Purpose The purpose of this study was to identify predictors of eating disorders in adolescents with type 1 diabetes, with the goal of providing data in support of nursing interventions to improve their health.
Methods A total of 136 adolescents aged 13-18 years with type 1 diabetes completed the Diabetes Eating Problem Survey-Revised, Rosenberg Self-Esteem Scale, and the Beck Depression Inventory-II, using structured self-reported questionnaires. The collected data were analyzed using the t-test, x2 test, and binominal logistic regression with SPSS version 23.0 for Windows.
Results The prevalence of eating disorders in adolescents with type 1 diabetes was 39%. Four significant predictors of eating disorders were identified; absence of body satisfaction (odds ratio [OR]=3.87, 95% confidence interval [CI]=1.55~9.65), depression (OR=2.87, 95% CI=1.13~7.28), female gender (OR=2.67, 95% CI=1.09~6.54), and glycosylated hemoglobin type A1c levels (OR=1.47, 95% CI=1.10~1.97).
Conclusion In order to prevent eating disorders among adolescents with type 1 diabetes, programs for managing adolescents’ depression and improving their body satisfaction should be developed. Futhermore, more attention should be directed towards programs aiming to prevent eating disorders in female adolescents.
Citations
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Validity and Reliability of a Korean Diabetes Eating Problem Survey–Revised Hye-Ryeon Park, So Yeon Park, Jaeyoung Lee, Hyeon Ok Ju Asian Nursing Research.2025; 19(3): 220. CrossRef
Diabetes-specific eating disorder and social exclusion in adolescents with type 1 diabetes Harun Özbey, Meral Bayat, İrem Kalkan, Nihal Hatipoğlu International Journal of Diabetes in Developing Co.2024; 44(1): 122. CrossRef
Eating disorders between male and female adolescents with type 1 diabetes mellitus in Korea Hye-Ryeon Park, Na-Geong Kim Belitung Nursing Journal.2022; 8(6): 505. CrossRef
Impact of Body Mass Index on Eating Disorders in Adolescents with Type 1 Diabetes: Focusing on Mediating Effect of Body Dissatisfaction, Self-esteem, and Depression Hye-Ryeon Park, Hyeon Ok Ju Journal of The Korean Society of Maternal and Chil.2021; 25(2): 121. CrossRef
PURPOSE This study was done to test a hypothesized model, the Biobehavioral Family Model (BBFM), on the relationship of family emotional climate, security of parent-child relationship, depression symptoms and eating problems in adolescent girls, to further understanding of eating problems in this population. METHODS With a convenience sample of 647 girls, aged 15 to 18, a self-report survey was conducted which included the Korean form of the Eating Attitude Test (EAT-26) to assess eating problems. RESULTS The estimated results of the structural equation modeling indicated a good fit of data to the hypothesized model proposing that family emotional climate and security of parent-child relationship were associated with the risk of eating problems by way of depression symptoms. That is, negative family emotional climate and insecure parent-child relationship increased the risk of eating problems indirectly by way of depression symptoms. CONCLUSION The findings are consistent with the BBFM, which suggests a psychobiologic influence of specific family processes on children's stress-sensitive physical disease activity by way of depression symptoms. Therefore, the applicability of the BBFM for understanding adolescent girls' eating problems is supported. The psychobiologic pathways from depression to eating pathology should be addressed in future studies.
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Family Structure and Family Climate in Relation to Health and Socioeconomic Status for Older Adults: A Longitudinal Moderated Mediation Analysis Enrique Alonso-Perez, Paul Gellert, Michaela Kreyenfeld, Julie Lorraine O’Sullivan International Journal of Environmental Research an.2022; 19(18): 11840. CrossRef
Factors related to Eating Attitudes of Female High School Students Young-Ju Jee, Kyoung-Nam Kim Journal of the Korean Society of School Health.2017; 30(1): 40. CrossRef
A path analysis of factors influencing eating problem among young female adults Bo-Kyoung Cha Journal of Nutrition and Health.2017; 50(6): 615. CrossRef
Influence of Appearance Stress, Ego-Resilience, Interpersonal Relations and Depression on Eating Attitude in Women Undergraduates Hae Kyung Chang, Jung Nam Sohn Journal of Korean Academy of Fundamentals of Nursi.2014; 21(3): 235. CrossRef
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