This study evaluated the body image perception in children with type 1 diabetes in order to identify symptoms of disordered eating behaviours early. Children with type 1 diabetes and controls showed underestimation and dissatisfaction with body size. The patients, especially girls, were more accurate in their perception of body size than the control group. The study sheds light on some of the underlying factors that may contribute to the development of disordered eating behaviours in adolescence. The causes of the differences of perception of body size are discussed.
AckardDMVikNNeumark-SztainerD. (2008) Disordered eating and body dissatisfaction in adolescents with type 1 diabetes and a population-based comparison sample: Comparative prevalence and clinical implications. Pediatric Diabetes9(4 Pt 1): 312–319.
2.
AffenitoSGBackstrandJRWelchGW. (1997) Subclinical and clinical eating disorders in IDDM negatively affect metabolic control. Diabetes Care20(2): 182–184.
3.
AustinSSenécalCGuayF. (2011) Effects of gender, age, and diabetes duration on dietary self-care in adolescents with type 1 diabetes: A self-determination theory perspective. Journal of Health Psychology16(6): 917–928.
4.
CashTFDeagleEAIII (1997) The nature and extend of body-image disturbances in anorexia nervosa and bulimia nervosa: A meta-analysis. International Journal of Eating Disorders22(2): 107–125.
5.
CashTFFlemingEC (2002) The impact of body-image experiences: Development of the Body Image Quality of Life Inventory. International Journal of Eating Disorders31(4): 455–460.
6.
CashTFPruzinskyTP (eds) (2002) Body Image: A Handbook of Theory, Research and Clinical Practice. New York: The Guilford Press.
7.
CattarinJAThompsonJK (1994) A three-year longitudinal study of body image, eating disturbance, and general psychological functioning in adolescent females. Eating Disorders2(2): 114–125.
8.
ColtonPAOlmstedMPDanemanD. (2007) Five-year prevalence and persistence of disturbed eating behavior and eating disorders in girls with type 1 diabetes. Diabetes Care30(11): 2861–2862.
9.
ColtonPARodinGMOlmstedMP. (1999) Eating disturbances in young women with type 1 diabetes mellitus: Mechanisms and consequences. Psychiatric Annals29(4): 213–218.
10.
DantzerCSwendsenJMaurice-TisonS. (2003) Anxiety and depression in juvenile diabetes: A critical review. Clinical Psychology Review23(6): 787–800.
11.
DavisonKKMarkeyCNBirchLL (2003) A longitudinal examination of patterns in girls’ weight concerns and body dissatisfaction from ages 5 to 9 years. International Journal of Eating Disorders33(3): 320–332.
12.
DerenneJLBeresinEV (2006) Body image, media, and eating disorders. Academic Psychiatry30(3): 257–261.
13.
DuncanDTWolinKYScharoun-LeeM. (2011) Does perception equal reality? Weight misperception in relation to weight-related attitudes and behaviors among overweight and obese US adults. International Journal of Behavioral Nutrition and Physical Activity8: 20.
14.
EiserCPattersonDTrippJH (1984) Diabetes and developing knowledge of the body. Archives of Disease in Childhood59(2): 167–169.
15.
FlanaganRMottaRW (2007) Figure drawings: A popular method. Psychology in the Schools44(3): 257–270.
16.
GardnerRMBrownDL (2010) Body image assessment: A review of figural drawings scales. Personality and Individual Differences48(2): 107–111.
17.
Goebel-FabbriAE (2009) Disturbed eating behaviors and eating disorders in type 1 diabetes: Clinical significance and treatment recommendations. Current Diabetes Reports9(2): 133–139.
18.
IafuscoDVanelliMGugliottaM. (2004) Prevalence of eating disorders in young patients with type 1 diabetes from two different Italian cities. Diabetes Care27(9): 2278.
19.
Janzen ClaudeJAHadjistavropoulosHDFriesenL (2014) Exploration of health anxiety among individuals with diabetes: Prevalence and implications. Journal of Health Psychology19(2): 312–322.
20.
KichlerJCFosterCOpipari-ArriganL (2008) The relationship between negative communication and body image dissatisfaction in adolescent females with type 1 diabetes mellitus. Journal of Health Psychology13(3): 336–347.
21.
KortesluomaRLPunamakiRLNikkokenM (2008) Hospitalized children drawing their pain: The contents and cognitive and emotional characteristic of pain drawings. Journal of Child Health Care12(4): 284–300.
22.
LarrañagaADocetMFGarcía-MayorRV (2011) Disordered eating behaviors in type 1 diabetic patients. World Journal of Diabetes2(11): 189–195.
23.
MachoverK (1949) Personality Projection in the Drawing of the Human Figure. Springfield, IL: Charles C Thomas Publisher Ltd.
24.
MaharajSIRodinGMOlmstedMP. (2003) Eating disturbances in girls with diabetes: The contribution of adolescent self-concept, maternal weight and shape concerns and mother-daughter relationships. Psychological Medicine33(3): 525–539.
