Psychological research in eating disorders/disordered eating in type 1 diabetes: A systematic review using the NIH stage model for behavioural intervention development

IF 3.3 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2026-09-25 Epub Date: 2026-05-21 DOI:10.1111/dme.70369

Heather L. Stuckey, Debbie Cooke, Amy C. Knehans, Timothy C. Skinner

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引用次数: 0

Abstract

Aims

Eating disorders in type 1 diabetes are 2.4 times more likely to develop than those who do not have diabetes. The aim was to conduct a systematic review on psychological interventions in IRDEB (insulin-related disordered eating behaviour)/eating disorders with adults who have type 1 diabetes. The review describes the type and quality of studies with control/comparison groups, as well as qualitative research, and synthesises the research according to the NIH Stage Model of Behavioural Intervention Development. Classification according to the Model allows for discussion of gaps and recommendations for further research.

Methods

The methodology for this research followed PRISMA guidelines, with inclusion criteria of: (1) type 1 diabetes; (2) adults (age ≥18); (3) behavioural and psychological interventions in eating disorders or disordered eating; (4) primary outcome being psychological, (5) conducted from 2014 to February 2024; (6) in English; (7) full-text, peer-reviewed articles; AND (8) quantitative trials with control or comparison groups OR (9) qualitative research.

Results

From a total of 28 studies related to type 1 diabetes and psychological outcomes, nine studies were found to be relevant to IRDEB and eating disorders. Although studies of disorders have risen in publication, there was only one completed full RCT since 2014, which met the inclusion criteria, the Diabetes Body Project. Methodological designs for the nine studies included six qualitative studies and three experimental studies. Six studies were categorised as Stage 0, one as Stage 1, one as Stage II and one as Stage III. Two studies included participants with ‘diabulimia’ alone, and the seven remaining studies combined eating disorders and eating disorder symptoms (e.g., ‘diabulimia’, anorexia, binge-eating, bulimia).

Conclusions

With the limited research that is available, and only one recently completed RCT, the opportunities for research in IRDEB/eating disorders are capacious. There is a need to tailor existing eating disorder interventions to T1D and to continue to investigate the efficacy (Stages II and III), and effectiveness (Stages IV and V), keeping in mind the unique needs and conditions under which IRDEB and eating disorder symptoms emerge.

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1型糖尿病饮食失调/饮食失调的心理学研究：使用NIH阶段模型进行行为干预发展的系统综述

目的：1型糖尿病患者发生饮食失调的可能性是非糖尿病患者的2.4倍。目的是对患有1型糖尿病的成人胰岛素相关饮食行为失调/饮食失调的心理干预进行系统评价。这篇综述描述了对照/对照组研究的类型和质量，以及定性研究，并根据美国国立卫生研究院行为干预发展阶段模型综合了研究。根据模型进行分类，可以讨论差距并提出进一步研究的建议。方法：本研究方法遵循PRISMA指南，纳入标准为：(1)1型糖尿病；(2)成人（≥18岁）；(3)饮食失调或饮食失调的行为和心理干预；(4)初步结果为心理结果，(5)研究时间为2014年至2024年2月；(6)英文；(7)全文、同行评议文章；(8)对照组或对照组的定量试验或(9)定性研究。结果：在总共28项与1型糖尿病和心理结果相关的研究中，发现9项研究与IRDEB和饮食失调有关。尽管对疾病的研究在出版物中有所增加，但自2014年以来，只有一项完成的完整RCT符合纳入标准，即糖尿病体项目。9项研究的方法学设计包括6项定性研究和3项实验研究。6项研究分为0期、1期、2期和3期。两项研究仅包括“糖尿病”患者，其余七项研究将饮食失调和饮食失调症状（如“糖尿病”、厌食症、暴饮暴食、暴食症）结合起来。结论：由于可用的研究有限，而且最近只有一项完成的随机对照试验，研究IRDEB/饮食失调的机会是很大的。有必要为T1D量身定制现有的饮食失调干预措施，并继续调查疗效（第二和第三阶段）和有效性（第四和第五阶段），同时牢记出现IRDEB和饮食失调症状的独特需求和条件。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetic Medicine 医学-内分泌学与代谢

CiteScore

7.20

自引率

5.70%

发文量

229

审稿时长

3-6 weeks

期刊介绍： Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”