Treatment outcome of patients with comorbid type 1 diabetes and eating disorders

BMC Psychiatry

Fernando Fernandez-Aranda²  Jose M Menchón³  Nuria Virgili⁷  José M Crespo³  Pino Alonso³  Nadine Riesco⁵  Isabel Sánchez⁵  Susana Jiménez-Murcia²  Roser Granero⁴  Jackie Wales⁸  Francesca I Bove⁵  Zaida Agüera¹  Jon Arcelus⁶  Nuria Custal⁵ 

[1] Ciber Fisiopatologia Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III, Barcelona, Spain;Departament of Clinical Sciences, School of Medicine, University of Barcelona, Barcelona, Spain;Ciber Salud Mental (CIBERsam), Instituto Salud Carlos III, Barcelona, Spain;Departament de Psicobiologia i Metodologia, Universitat Autònoma de Barcelona, Barcelona, Spain;Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain;Loughborough University Centre for Research into Eating Disorders, Loughborough University, Loughborough, UK;Endocrinology and Clinical Nutrition Unit, University Hospital of Bellvitge- IDIBELL, Barcelona, Spain;Leicester Eating Disorder Service, Bennion Centre, Leicester Glenfield Hospital, Leicester, UK

关键词: Type 1 Diabetes Mellitus;    Treatment outcome;    Psychopathology;    Personality;    Eating disorders;    Dropout;   

Others  :  1123587
DOI  :  10.1186/1471-244X-14-140

 received in 2014-02-10, accepted in 2014-05-06,  发布年份 2014

【 摘 要 】

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.

【 授权许可】

   
2014 Custal et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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