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
Citations to this article as recorded by
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 The purpose of this study was to investigate associations between self-management and diabetes knowledge, diabetesrelated attitudes, family support, and self-efficacy in adolescents with type 1 diabetes mellitus based on the information-motivation- behavior skills model.
Methods Data collection was conducted between March 18 and September 30, 2018. Patients (N=87) aged 12 to 19 years were recruited from the outpatient clinic of S children’s hospital and an online community for patient with type 1 diabetes mellitus. Data were analyzed using descriptive statistics, the independent t-test, one-way ANOVA, Pearsons correlation, and hierarchical multiple linear regression with SPSS IBM 23.0, with the two-tailed level of significance set at 0.05.
Results The mean score of self-management in adolescents with type 1 diabetes mellitus was 61.23±10.00 out of 80. The regression analysis showed that self-efficacy and family support significantly explained 56.9% of the variance in self-management (F=21.38, p<.001). Self-efficacy (β=.504, p<.001) and family support (β=.188, p<.001) were significant predictors of self-management.
Conclusion It is necessary to develop individual interventions to improve self-efficacy and family support for adolescents with type 1 diabetes mellitus to help them enhance their self-management.
Citations
Citations to this article as recorded by
A Pilot Randomized Control Trial to Prevent HIV/STIs in Hispanic Young Heterosexual Couples David Pérez-Jiménez, Patricia Noboa-Ortega, José A. Maldonado-Martínez Hispanic Journal of Behavioral Sciences.2025; 47(3): 255. CrossRef
Effectiveness of Pharmacist-Delivered Caregiver Education on Medication Use in a Type 1 Diabetes Camp for Children and Adolescents Hyeon Su Kim, Eunji Kim, Ji Eun Lee, Won Hye Choi, In Hye Gu, Eun Jung Hwang The Journal of Korean Diabetes.2025; 26(2): 122. CrossRef
Factors influencing the perception of shared decision-making among parents of children with type 1 diabetes mellitus: A cross-sectional study guided by the Ottawa Decision Support Framework In Hyeong Choi, In Young Cho Journal of Pediatric Nursing.2025; 85: 346. CrossRef
Factors affecting health promotion behavior of school-aged children in South Korea: a cross-sectional study Bo Ra Lim, Dong Hee Kim, Chung Min Cho Child Health Nursing Research.2025; 31(3): 165. CrossRef
Preferences for Text Messaging Supports During Youth Transition to Adult Mental Health Services: Theory-Informed Modified e-Delphi Study Negar Vakili, Janet A Curran, Roisin Walls, Debbie Phillips, Alanna Miller, Christine Cassidy, Lori Wozney JMIR Formative Research.2024; 8: e51690. CrossRef
User evaluation of a mobile education application for the management of metabolic syndrome among cancer survivors Ji-Su Kim, Minhae Kim, Yeji Seo European Journal of Oncology Nursing.2023; 63: 102276. CrossRef
Managing the unmanageable through interdependence in adolescents living with type 1 diabetes and their parents: A constructivist grounded theory Pamela Farthing, Jill M.G. Bally, Marie Dietrich Leurer, Lorraine Holtslander, Munier A. Nour, Donna Rennie Journal of Pediatric Nursing.2022; 67: e191. CrossRef
Psychometric Evaluation of the Korean Version of PROMIS Self-Efficacy for Managing Symptoms Item Bank: Item Response Theory Mona Choi, Chang Gi Park, Soomin Hong Asian Nursing Research.2022; 16(4): 187. CrossRef
The effects of diabetes knowledge, self-efficacy, and depression on self-management in older patients with diabetes in the community: A cross-sectional study Hyeok Gyu Park, Myoung Jin Kwon Journal of Korean Gerontological Nursing.2022; 24(4): 389. CrossRef
Effect of Information-Motivation-Behavioral Model Based on Protection Motivation Theory on the Psychological Resilience and Quality of Life of Patients with Type 2 DM Xiaoli Yao, Linlin Zhang, Jiwei Du, Lei Gao Psychiatric Quarterly.2021; 92(1): 49. CrossRef
What Affects Quality of Life for People with Type 1 Diabetes?: A Cross-Sectional Observational Study Mi-Kyoung Cho, Mi-Young Kim International Journal of Environmental Research an.2021; 18(14): 7623. CrossRef
Purpose The purpose of this study was to describe the subjective happiness and satisfaction with life of children with type 1 diabetes and explore related factors.
