Anorexia nervosa in association with diabetes mellitus--a cognitive-behavioural approach to treatment.
A case of anorexia nervosa occurring in a patient with diabetes mellitus is reported. The patient was successfully managed using a cognitive-behavioural treatment approach. The presence of diabetes necessitated certain modifications to the standard cognitive-behavioural treatment for anorexia nervosa, including self-monitoring of diabetic regimen behaviours, attention to the adequacy of glycaemic control, and advice about changes in insulin dosage. Cognitive restructuring techniques also had to address diabetes-related thoughts. The general applicability and cost-effectiveness of this type of approach for the treatment of patients with co-existing eating disorders and diabetes is discussed.
Peveler
R C
RC
Fairburn
C G
CG
D000328:Adult; D000856:Anorexia Nervosa / Q000523:psychology / Q000628:therapy*; D001521:Behavior Therapy / Q000379:methods*; D003071:Cognition; D003131:Combined Modality Therapy; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology / Q000628:therapy*; D004038:Diet, Reducing / Q000523:psychology; D005260:Female; D006801:Humans; D007328:Insulin / Q000008:administration & dosage
D007328:Insulin