title: Eating-Disordered Behaviour in Adolescents with Type 1 Diabetes.
abstract: OBJECTIVE
  To evaluate dysfunctional eating behaviour, self-esteem, social physique anxiety and quality of life in adolescents with type 1 diabetes who have differing desired weights and to evaluate the predictors of dysfunctional eating behaviour in these adolescents, with a focus on personal and psychological variables.
  
  
  METHODS
  We evaluated 79 adolescents with type 1 diabetes (mean age of 15.71 years) of both sexes (58.2% females) using the Eating Disorders Examination Questionnaire (EDE-Q), the Rosenberg Self-Esteem Scale (RSES), the Social Physique Anxiety Scale (SPAS-R) and the Diabetes Quality of Life (DQoL) measure.
  
  
  RESULTS
  Of the adolescents, 44 with type 1 diabetes reported the desire to maintain or increase their current weight, and 35 reported the desire to reduce their current weight. The participants with the desire to weigh less were mainly females who exercised regularly and demonstrated more frequent binge eating and purging. Additionally, this group exhibited an increased frequency of eating disturbances, such as restraint and eating, weight and shape concerns. Moreover, this group demonstrated increased social physique anxiety and decreased diabetes quality of life in relation to the impact of diabetes, worries about diabetes and satisfaction with life. Finally, predictors of eating disturbances included the desire for lower weight, higher social physique anxiety and lower diabetes-related quality of life.
  
  
  CONCLUSIONS
  The desire for a lower weight in adolescents with type 1 diabetes may increase problems related to eating behaviour and general quality of life.
authors.affiliation: School of Psychology, University of Minho, Braga, Portugal. Electronic address: sgoncalves@psi.uminho.pt.
authors.forename: Sónia
authors.initials: S
authors.lastname: Gonçalves
authors.affiliation: School of Psychology, University of Minho, Braga, Portugal.
authors.forename: Vânia
authors.initials: V
authors.lastname: Barros
authors.affiliation: School of Psychology, University of Minho, Braga, Portugal.
authors.forename: A
authors.initials: A
authors.lastname: Rui Gomes
mesh_terms: D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000209:etiology / Q000523:psychology*; D001828:Body Image; D001835:Body Weight; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000523:psychology*; D001068:Feeding and Eating Disorders / Q000209:etiology / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011379:Prognosis; D011788:Quality of Life; D012649:Self Concept; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: adolescents; desired weight; diabète de type 1; eating disordered behaviour; poids désiré; quality of life; qualité de vie; troubles du comportement alimentaire; type 1 diabetes