Methods A descriptive cross-sectional study design was used and the study was conducted with children at a diabetes camp. Data were collected using a self-report questionnaire to explore positive and negative psychological factors. The questionnaire included Subjective Happiness Scale, Satisfaction with Life Scale, Perceived Stress Scale and the Center for Epidemiological Studies Depression Scale for Children (CES-DC), Multidimensional Scale of Perceived Social Support, and General Self-Efficacy Scale.
Results Data from 15 children were used for data analysis. The correlational analysis results showed that subjective happiness was positively correlated satisfaction with life, social support, and self-efficacy, and was negatively correlated with perceived stress. Satisfaction with life was positively correlated social support, and was negatively correlated with perceived stress.
Conclusion Results indicate that the positive psychology factors were closely related with social support and self-efficacy and may alleviate perceived stress and depressive feelings. Therefore, researchers and clinicians should include positive psychological factors in their health management model for children with chronic illness.
Citations
Citations to this article as recorded by
Factors influencing quality of life in adolescents with type 1 diabetes mellitus: A cross-sectional study in South Korea Hye-Ryeon Park, So-Yeon Park Belitung Nursing Journal.2025; 11(3): 357. CrossRef
Process of Diabetes Management in Young Adults with Type 1 Diabetes Hyung-Eun Seo, Miyoung Kim, Eun-Young Doo, Jihye Choi Western Journal of Nursing Research.2020; 42(4): 278. CrossRef
Tell Me A Story: Promoting resiliency in military children with a bibliotherapy intervention Katherine Marie Conover Nursing Forum.2020; 55(3): 439. CrossRef
Blood Glucose Control and Related Factors at a Camp for Korean Children and Adolescents with Type 1 Diabetes Narae Kang, Jieun Lee, Dong-Ho Park, Soo-Kyung Lee, So-Young Nam, Sanghyun Lee, Mincheol Kim, Heesook Kang, Euiyeon Kim, Misoon Kim, Min Sohn Comprehensive Child and Adolescent Nursing.2018; 41(1): 58. CrossRef
Family quality of life among families of children with atopic dermatitis Hae Ji Jang, Seonyeong Hwang, Youngmee Ahn, Dae Hyun Lim, Min Sohn, Jeong Hee Kim Asia Pacific Allergy.2016; 6(4): 213. CrossRef
Purpose The study purposes were to explore school nurses’ experience, perceived barriers, and education needs in diabetes management at school.
Methods This study was a cross sectional study and the study participants were recruited conveniently at continuing education seminars for school nurses at Incheon Metropolitan City.
Results Data for 101 school nurses were analyzed. The nurses were all women and their mean age was 46.9±9.3 years. About 66% of them had experience with children with diabetes at school. The school nurses reported that 74.6% of the students tested their blood glucose by themselves, the school clinic was the most common place for blood glucose tests (47.8%) and insulin injections (50.8%) and the nurses knew students’ diagnosis through the student health survey (58.2%). About half of the nurses (53.7%) reported that glucagon should be available at school and 49.2% were willing to inject glucagon when necessary. The most frequently reported barrier in diabetes management was role confusion (6.0±1.3) and the most common educational need was emergency responses (5.9±1.4).
Conclusions School health policy for diabetes management and diabetes resources are necessary to minimize role confusion of school nurses, improve emergency response, and facilitate health promotion activities in diabetes management.
