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Prevalence of disordered eating behaviors in adolescents with type 1 diabetes: Results of multicenter Italian nationwide study.

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Title: Prevalence of disordered eating behaviors in adolescents with type 1 diabetes: Results of multicenter Italian nationwide study.
Authors: Troncone, Alda, Affuso, Gaetana, Cascella, Crescenzo, Chianese, Antonietta, Pizzini, Barbara, Zanfardino, Angela, Iafusco, Dario
Source: International Journal of Eating Disorders. Aug2022, Vol. 55 Issue 8, p1108-1119. 12p. 4 Charts.
Subjects: Insulin therapy, Glycosylated hemoglobin, Substance abuse, Type 1 diabetes, Sex distribution, Behavior disorders in children, Psychosocial factors, Questionnaires, Affective disorders, Body mass index, People with diabetes, Eating disorders, Adolescence
Geographic Terms: Italy
Abstract: Objective: To assess the prevalence of disordered eating behaviors (DEBs) in a large sample of Italian adolescents with type 1 diabetes and to explore potential demographic, clinical, and psychological differences (understood as emotional and behavioral problems) among adolescents with and without DEBs. Method: Adolescents (11–19 years) with type 1 diabetes completed the Diabetes Eating Problems Survey‐revised (DEPS‐r) and the Youth Self Report (YSR). Demographic and clinical data were also collected. Results: Of 690 adolescents with type 1 diabetes (mean age 14.97 ± 1.81, n = 337 girls) assessed in this study, 28.1% (21% boys, 35% girls) were DEPS‐r positive (score ≥ 20). Girls had higher DEPS‐r total scores (p <.0001, d =.42) than boys, although no age differences were found in mean DEPS‐r total scores (p =.961). In both genders, adolescents with DEBs had significantly higher zBMI (p <.0001, d =.52) and HbA1c values (p <.0001, d =.54) and showed more emotional and behavioral problems (both as internalizing and externalizing problems) than those without DEBs (all p <.0001). These differences were largely confirmed in all age groups. Adolescents reporting insulin misuse had higher HbA1c values (p =.001, d =.26), higher DEPS‐r mean scores (p <.0001, d = 1.07), and greater psychological problems (all p <.001) than those who did not. Discussion: DEBs are prevalent among adolescents with type 1 diabetes, and those with eating problems showed adverse clinical and psychological conditions. Routine screening for DEBs and of general psychological condition should be a fundamental part of diabetes care, especially during adolescence. Public significance statement: This nationwide study indicated that DEBs are common in adolescents with T1D, and those suffering from them show poorer clinical conditions and higher emotional and behavioral problems. As such, it offers important contributions for those working with EDs and in the T1D field, as it provides a deeper understanding of the co‐occurring DEBs–emotional/behavioral problems in youths with T1D and highlights the importance of continuous monitoring of their psychological condition by a multidisciplinary team. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Prevalence of disordered eating behaviors in adolescents with type 1 diabetes: Results of multicenter Italian nationwide study.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Troncone%2C+Alda%22&quot;&gt;Troncone, Alda&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Affuso%2C+Gaetana%22&quot;&gt;Affuso, Gaetana&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Cascella%2C+Crescenzo%22&quot;&gt;Cascella, Crescenzo&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Chianese%2C+Antonietta%22&quot;&gt;Chianese, Antonietta&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Pizzini%2C+Barbara%22&quot;&gt;Pizzini, Barbara&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Zanfardino%2C+Angela%22&quot;&gt;Zanfardino, Angela&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Iafusco%2C+Dario%22&quot;&gt;Iafusco, Dario&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22International+Journal+of+Eating+Disorders%22&quot;&gt;International Journal of Eating Disorders&lt;/searchLink&gt;. Aug2022, Vol. 55 Issue 8, p1108-1119. 12p. 4 Charts.
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  Data: Objective: To assess the prevalence of disordered eating behaviors (DEBs) in a large sample of Italian adolescents with type 1 diabetes and to explore potential demographic, clinical, and psychological differences (understood as emotional and behavioral problems) among adolescents with and without DEBs. Method: Adolescents (11–19 years) with type 1 diabetes completed the Diabetes Eating Problems Survey‐revised (DEPS‐r) and the Youth Self Report (YSR). Demographic and clinical data were also collected. Results: Of 690 adolescents with type 1 diabetes (mean age 14.97 &#177; 1.81, n = 337 girls) assessed in this study, 28.1% (21% boys, 35% girls) were DEPS‐r positive (score ≥ 20). Girls had higher DEPS‐r total scores (p &lt;.0001, d =.42) than boys, although no age differences were found in mean DEPS‐r total scores (p =.961). In both genders, adolescents with DEBs had significantly higher zBMI (p &lt;.0001, d =.52) and HbA1c values (p &lt;.0001, d =.54) and showed more emotional and behavioral problems (both as internalizing and externalizing problems) than those without DEBs (all p &lt;.0001). These differences were largely confirmed in all age groups. Adolescents reporting insulin misuse had higher HbA1c values (p =.001, d =.26), higher DEPS‐r mean scores (p &lt;.0001, d = 1.07), and greater psychological problems (all p &lt;.001) than those who did not. Discussion: DEBs are prevalent among adolescents with type 1 diabetes, and those with eating problems showed adverse clinical and psychological conditions. Routine screening for DEBs and of general psychological condition should be a fundamental part of diabetes care, especially during adolescence. Public significance statement: This nationwide study indicated that DEBs are common in adolescents with T1D, and those suffering from them show poorer clinical conditions and higher emotional and behavioral problems. As such, it offers important contributions for those working with EDs and in the T1D field, as it provides a deeper understanding of the co‐occurring DEBs–emotional/behavioral problems in youths with T1D and highlights the importance of continuous monitoring of their psychological condition by a multidisciplinary team. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=158317154
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1002/eat.23764
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 12
        StartPage: 1108
    Subjects:
      – SubjectFull: Insulin therapy
        Type: general
      – SubjectFull: Glycosylated hemoglobin
        Type: general
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Type 1 diabetes
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Behavior disorders in children
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Affective disorders
        Type: general
      – SubjectFull: Body mass index
        Type: general
      – SubjectFull: People with diabetes
        Type: general
      – SubjectFull: Eating disorders
        Type: general
      – SubjectFull: Adolescence
        Type: general
      – SubjectFull: Italy
        Type: general
    Titles:
      – TitleFull: Prevalence of disordered eating behaviors in adolescents with type 1 diabetes: Results of multicenter Italian nationwide study.
        Type: main
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            NameFull: Troncone, Alda
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            NameFull: Affuso, Gaetana
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            NameFull: Cascella, Crescenzo
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            NameFull: Chianese, Antonietta
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            NameFull: Pizzini, Barbara
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            – D: 01
              M: 08
              Text: Aug2022
              Type: published
              Y: 2022
          Identifiers:
            – Type: issn-print
              Value: 02763478
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              Value: 55
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              Value: 8
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            – TitleFull: International Journal of Eating Disorders
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