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Review
. 2015 May;40(4):385-90.
doi: 10.1093/jpepsy/jsu106. Epub 2014 Dec 10.

Topical review: a comprehensive risk model for disordered eating in youth with type 1 diabetes

Claire M Peterson  1 , Sarah Fischer  2 , Deborah Young-Hyman  2
Affiliations
Review

Topical review: a comprehensive risk model for disordered eating in youth with type 1 diabetes

Claire M Peterson et al. J Pediatr Psychol. 2015 May.

Abstract

Objectives: Provide an updated literature review on prevalence, measurement, and correlates of disordered eating in youth with Type 1 diabetes (T1D), present a novel theoretical risk model (i.e., The Modified Dual Pathway Model) for disordered eating in youth with T1D incorporating psychosocial and physiological risk factors, and discuss clinical implications.

Methods: Literature review of prevalence, correlates, risk factors, and outcomes of disordered eating behavior (DEB) in youth with T1D.

Results: Insulin treatment, subsequent weight gain, and disruptions to hunger and satiety regulation are hypothesized disease-related mechanisms through which the treatment of T1D may increase vulnerability to development of behavior characterized as DEB. The Modified Dual Pathway Model integrates these factors with a validated psychosocial risk (body dissatisfaction, depression, and abstinence violation) model for DEB in nondiabetic youth.

Conclusions: The Modified Dual Pathway model of DEB in youth with T1D is a comprehensive representation of both psychosocial and T1D-related risk factors with the potential to inform future interventions for this population.

Keywords: Modified Dual Pathway; Type 1 diabetes; eating disorders; risk for disordered eating in T1D.

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Figures

Figure 1.
Figure 1.
The Modified Dual Pathway Model.
See this image and copyright information in PMC

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References

    1. Allen K L, Byrne S M, McLean M J. The dual-pathway and cognitive-behavioural models of binge eating: Prospective evaluation and comparison. European Child and Adolescent Psychiatry. 2012;21:51–62. - PubMed
    1. Bantle J P, Wylie-Rosett J, Albright A L, Apovian C M, Clark N G, Franz M J, Hoogwerf B J, Lichtenstein A H, Mayer-Davis E, Mooradian A D, Wheeler M L. Nutrition recommendations and interventions for diabetes: A position statement of the American Diabetes Association. Diabetes Care. 2008;31:S61–S78. - PubMed
    1. Colton P A, Olmsted M P, Daneman D, Rodin GM. Depression, disturbed eating behavior, and metabolic control in teenage girls with type 1 diabetes. Pediatric Diabetes. 2013;14:372–376. - PubMed
    1. Colton P, Rydall A, Olmsted M, Rodin G, Daneman D. Disturbed eating behavior and eating disorders in preteen and early teenage girls with type 1 diabetes. Diabetes Care. 2004;27:1654–1659. - PubMed
    1. Custal N, Arcelus J, Agüera Z, Bove F I, Wales J, Granero R, Jiménez-Murcia S, Sánchez I, Riesco N, Alonso P, Crespo J M, Virgili N, Menchón J M, Fernandez-Aranda F. Treatment outcome of patients with comorbid type 1 diabetes and eating disorders. BMC Psychiatry. 2014;14:140. - PMC - PubMed