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Journal of Pediatric Psychology Advance Access originally published online on July 13, 2005
Journal of Pediatric Psychology 2006 31(6):552-556; doi:10.1093/jpepsy/jsj047
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© The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org

Brief Report: Disordered Eating and Psychosocial Factors in Adolescent Females with Type 1 Diabetes Mellitus

Marissa R. Battaglia, MS1, Ramin Alemzadeh, MD2, Heidi Katte, MS, RD, CD2, Pamela L. Hall, DTR2 and Lawrence C. Perlmuter, PhD1

1 Rosalind Franklin University of Medicine and Science and 2 Children’s Hospital of Wisconsin, Medical College of Wisconsin

All correspondence concerning this article should be addressed to Marissa R. Battaglia, Rosalind Franklin University of Medicine and Science, 3333 Green Bay Road, North Chicago, Illinois 60064. E-mail: marissa.battaglia{at}students.rosalindfranklin.edu.

Received October 11, 2004; revisions received February 5, 2005 and April 30, 2005; accepted June 14, 2005

Objective To evaluate whether insulin pump therapy [continuous subcutaneous insulin infusion (CSII)] is associated with a lower frequency of disordered eating, better glycemic control, and improved quality of life and self-efficacy compared to multiple daily injections (MDI) in adolescent females with type 1 diabetes mellitus (T1DM). Methods This cross-sectional study included 22 adolescent females using CSII and 47 adolescent females using MDI who completed standardized questionnaires measuring disordered eating, quality of life, and self-efficacy. Most recent glycosylated hemoglobin (HbA1c) and measures of personal characteristics were drawn from medical records. Results The CSII group exhibited better glycemic control and reported higher quality of life and more self-efficacy. However, the groups did not differ significantly on disordered eating behaviors and attitudes. Conclusion Insulin pump therapy may provide a means for improving glycemic control, quality of life, and self-efficacy in adolescent females with type 1 diabetes.

Key words: diabetes; disordered eating; insulin pump; glycemic control; quality of life.


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[Abstract] [PDF]


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