[Comorbidity of diabetes mellitus and eating disorders. A comparison of psychological features of eating disordered and non-eating disordered patients with diabetes mellitus].
As part of a multicentre study on the comorbidity of diabetes mellitus and eating disorders, the following paper compares the psychological features of diabetic patients with and without an eating disorder. In a sample of 663 diabetic patients (type 1: n = 341 type 2: n = 322), eating disorder related variables, self-esteem, body acceptance and emotional distress, especially depression in diabetic patients with and without an eating disorder, were compared. A possible relationship to diabetic control was investigated. Type 2 diabetics revealed more pronounced psychopathology in comparison to type 1 diabetics. According to our assumption, diabetic patients with an eating disorder and diabetic patients who deliberately reduced insulin in order to loose weight (insulin purging) revealed a much more severe psychopathology compared to diabetics without an eating disorder. The type of diabetes was of no importance. With the exception of the variable body and figure satisfaction in the sample of type 1 diabetes and the variable self-acceptance in the sample of type 2 diabetes, no relationship to diabetic control could be found.
Herpertz
S
S
Klinik für Psychotherapie und Psychosomatik, Universtätsklinik Essen. Stefan.Herpertz@uni-essen.de
Albus
C
C
Lohff
S
S
Michalski
K
K
Masrour
M
M
Lichtblau
K
K
Köhle
K
K
Mann
K
K
Senf
W
W
D000328:Adult; D000367:Age Factors; D001828:Body Image; D003863:Depression / Q000523:psychology; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000188:drug therapy / Q000523:psychology*; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000188:drug therapy / Q000523:psychology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000188:drug therapy / Q000523:psychology; D001068:Feeding and Eating Disorders / Q000150:complications* / Q000523:psychology*; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D007328:Insulin / Q000008:administration & dosage / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D012649:Self Concept
D007004:Hypoglycemic Agents; D007328:Insulin