Four themes were identified: (a) T2D and binge eating: Feeling trapped in a vicious circle; (b) Unwanted outcasts: Responding to continuous criticism; (c) Biomedical relief: Blaming and adjusting the body; and, (d) Silent struggles: Wanting to cease the secrecy. Pertinent to all themes were the guilt, shame, and worries about developing complications that the participants experienced when binge eating despite having T2D. Although binge eating triggered emotional distress, binge eating was at the same time a way of coping with such distress. Implications for treatment and future research are discussed, including the need to systematically assess and address binge eating in routine T2D care.
高达 25%的 2 型糖尿病 (T2D) 患者可能会暴饮暴食，这几乎是普通人群的 10 倍。暴饮暴食与抑郁、焦虑和社交孤立有关。此外，暴饮暴食可能会增加肥胖和高血糖水平的风险，这两者都可能加速糖尿病并发症的发生，并导致 T2D 患者死亡。尽管如此，人们对 T2D 患者和暴饮暴食者的经历、需求和偏好知之甚少，这些信息可以为当前和未来的治疗工作提供信息和指导。因此，本研究的目的是深入了解 T2D 患者和暴饮暴食者的经历和心理社会支持需求。进行了 20 次半结构化个体访谈（65%为女性），并根据解释性描述的方法进行了分析。确定了四个主题：(a) T2D 和暴饮暴食：感觉被困在恶性循环中；(b) 不受欢迎的局外人：应对持续的批评；(c) 生物医学缓解：指责和调整身体；以及 (d) 无声的挣扎：想要停止秘密。所有主题都涉及到参与者在患有 T2D 的情况下暴饮暴食时所经历的内疚、羞耻和对并发症发展的担忧。尽管暴饮暴食会引发情绪困扰，但同时也是应对这种困扰的一种方式。讨论了治疗和未来研究的意义，包括在常规 T2D 护理中系统评估和解决暴饮暴食问题的必要性。
