Disordered Eating and Intentional Insulin Restriction Among Young Adults With Type 1 Diabetes: An Examination of Diabetes Distress and Appearance-Related Perceptions as Correlates

IF 4.3 2区医学 Q1 NUTRITION & DIETETICS

International Journal of Eating Disorders Pub Date : 2025-06-21 DOI:10.1002/eat.24490

Jayden M. Hartlaub, Erin M. Hill

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Abstract

Purpose/Objectives

Individuals with type 1 diabetes engage in disordered eating behaviors at twice the rate of the general population, including intentional insulin restriction to avoid weight gain. The present study examined possible correlates (diabetes distress, appearance-related perceptions) of dietary restraint, diabetes-specific disordered eating, and intentional insulin restriction.

Method

Participants were 199 individuals with type 1 diabetes aged 18–40 years recruited via Prolific. They completed a Qualtrics survey measuring diabetes distress, weight esteem, physical appearance comparisons on social media (PACSM) and an item focused on perceptions of BMI as an indicator of health. Participants also completed questionnaires focused on disordered eating—diabetes-specific disordered eating and dietary restraint, as well as an item capturing intentional insulin restriction.

Results

Diabetes distress emerged as a correlate of all three indicator variables and was the strongest correlate of diabetes-specific disordered eating and intentional insulin restriction. PACSM was the strongest correlate for dietary restraint, and weight esteem was significant in both disordered eating models (diabetes-specific, dietary restraint).

Discussion

Diabetes distress and appearance-related variables (weight esteem, PACSM) explained unique variance in disordered eating among young adults with type 1 diabetes. Future research should examine these variables in clinical settings.

Abstract Image

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年轻1型糖尿病患者饮食失调和有意胰岛素限制：糖尿病困扰和外观相关认知的相关性研究

目的/目的：1型糖尿病患者的饮食失调率是一般人群的两倍，包括故意限制胰岛素以避免体重增加。本研究调查了饮食限制、糖尿病特异性饮食失调和有意限制胰岛素的可能相关性（糖尿病困扰、与外表相关的认知）。方法：参与者是199名年龄在18-40岁的1型糖尿病患者。他们完成了一项质量调查，测量糖尿病困扰、体重自尊、社交媒体上的外表比较（PACSM），以及一项关注BMI作为健康指标的看法的项目。参与者还完成了关于饮食失调（糖尿病特有的饮食失调和饮食限制）的调查问卷，以及一项关于故意限制胰岛素的调查问卷。结果：糖尿病焦虑与所有三个指标变量相关，并且与糖尿病特异性饮食失调和故意限制胰岛素相关性最强。PACSM与饮食限制的相关性最强，在两种饮食失调模型（糖尿病特异性饮食限制）中，体重尊重都是显著的。讨论：糖尿病困扰和外表相关变量（体重自尊，PACSM）解释了1型糖尿病年轻人饮食失调的独特差异。未来的研究应该在临床环境中检查这些变量。

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来源期刊

International Journal of Eating Disorders 医学-精神病学

CiteScore

10.00

自引率

12.70%

发文量

204

审稿时长

4-8 weeks

期刊介绍： Articles featured in the journal describe state-of-the-art scientific research on theory, methodology, etiology, clinical practice, and policy related to eating disorders, as well as contributions that facilitate scholarly critique and discussion of science and practice in the field. Theoretical and empirical work on obesity or healthy eating falls within the journal’s scope inasmuch as it facilitates the advancement of efforts to describe and understand, prevent, or treat eating disorders. IJED welcomes submissions from all regions of the world and representing all levels of inquiry (including basic science, clinical trials, implementation research, and dissemination studies), and across a full range of scientific methods, disciplines, and approaches.