Topical review: a comprehensive risk model for disordered eating in youth with type 1 diabetes
Open accessAbstract
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.
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Patterns of maladaptive food intake that appear to have a psychological origin may be driven by physiologic disruption in hunger and satiety cues, metabolic perturbations, and/or secondary distress because of the individual's inability to control their hunger and satiety.
“patterns of maladaptive food intake that appear to have a psychological origin may be driven by physiologic disruption in hunger and satiety cues, metabolic perturbations, and/ or secondary distress because of the individual's inability to control their hunger and satiety (401,408).”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:<i>Standards of Care in Diabetes—2023</i> (2023) · cites this paper as [408]
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References 31 · Cited by 95
- Authors
- Peterson, C. M., Fischer, S., & Young-Hyman, D.
- Affiliations
- Cincinnati Children's Hospital Medical Center (US)
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-12-10
- Volume
- 40
- Issue
- 4
- Pages
- 385-390
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- PMC
- PMC4425840
- OpenAlex
- W2131591143
- Cited by
- 95
- References
- 31
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 8 · 2023: 15 · 2022: 12 · 2021: 6 · 2020: 7 · 2019: 11 · 2018: 6 · 2017: 9 · 2016: 6 · 2015: 2
- FWCI
- 0.86
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- disordered eating, type 1 diabetes, youth, risk factors, body dissatisfaction, depression, insulin therapy, weight gain, psychosocial risk factors, prevalence
- MeSH terms
- Adolescent, Feeding and Eating Disorders, Child, Diabetes Mellitus, Type 1, Humans, Risk Factors, Prevalence, Risk Assessment
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