A cognitive behavioural model of the bidirectional relationship between disordered eating and diabetes self care in adult men with Type 1 diabetes mellitus

Amy Harrison; Emmanouela Konstantara; Natalie Zaremba; Jennie Brown; Jacqueline Allan; Divina Pillay; David Hopkins; Janet Treasure; Khalida Ismail; Marietta Stadler

doi:10.1111/dme.15287

A cognitive behavioural model of the bidirectional relationship between disordered eating and diabetes self care in adult men with Type 1 diabetes mellitus

Amy Harrison
, Emmanouela Konstantara
, Natalie Zaremba
, Jennie Brown
, Jacqueline Allan
, Divina Pillay
, David Hopkins
, Janet Treasure
, Khalida Ismail
, Marietta Stadler^*

^*Corresponding author for this work

King's College London
King's College Hospital NHS Foundation Trust.

Research output: Contribution to journal › Article › peer-review

4 Citations (Scopus)

40 Downloads (Pure)

Abstract

AIMS: This qualitative study aimed to develop the first cognitive behavioural (CBT) model outlining the development and maintenance of disordered eating in adult men living with Type 1 diabetes to improve on previous theoretical models of Type 1 diabetes and disordered eating and to draw comparisons to women with Type 1 diabetes and disordered eating.

METHODS: Twenty-seven men (n = 16 with Type 1 diabetes and disordered eating, n = 11 with Type 1 diabetes without disordered eating) participated in semi-structured interviews. Data were analysed using thematic analysis and individual CBT formulations were developed for each participant to inform the model.

RESULTS: Men with Type 1 diabetes and disordered eating experience negative thoughts about food, insulin, weight/shape and diabetes itself, which cause negative emotions such as fear and vulnerability and difficulties with diabetes self care such as problems with hyper and hypoglycaemia and problems accessing structured education and technology result in men feeling more dissatisfied about their body weight/shape.

CONCLUSIONS: This CBT model of disordered eating in men with Type 1 diabetes can guide new interventions.

Original language	English
Article number	e15287
Number of pages	11
Journal	Diabetic Medicine
Volume	41
Issue number	5
Early online date	20 Feb 2024
DOIs	https://doi.org/10.1111/dme.15287
Publication status	Published - 16 Apr 2024

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Adult
Male
Humans
Female
Diabetes Mellitus, Type 1/complications
Self Care
Feeding and Eating Disorders/complications
Emotions
Cognition

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10.1111/dme.15287Licence: CC BY

A cognitive behavioural model of the bidirectional relationship between disordered eating and diabetes self care_Version of RecordFinal published version, 294 KBLicence: CC BY

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Harrison, A., Konstantara, E., Zaremba, N., Brown, J., Allan, J., Pillay, D., Hopkins, D., Treasure, J., Ismail, K., & Stadler, M. (2024). A cognitive behavioural model of the bidirectional relationship between disordered eating and diabetes self care in adult men with Type 1 diabetes mellitus. Diabetic Medicine, 41(5), Article e15287. https://doi.org/10.1111/dme.15287

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abstract = "AIMS: This qualitative study aimed to develop the first cognitive behavioural (CBT) model outlining the development and maintenance of disordered eating in adult men living with Type 1 diabetes to improve on previous theoretical models of Type 1 diabetes and disordered eating and to draw comparisons to women with Type 1 diabetes and disordered eating.METHODS: Twenty-seven men (n = 16 with Type 1 diabetes and disordered eating, n = 11 with Type 1 diabetes without disordered eating) participated in semi-structured interviews. Data were analysed using thematic analysis and individual CBT formulations were developed for each participant to inform the model.RESULTS: Men with Type 1 diabetes and disordered eating experience negative thoughts about food, insulin, weight/shape and diabetes itself, which cause negative emotions such as fear and vulnerability and difficulties with diabetes self care such as problems with hyper and hypoglycaemia and problems accessing structured education and technology result in men feeling more dissatisfied about their body weight/shape.CONCLUSIONS: This CBT model of disordered eating in men with Type 1 diabetes can guide new interventions.",

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AU - Brown, Jennie

AU - Allan, Jacqueline

AU - Pillay, Divina

AU - Hopkins, David

AU - Treasure, Janet

AU - Ismail, Khalida

AU - Stadler, Marietta

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AB - AIMS: This qualitative study aimed to develop the first cognitive behavioural (CBT) model outlining the development and maintenance of disordered eating in adult men living with Type 1 diabetes to improve on previous theoretical models of Type 1 diabetes and disordered eating and to draw comparisons to women with Type 1 diabetes and disordered eating.METHODS: Twenty-seven men (n = 16 with Type 1 diabetes and disordered eating, n = 11 with Type 1 diabetes without disordered eating) participated in semi-structured interviews. Data were analysed using thematic analysis and individual CBT formulations were developed for each participant to inform the model.RESULTS: Men with Type 1 diabetes and disordered eating experience negative thoughts about food, insulin, weight/shape and diabetes itself, which cause negative emotions such as fear and vulnerability and difficulties with diabetes self care such as problems with hyper and hypoglycaemia and problems accessing structured education and technology result in men feeling more dissatisfied about their body weight/shape.CONCLUSIONS: This CBT model of disordered eating in men with Type 1 diabetes can guide new interventions.

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KW - Feeding and Eating Disorders/complications

KW - Emotions

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A cognitive behavioural model of the bidirectional relationship between disordered eating and diabetes self care in adult men with Type 1 diabetes mellitus

Abstract

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Keywords

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