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

BMC Psychiatry

Research Article

Roser Granero¹  Isabel Sánchez²  Nuria Custal²  Nadine Riesco²  Francesca I Bove²  Zaida Agüera³  Fernando Fernandez-Aranda⁴  Susana Jiménez-Murcia⁴  José M Crespo⁵  Pino Alonso⁵  Jose M Menchón⁵  Nuria Virgili⁶  Jackie Wales⁷  Jon Arcelus⁸ 

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

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

DOI  :  10.1186/1471-244X-14-140

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

来源: Springer

【 摘 要 】

BackgroundCo-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.MethodsThis 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.ResultsThe 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.ConclusionsThe 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】

Unknown   
© Custal et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.