title: Characteristics of self-regulation in adolescent girls with type 1 diabetes with and without eating disorders: a cross-sectional study.
abstract: OBJECTIVE
  Pathology of the regulative mechanisms of self seems to be connected with eating disorders (EDs). The present study aimed to explore the hypothesis that there are differences in self-regulation in adolescent girls with Type 1 diabetes with and without EDs.
  
  
  METHODS
  A cross-sectional design was employed comparing patterns of self-regulation in adolescent girls with Type 1 diabetes with and without EDs in two eating status groups.
  
  
  METHODS
  For the presence of EDs, 76 adolescent girls with Type 1 diabetes were assessed. Of these, 23 were diagnosed with an ED. In addition, dimensions of self-regulation as conceptualized in terms of Kohuts' psychodynamic theory of self were assessed.
  
  
  RESULTS
  Adolescent girls with Type 1 diabetes and an ED were higher in three aspects of self-regulation - negative body self, object depreciation, and narcissistic gain from illness - in comparison with their peers without EDs.
  
  
  CONCLUSIONS
  This study is the first to show evidence of deficits in self-regulation in adolescent girls with Type 1 diabetes and EDs. The importance of evaluating parameters of self-regulation for treatment planning for these youths is outlined.
authors.affiliation: Eating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria. vasileia_grylli@hotmail.com
authors.forename: Vasileia
authors.initials: V
authors.lastname: Grylli
authors.forename: Gudrun
authors.initials: G
authors.lastname: Wagner
authors.forename: Gabriele
authors.initials: G
authors.lastname: Berger
authors.forename: Ursula
authors.initials: U
authors.lastname: Sinnreich
authors.forename: Edith
authors.initials: E
authors.lastname: Schober
authors.forename: Andreas
authors.initials: A
authors.lastname: Karwautz
mesh_terms: D000293:Adolescent; D001828:Body Image; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000523:psychology*; D001068:Feeding and Eating Disorders / Q000150:complications* / Q000175:diagnosis / Q000523:psychology; D005260:Female; D006801:Humans; D011569:Psychiatric Status Rating Scales; D020377:Self Efficacy; D012959:Socioeconomic Factors