Ruiz-Aranda Desireé, Luque Ana, Russo Francesca, Fenollar-Cortés Javier
Department of Psychology, Loyola University Andalusia, Seville, Spain.
Department of Psychology, European University of Rome, Rome, Italy.
Pediatr Diabetes. 2025 Jan 31;2025:9993342. doi: 10.1155/pedi/9993342. eCollection 2025.
Adolescents managing type 1 diabetes (T1D) are at increased risk of experiencing eating disorders (EDs). Identifying risk factors is essential to develop preventive strategies. This study examines the potential mediation value of self-esteem and the perfectionism associated with EDs in the relationship between sociocultural attitudes toward appearance and eating attitudes related to EDs in a sample of adolescents with T1D. Forty-six adolescents aged 12-17 years diagnosed with T1D participated in the current study. Sociocultural attitudes toward appearance, perfectionism associated with EDs, and self-esteem were measured. Multiple and simple mediator analyses using the bootstrapping method with bias-corrected confidence estimates were conducted. Our results show that perfectionism associated with eating problems is not only related to sociocultural attitudes toward appearance and eating attitudes, but rather the relationship between these last two variables would be fully mediated by perfectionism. A high degree of perfectionism could be a risk variable when developing potential eating problems in T1D adolescents. Perfectionism and its self-management would be a prominent factor that may help to design interventions developed for adolescents with diabetes who show behaviors that potentially conflict with eating. The clinical implications are discussed.
患有1型糖尿病（T1D）的青少年出现饮食失调（EDs）的风险增加。识别风险因素对于制定预防策略至关重要。本研究探讨了自尊以及与饮食失调相关的完美主义在患有T1D的青少年样本中，社会文化对外表的态度与与饮食失调相关的饮食态度之间的关系中的潜在中介作用。46名年龄在12 - 17岁、被诊断患有T1D的青少年参与了本研究。测量了社会文化对外表的态度、与饮食失调相关的完美主义以及自尊。采用带有偏差校正置信估计的自抽样法进行了多重和简单中介分析。我们的结果表明，与饮食问题相关的完美主义不仅与社会文化对外表的态度和饮食态度有关，而且后两个变量之间的关系将完全由完美主义介导。高度的完美主义可能是T1D青少年出现潜在饮食问题时的一个风险变量。完美主义及其自我管理将是一个突出因素，可能有助于为表现出与饮食存在潜在冲突行为的糖尿病青少年设计干预措施。文中讨论了其临床意义。
