A cognitive behavioural model of the bidirectional relationship between disordered eating and diabetes self-care in adult men with type 1 diabetes mellitus
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Authors
Harrison, Amy
Konstantara, Emmanouela
Zaremba, Natalie
Brown, Jennie
Allan, Jacqueline
Pillay, Divina
Hopkins, David
Treasure, Janet
Ismail, Khalida
Stadler, Marietta
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Issue Date
2024
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Article
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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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Journal
Diabetic Medicine
Volume
41
Issue
5