25.
MattoHC (2002) Investigating the validity of the draw-a-person: Screening procedure for emotional disturbance: A measurement validation study with high-risk youth. Psychological Assessment14(2): 221–225.
26.
MattoHCNaglieriJAClausenC (2005) Validity of the draw-a-person: Screening procedure for emotional disturbance (DAP:SPED) in strengths-based assessment. Research on Social Work Practice15(1): 41–46.
27.
MeltzerLJBennett JohnsonSPrineJM. (2001) Disordered eating, body mass, and glycemic control in adolescents with type 1 diabetes. Diabetes Care24(4): 678–682.
28.
NaglieriJAPfeifferSI (1992) Performance of disruptive behavior disordered and normal samples on the draw a person: Screening procedure for emotional disturbance. Psychological Assessment4(2): 156–159.
NashJSkinnerTC (2005) Eating disorders in type 1 diabetes. Practical Diabetes International22(4): 139–145.
31.
Neumark-SztainerDPattersonJMellinA. (2002) Weight control practices and disordered eating behaviors among adolescent females and males with type 1 diabetes. Diabetes Care25(8): 1289–1296.
32.
NielsenS (2002) Eating disorders in females with type 1 diabetes: An update of a meta-analysis. European Eating Disorders Review10(4): 241–254.
33.
NolesSWCashTFWinsteadBA (1985) Body image, physical attractiveness, and depression. Journal of Consulting and Clinical Psychology53(1): 88–94.
34.
NuvoliGMaioliMFerrariC. (1989) Diabetes and illness image: An analysis of diabetic early-adolescents’ self-perception through the draw-a-person test. Psychological Reports65(1): 83–93.
35.
OhringRGraberJABrooks-GunnJ (2002) Girls’ recurrent and concurrent body dissatisfaction: Correlates and consequences over 8 years. International Journal of Eating Disorders31(4): 404–415.
36.
OlmstedMPColtonPADanemanD. (2008) Prediction of the onset of disturbed eating behavior in adolescent girls with type 1 diabetes. Diabetes Care31(10): 1978–1982.
37.
PainePAlvesETubinoP (1985) Size of human figure drawing and Goodenough-Harris scores of pediatric oncology patients: A pilot study. Perceptual and Motor Skills60(3): 911–914.
38.
PevelerRCBrydenKSNeilHAW. (2005) The relationship of disordered eating habits and attitudes to clinical outcomes in young adult females with type 1 diabetes. Diabetes Care28(1): 84–88.
39.
ReynoldsKAHelgesonVS (2011) Children with diabetes compared to peers: Depressed? Distressed? A meta-analytic review. Annals of Behavioral Medicine42(1): 29–41.
40.
RodinGOlmstedMPRydallAC. (2002) Eating disorders in young women with type 1 diabetes mellitus. Journal of Psychosomatic Research53(4): 943–949.
41.
RodinGMDanemanD (1992) Eating disorders and IDDM: A problematic association. Diabetes Care15(10): 1402–1412.
42.
SerlachiusANorthamEFrydenbergE. (2012) Adapting a generic coping skills programme for adolescents with type 1 diabetes: A qualitative study. Journal of Health Psychology17(3): 313–323.
43.
ShabanC (2010) Body image, intimacy and diabetes. European Diabetes Nursing7(2): 82–86.
44.
SticeEShawHE (1994) Adverse effects of the media portrayed thin-ideal on women and linkages to bulimic symptomatology. Journal of Social and Clinical Psychology13(3): 288–308.
45.
SticeECameronRPKillenJD. (1999) Naturalistic weight-reduction efforts prospectively predict growth in relative weight and onset of obesity among female adolescents. Journal of Consulting and Clinical Psychology67(6): 967–974.
46.
Striegel-MooreRHBulikCM (2007) Risk factors for eating disorders. American Psychologist62(3): 181–198.
47.
TrubyHPaxtonSJ (2002) Development of the children’s Body Image Scale. British Journal of Clinical Psychology41(2): 185–203.
48.
TrubyHPaxtonSJ (2008) The children’s Body Image Scale: Reliability and use with international standards for body mass index. British Journal of Clinical Psychology47(Pt 1): 119–124.
49.
WertheimEHKoernerJPaxtonSJ (2001) Longitudinal predictors of restrictive eating and bulimic tendencies in three different age groups of adolescent girls. Journal of Youth and Adolescence30(1): 69–81.
50.
Yi-FrazierJPYaptangcoMSemanaS. (2013) The association of personal resilience with stress, coping, and diabetes outcomes in adolescents with type 1 diabetes: Variable- and person-focused approaches. Journal of Health Psychology. Epub ahead of print 21November. DOI: 10.1177/1359105313509846.
51.
ZellerMHIngerskiLWilsonL. (2010) Factors contributing to weight misperception in obese children presenting for intervention. Clinical Pediatrics49(4): 330–336.
