Disturbed eating attitudes, coping styles, and subjective quality of life in adolescents with Type 1 diabetes.
OBJECTIVE
To evaluate coping styles and quality of life in youth with Type 1 diabetes with and without eating disorders and to identify relationships between these variables in each group.


METHODS
Adolescents were evaluated for eating disorders with a two-stage diagnostic procedure. Adolescents with and without eating disorders then provided data on coping styles and on subjective well-being.


RESULTS
Adolescents with Type 1 diabetes and disordered eating behavior reported more often blaming themselves and resorting to wishful thinking and poorer physical and psychosocial quality of life than do adolescents with Type 1 diabetes without disordered eating behavior. Specific coping strategies were also positively linked with quality of life and metabolic control.


CONCLUSIONS
Eating disorders and disordered eating behavior in adolescents with Type 1 diabetes seem to be associated with certain negative and avoidant coping strategies and with impeded physical and bio-psychosocial well-being.
Grylli
Vasileia
V
Eating Disorders Unit, University Clinic of Neuropsychiatry of Childhood and Adolescence, General Hospital of Vienna, Medical University Vienna, Austria.
Wagner
Gudrun
G
Hafferl-Gattermayer
Andrea
A
Schober
Edith
E
Karwautz
Andreas
A
D000223:Adaptation, Psychological; D000293:Adolescent; D001294:Attitude to Health; D002648:Child; D003710:Demography; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000453:epidemiology*; D001068:Feeding and Eating Disorders / Q000453:epidemiology*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D008297:Male; D011788:Quality of Life
D006442:Glycated Hemoglobin