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Characteristics of persons with an eating disorder and type 1 diabetes and psychological comparisons with persons with an eating disorder and no diabetes
Author(s) -
Powers Margaret A.,
Richter Sara,
Ackard Diann,
Gerken Stephanie,
Meier Marcia,
Criego Amy
Publication year - 2012
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/eat.20928
Subject(s) - eating disorders , diabetes mellitus , type 2 diabetes , anxiety , generalized anxiety disorder , type 1 diabetes , psychology , psychiatry , disordered eating , depression (economics) , anxiety disorder , clinical psychology , medicine , endocrinology , economics , macroeconomics
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. © 2011 by Wiley Periodicals, Inc. (Int J Eat Disord 2012)