Diabetes distress and disordered eating behaviors in youth with type 1 diabetes: the mediating role of self-regulatory fatigue and the moderating role of resilience

Journal of Eating Disorders

Research

Tao Yang¹  Mei Zhang¹  Hong Wang¹  Min Zhu¹  Meijing Zhou¹  Jian Yu¹  Jingjing Xu²  Dan Luo³ 

[1] Department of Endocrinology, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, 210029, Nanjing, China;Department of Nursing, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, 210029, Nanjing, China;School of Nursing, Nanjing University of Chinese Medicine, 138 Xianlin Avenue, 210029, Nanjing, China;

关键词: Type 1 diabetes;    Disordered eating behaviors;    Self-regulatory fatigue;    Resilience;    Diabetes distress;   

DOI  :  10.1186/s40337-023-00838-4

 received in 2023-01-29, accepted in 2023-06-28,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundDespite previous research on the association between diabetes distress and disordered eating behaviors (DEBs) among youth with type 1 diabetes (T1D), there is a lack of understanding regarding the underlying mechanisms. This study aimed to investigate the relationships between diabetes distress and DEBs, specifically examining whether self-regulatory fatigue mediated the relationship and whether resilience moderated this mediation.MethodsA cross-sectional study was performed among youth with T1D recruited from two diabetes centers in Nanjing, China. Measurement instruments included the problem areas in the diabetes-5 scale, the diabetes strengths and resilience measure for adolescents, the self-regulatory fatigue scale, and the Chinese version of diabetes eating problem survey-revised. Mediation and moderated mediation analyses were conducted.ResultsA total of 185 youths with T1D were involved in the current study. The results indicated that diabetes distress positively predicted DEBs. Self-regulatory fatigue partially mediated the association between diabetes distress and DEBs, accounting for 50.88% of the overall effect. Additionally, the pathway from self-regulatory fatigue to DEBs was moderated by resilience.ConclusionThe current study examined whether self-regulatory fatigue mediated the relationship between diabetes distress and DEBs and whether resilience moderated the connection between self-regulatory fatigue and DEBs. These findings add to the theoretical basis of how diabetes distress influences DEBs and help guide the incorporation of diabetes distress, self-regulatory fatigue, and resilience into DEBs reduction programs for youth with T1D.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 4