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J Pediatr Psychol. 2015 May;40(4):385-90. doi: 10.1093/jpepsy/jsu106. Epub 2014 Dec 10.

Topical review: a comprehensive risk model for disordered eating in youth with type 1 diabetes.

Author information

1
Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Department of Psychology, George Mason University, and Office of Behavioral and Social Science Research, Office of the Director, NIH claire.peterson@cchmc.org.
2
Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Department of Psychology, George Mason University, and Office of Behavioral and Social Science Research, Office of the Director, NIH.

Abstract

OBJECTIVES:

Provide an updated literature review on prevalence, measurement, and correlates of disordered eating in youth with Type 1 diabetes (T1D), present a novel theoretical risk model (i.e., The Modified Dual Pathway Model) for disordered eating in youth with T1D incorporating psychosocial and physiological risk factors, and discuss clinical implications.

METHODS:

Literature review of prevalence, correlates, risk factors, and outcomes of disordered eating behavior (DEB) in youth with T1D.

RESULTS:

Insulin treatment, subsequent weight gain, and disruptions to hunger and satiety regulation are hypothesized disease-related mechanisms through which the treatment of T1D may increase vulnerability to development of behavior characterized as DEB. The Modified Dual Pathway Model integrates these factors with a validated psychosocial risk (body dissatisfaction, depression, and abstinence violation) model for DEB in nondiabetic youth.

CONCLUSIONS:

The Modified Dual Pathway model of DEB in youth with T1D is a comprehensive representation of both psychosocial and T1D-related risk factors with the potential to inform future interventions for this population.

KEYWORDS:

Modified Dual Pathway; Type 1 diabetes; eating disorders; risk for disordered eating in T1D

PMID:
25502449
PMCID:
PMC4425840
DOI:
10.1093/jpepsy/jsu106
[Indexed for MEDLINE]
Free PMC Article

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