Characteristics of persons with an eating disorder and type 1 diabetes and psychological comparisons with persons with an eating disorder and no diabetes

Int J Eat Disord. 2012 Mar;45(2):252-6. doi: 10.1002/eat.20928. Epub 2011 Apr 14.

Abstract

Objectives: Describe characteristics of patients who have both an eating disorder and type 1 diabetes and compare their responses on psychological tests with those with an eating disorder and no diabetes at time of initial assessment to an eating disorder facility.

Method: A chart audit conducted on all 48 patients with ED-DMT1 who were seen collaboratively by the diabetes and eating disorder treatment teams between 2005 and 2008 at Park Nicollet Health Services and 96 (1:2) matched eating disordered controls.

Results: Diabetes was diagnosed an average of 10.2 years (SD = 9.4) before the diagnosis of an eating disorder; HbA1c at initial assessment was 11% (±3.2%). Those without diabetes reported greater depression (p = .048) and greater state and trait anxiety (p = .015 and p = .039, respectively) at initial assessment.

Discussion: Persons with both an eating disorder and type 1 diabetes were less psychologically compromised than their matched cohorts with an eating disorder only. These findings may not remain constant during the course of treatment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Anxiety / diagnosis
  • Anxiety / psychology
  • Depression / diagnosis
  • Depression / psychology
  • Diabetes Mellitus, Type 1 / complications
  • Diabetes Mellitus, Type 1 / psychology*
  • Feeding and Eating Disorders / complications
  • Feeding and Eating Disorders / diagnosis
  • Feeding and Eating Disorders / psychology*
  • Female
  • Humans
  • Male
  • Psychiatric Status Rating Scales
  • Retrospective Studies
  • Self Concept*