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
. 2023 Sep 11;15(18):3938.
doi: 10.3390/nu15183938.

Comparative Analysis of Body Image Dissatisfaction, Depression, and Health-Related Quality of Life in Adults with Type 1 Diabetes: A Case-Control Study

Stephen J Inns  1   2 , Amanda Chen  1 , Helen Myint  1 , Priyanka Lilic  1 , Crispin Ovenden  1 , Heidi Y Su  1 , Rosemary M Hall  1   2
Affiliations

Comparative Analysis of Body Image Dissatisfaction, Depression, and Health-Related Quality of Life in Adults with Type 1 Diabetes: A Case-Control Study

Stephen J Inns et al. Nutrients. .

Abstract

(1) Objective: This case-control study investigated body image dissatisfaction, depression, and health-related quality of life (HRQoL) in adults with type 1 diabetes. (2) Methods: A total of 35 adults with diabetes and an equal number of age- and gender-matched controls were included. Assessment tools used were the Body Image Disturbance Questionnaire (BIDQ), the Hospital Anxiety and Depression Scale (HADS), and the RAND 36-Item Health Survey. Both quantitative and qualitative data were analyzed. (3) Results: Body image dissatisfaction did not differ significantly between the groups. However, adults with diabetes reported higher levels of depression (p = 0.002) and lower scores for physical health (p = 0.015) and general health (p < 0.001) on the HRQoL measure. Qualitative analysis identified common themes related to physical disturbance, effect on activities, and psychosocial concerns. (4) Conclusions: Despite similar body image dissatisfaction, adults with type 1 diabetes exhibited increased depression and reduced HRQoL. These findings emphasize the need to integrate psychological well-being into type 1 diabetes management. They also support further research into the impact of body image dissatisfaction in T1D and potential interventions to address it.

Keywords: age and gender matched; body image dissatisfaction; case-control; depression and anxiety; quality of life; type 1 diabetes.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
The Body Image Disturbance Questionnaire.
Figure 2
Figure 2
Mean Hospital Anxiety and Depression Score compared between groups (error bars show 95% confidence intervals).
Figure 3
Figure 3
Mean RAND36 quality of life component scores compared between groups (error bars show 95% confidence intervals).
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Atkinson M.A., Eisenbarth G.S., Michels A.W. Type 1 diabetes. Lancet. 2014;383:69–82. doi: 10.1016/S0140-6736(13)60591-7. - DOI - PMC - PubMed
    1. Todd J.A. Etiology of type 1 diabetes. Immunity. 2010;32:457–467. doi: 10.1016/j.immuni.2010.04.001. - DOI - PubMed
    1. National Collaborating Centre for Women’s and Children’s Health (UK) Diabetes (Type 1 and Type 2) in Children and Young People: Diagnosis and Management. National Institute for Health and Care Excellence (UK); London, UK: 2015. [(accessed on 11 December 2020)]. Available online: http://www.ncbi.nlm.nih.gov/books/NBK315806/ - PubMed
    1. American Diabetes Association 9. Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes—2020. Diabetes Care. 2020;43:S98–S110. doi: 10.2337/dc20-S009. - DOI - PubMed
    1. Willis J., Cunningham-Tisdall C., Griffin C., Scott R., Darlow B.A., Owens N., Ferguson J., Mackenzie K., Williman J., de Bock M. Type 1 diabetes diagnosed before age 15 years in Canterbury, New Zealand: A 50 year record of increasing incidence. Pediatr. Diabetes. 2022;23:301–309. doi: 10.1111/pedi.13305. - DOI - PubMed