Citations
Citations to this article as recorded by
Navigating Role Challenges in School Healthcare Partnerships With Families: A Qualitative Study Ju-Yeon Uhm, Seok-Yeong Hong, Yangmi Kim Western Journal of Nursing Research.2026; 48(2): 121. CrossRef
School nurses' competency in supporting students with type 1 diabetes: A mixed methods systematic review Ju-Yeon Uhm, Suhee Kim Nurse Education Today.2025; 146: 106554. CrossRef
Perception and utilisation of information and communication technology (ICT) in the management of diabetes in children: Insights from health students in Indonesia Mustamu Cherry Scripta Medica.2024; 55(1): 33. CrossRef
An Integrated Review of Health Care in Child and Adolescent Cancer Survivors Based on Roy’s Adaptation Model Hye Jin Kim, Eunjoo Lee Asian Oncology Nursing.2024; 24(2): 82. CrossRef
Educational needs of school health teachers caring for students with type 1 diabetes: An analysis using the Borich needs assessment and the locus for focus models Heewon Seok, Ju-Yeon Uhm The Journal of Korean Academic Society of Nursing .2024; 30(4): 347. CrossRef
School Health Teachers as Partners in Diabetes Caring: Maternal Perspectives Ju-Yeon Uhm, Mi-Young Choi Western Journal of Nursing Research.2023; 45(10): 942. CrossRef
Factors Included in T1DM Continuing Education for Korean School Nurses: A Systematic Review Eun-Mi Beak, Yeon-Ha Kim International Journal of Environmental Research an.2021; 18(4): 1620. CrossRef
Frequency of Self-Monitoring of Blood Glucose during the School Day Is Associated with the Optimal Glycemic Control among Korean Adolescents with Type 1 Diabetes Eun Young Joo, Ji-Eun Lee, Hee Sook Kang, Shin Goo Park, Yong Hee Hong, Young-Lim Shin, Min Sohn Diabetes & Metabolism Journal.2018; 42(6): 480. CrossRef
PURPOSE Study purposes were to exam effects of self-care education for children with type 1 diabetes on their diabetes management behaviors and to explore the relationship among diabetes management behaviors, knowledge, self-efficacy and clinical variables. METHODS This study was a one group quasi-experimental study. Study participants were children with type 1 diabetes and attended a four hour self-care education of a diabetes camp. Data were collected using structured questionnaires including Diabetes Management Behavior Scale (DMBS), Michigan Diabetes Research and Training Center's Brief Diabetes Knowledge Test and Self-Efficacy for Diabetes Self-Management. RESULTS The mean age of the participants was 12 (+/-2.3) years. After the education, their DMBS and knowledge improved, but the improvement was not statistically significant (t=1.758, p=.101; t=0.528, p=.606). Two areas of DMBS, daily prevention behaviors and modification of care plan, were associated with study variables. Daily prevention behaviors were associated with duration of diabetes (r=.653, p=.008), HbA1c (r=.563, p=.038) and having a complication (r=-2.788, p=.015). Modification of care plan was associated with age at diagnosis (r=-.552, p=.033). CONCLUSION Children with type 1 diabetes could improve some parts of their diabetes management behaviors even after a short diabetes camp.
Citations
Citations to this article as recorded by
Tecnologias educacionais para familiares e crianças com diabetes tipo 1: revisão de escopo Patricia Carli Morgado, Liliane Faria da Silva, Rosane Cordeiro Burla de Aguiar, Juliana Rezende Montenegro Medeiros de Moraes, Tatiane Marinz de Souza Luquez, Euzeli da Silva Brandão, Michelle Darezzo Rodrigues Nunes, Isabelle de Freitas Lopes, Débora Câ Revista da Escola de Enfermagem da USP.2024;[Epub] CrossRef
Educational technologies for families and children with type 1 diabetes: a scoping review Patricia Carli Morgado, Liliane Faria da Silva, Rosane Cordeiro Burla de Aguiar, Juliana Rezende Montenegro Medeiros de Moraes, Tatiane Marinz de Souza Luquez, Euzeli da Silva Brandão, Michelle Darezzo Rodrigues Nunes, Isabelle de Freitas Lopes, Débora Câ Revista da Escola de Enfermagem da USP.2024;[Epub] CrossRef
Effects of Virtual Reality Program on Glycated Hemoglobin, Static and Dynamic Balancing Ability, and Falls Efficacy for Diabetic Patients: A Systematic Review and Meta-Analysis Yi-Rang Yim, Myung-Haeng Hur Journal of Korean Academy of Fundamentals of Nursi.2023; 30(2): 155. CrossRef
Illness Experiences of Adolescents with Type 1 Diabetes Ji Eun Kim, Ilaria Campesi Journal of Diabetes Research.2022; 2022: 1. CrossRef
Factors Affecting the Self-Management of Adolescents with Type 1 Diabetes Mellitus based on the Information-Motivation-Behavioral Skills Model Hooyun Lee, Eun Kyoung Choi, Heejung Kim, Ho-Seon Kim, Hee-Soon Kim Child Health Nursing Research.2019; 25(2): 234. CrossRef
Blood Glucose Control and Related Factors at a Camp for Korean Children and Adolescents with Type 1 Diabetes Narae Kang, Jieun Lee, Dong-Ho Park, Soo-Kyung Lee, So-Young Nam, Sanghyun Lee, Mincheol Kim, Heesook Kang, Euiyeon Kim, Misoon Kim, Min Sohn Comprehensive Child and Adolescent Nursing.2018; 41(1): 58. CrossRef
School Nurses’ Management for Children and Adolescents with Diabetes Heesook Kang, Youngmee Ahn, Ji Eun Lee, Min Sohn Child Health Nursing Research.2015; 21(2): 176. CrossRef
First
Prev
