title: Treatment outcome of patients with comorbid type 1 diabetes and eating disorders.
abstract: BACKGROUND
  Co-morbidity between Type 1 Diabetes Mellitus (T1DM) and eating disorders (ED) has been previously described; however the effect of this illness on the outcomes for conventional ED treatments has not been previously investigated. This study aims to compare clinical, psychopathological and personality features between two samples of ED individuals: those with comorbid T1DM and those without (No-DM); and to identify differences in treatment outcomes between the groups.
  
  
  METHODS
  This study compares treatment outcome, dropouts, ED psychopathology and personality characteristics for 20 individuals with ED and T1DM and 20 ED patients without diabetes, matched for diagnostic and treatment type.
  
  
  RESULTS
  The study found higher dropout rates from therapy in individuals with T1DM and worse treatment outcome in spite of having no significant differences in eating disorder psychopathology, although individuals with T1DM report misusing insulin.
  
  
  CONCLUSIONS
  The low levels of motivation to change, and insulin abuse in T1DM patients, may suggest that treatment for patients with ED and T1DM should consider the individual's personality and role of insulin abuse when determining the appropriate intervention.
authors.forename: Nuria
authors.initials: N
authors.lastname: Custal
authors.forename: Jon
authors.initials: J
authors.lastname: Arcelus
authors.forename: Zaida
authors.initials: Z
authors.lastname: Agüera
authors.forename: Francesca I
authors.initials: FI
authors.lastname: Bove
authors.forename: Jackie
authors.initials: J
authors.lastname: Wales
authors.forename: Roser
authors.initials: R
authors.lastname: Granero
authors.forename: Susana
authors.initials: S
authors.lastname: Jiménez-Murcia
authors.forename: Isabel
authors.initials: I
authors.lastname: Sánchez
authors.forename: Nadine
authors.initials: N
authors.lastname: Riesco
authors.forename: Pino
authors.initials: P
authors.lastname: Alonso
authors.forename: José M
authors.initials: JM
authors.lastname: Crespo
authors.forename: Nuria
authors.initials: N
authors.lastname: Virgili
authors.forename: Jose M
authors.initials: JM
authors.lastname: Menchón
authors.affiliation: Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain. ffernandez@bellvitgehospital.cat.
authors.forename: Fernando
authors.initials: F
authors.lastname: Fernandez-Aranda
mesh_terms: D000293:Adolescent; D000328:Adult; D015897:Comorbidity; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy* / Q000453:epidemiology / Q000523:psychology*; D001068:Feeding and Eating Disorders / Q000188:drug therapy* / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D007328:Insulin / Q000008:administration & dosage*; D008297:Male; D010352:Patient Dropouts; D010551:Personality; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D007328:Insulin