Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
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.

PubMed Disclaimer

Figures

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

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