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BMC Psychiatry

, 14:140

Eating disorders

Abstract

BackgroundCo-morbidity between Type 1 Diabetes Mellitus T1DM and eating disorders ED has been previously described; however the effect of this illness on the outcomes for conventional ED treatments has not been previously investigated. This study aims to compare clinical, psychopathological and personality features between two samples of ED individuals: those with comorbid T1DM and those without No-DM; and to identify differences in treatment outcomes between the groups.

MethodsThis study compares treatment outcome, dropouts, ED psychopathology and personality characteristics for 20 individuals with ED and T1DM and 20 ED patients without diabetes, matched for diagnostic and treatment type.

ResultsThe study found higher dropout rates from therapy in individuals with T1DM and worse treatment outcome in spite of having no significant differences in eating disorder psychopathology, although individuals with T1DM report misusing insulin.

ConclusionsThe low levels of motivation to change, and insulin abuse in T1DM patients, may suggest that treatment for patients with ED and T1DM should consider the individual’s personality and role of insulin abuse when determining the appropriate intervention.

KeywordsDropout Eating disorders Personality Psychopathology Treatment outcome Type 1 Diabetes Mellitus AbbreviationsANAnorexia nervosa

BEDBinge eating disorder

BMIBody mass index

BNBulimia nervosa

CBTCognitive-behavioural therapy

DSM-IVDiagnostic and Statistical Manual of Mental Disorders 4th edition

EDEating disorders

EDI-2Eating Disorders Inventory-2

EDNOSEating disorder not otherwise specified

No-DMPatients without diabetes mellitus

SDStandard deviation

T1DMType I Diabetes Mellitus

TCI-RTemperament and Character Inventory–revised.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-244X-14-140 contains supplementary material, which is available to authorized users.

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Author: Nuria Custal - Jon Arcelus - Zaida Agüera - Francesca I Bove - Jackie Wales - Roser Granero - Susana Jiménez-Murcia - Is

Source: https://link.springer.com/







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