Journal of Pediatric Psychology Advance Access first published online on July 13, 2005
This version published online on September 16, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsj047
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1 Rosalind Franklin University of Medicine and Science
* To whom correspondence should be addressed. 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.
Received October 11, 2004
Revised April 30, 2005
Accepted June 14, 2005
Article
Brief Report: Disordered Eating and Psychosocial Factors in Adolescent Females with Type 1 Diabetes Mellitus
2 Children’s Hospital of Wisconsin, Medical College of Wisconsin
Marissa R. Battaglia, E-mail: marissa.battaglia{at}students.rosalindfranklin.edu
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