Eating disorders and insulin-dependent diabetes mellitus (IDDM): relationships with glycaemic control and somatic complications

Acta Psychiatrica Scandinavica
S FriedmanM C Mouren-Simeoni

Abstract

This study was designed to assess (by means of a diagnostic interview based on DSM-III-R criteria) the prevalence of eating disorders in 69 insulin-dependent diabetic (IDDM) out-patients, and the relationship with somatic risks. We found no cases of anorexia nervosa or bulimia nervosa, current or lifetime, in male patients with IDDM. No female patients with IDDM had anorexia, and 4.8% had current and lifetime bulimia. Eating disorders not otherwise specified (bulimic type) were significantly more frequent in women than in men (lifetime incidence 43% vs. 21%; current incidence 33% vs. 5%), and generally occurred after the onset of IDDM. Self-reports of bulimic behaviours according to the Bulimic Investigatory Test of Edinburgh (BITE) were associated with high levels of glycosylated haemoglobin. There was no association between eating disorders (current or lifetime), with somatic complications being more likely to be explained by a long duration of illness and impaired glycaemic control.

References

Oct 1, 1992·Diabetes Care·R C PevelerD Dunger
Oct 1, 1992·Diabetes Care·R H Striegel-MooreW V Tamborlane
Jul 6, 1991·BMJ : British Medical Journal·C G FairburnR A Mayou
Aug 1, 1990·Psychological Medicine·J A BushnellP Joyce
Oct 1, 1989·The British Journal of Psychiatry : the Journal of Mental Science·J M SteelC C Macintyre
Jan 1, 1986·International Journal of Psychiatry in Medicine·G M RodinA B Kenshole
Jan 1, 1987·The British Journal of Psychiatry : the Journal of Mental Science·M Henderson, C P Freeman
Feb 1, 1985·The American Psychologist·J Polivy, C P Herman
Jan 1, 1984·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·A E ReadingS Campbell
May 10, 1980·British Medical Journal·C G Fairburn, J M Steel
Nov 1, 1993·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·G VilaM C Mouren-Simeoni
Oct 1, 1995·European Child & Adolescent Psychiatry·G VilaM C Mouren-Simeoni

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Citations

May 10, 2000·Diabetes Research and Clinical Practice·M NakazatoT Sato
Dec 25, 2007·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Fiona M SmithRobert A Dickson
Mar 16, 2005·Psychosomatics·Stacey M Pollock-BarZiv, Caroline Davis

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