title: [Eating disorders and diabetes mellitus].
abstract: Numerous empirical studies indicate a higher frequency of eating disorders such as anorexia or bulimia nervosa in young female diabetic patients compared to the normal population. The comorbidity of the two syndromes usually leads to a continuous metabolic disorder bearing high risks of acute metabolic failure or early microangiopathic lesions. In addition to "restraint eating" as an essential element of diabetic therapy a premorbid neurotic malformation and/or poor coping strategies are further predisposing aspects for the development of an eating disorder. The inpatient treatment of a 22 year old patient suffering from both diabetes mellitus and bulimia nervosa demonstrates the association of neurotic malformation, poor coping style and the directive function of diabetic therapy.
authors.affiliation: Klinik für Psychotherapie und Psychosomatik der Rheinischen, Landes- und Hochschulklinik Essen.
authors.forename: S
authors.initials: S
authors.lastname: Herpertz
authors.forename: B
authors.initials: B
authors.lastname: von Blume
authors.forename: W
authors.initials: W
authors.lastname: Senf
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000856:Anorexia Nervosa / Q000523:psychology; D002032:Bulimia / Q000523:psychology; D015897:Comorbidity; D003920:Diabetes Mellitus / Q000523:psychology*; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology; D003927:Diet, Diabetic / Q000523:psychology*; D004038:Diet, Reducing / Q000523:psychology; D001068:Feeding and Eating Disorders / Q000523:psychology*; D005260:Female; D006801:Humans; D010349:Patient Compliance / Q000523:psychology; D010553:Personality Development; D011613:Psychotherapy; D012803:Sick Role
vernacular_title: Essstörungen und Diabetes mellitus.