A cognitive/behavioral approach to type 1 diabetic females with recurrent binge eating: A 3-year follow-up study

Masato Takii, Yasuko Uchigata, Gen Komaki, Takehiro Nozaki, Keisuke Kawai, Hiroaki Nishikata, Hiromi Kawai, Kayo Morioka, Yasuhiko Iwamoto, Chiharu Kubo

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: To describe a comprehensive, cognitive/behavioral approach to the treatment of type 1 diabetic females with recurrent binge eating and to assess its effectiveness. Research design and methods: At the first visit to our outpatient clinic, type 1 diabetic females with recurrent binge eating (n=28) were diagnosed as either bulimia nervosa (BN) or binge-eating disorder (BED), and underwent “outpatient counseling at first visit”. After a period of observation by the referring physician, patients without sufficient improvement were encouraged to undergo “integrated inpatient therapy”. According to the eating disorder diagnosis and the presence/absence of inpatient therapy, patients were divided into four groups: BN-inpatients, n=9; BN-outpatients, n=9; BED-inpatients, n=2; BED-outpatients, n=8. Glycosylated hemoglobin (HbA1c); psychological measures assessing eating disorder psychopathology (EDI), depression (SDS), and anxiety (STAI); binge eating and purging behavior for each group were compared between first visit and follow-up. Results: In BED-outpatients, significantly lower HbA1c, SDS score, and frequency and amount of binge eating were seen at 3 years after first visit. In BN-inpatients, significantly lower HbA1c; EDI, SDS, and STAI scores; frequency and amount of binge eating; and rate of purging behaviors were seen at 3 years after discharge. Conclusions: Type 1 diabetic females with recurrent binge eating were effectively treated. BED patients were successfully treated on an outpatient basis, while BN patients needed inpatient therapy.

Original languageEnglish
Pages (from-to)291-296
Number of pages6
JournalInternational Congress Series
Volume1241
Issue numberC
DOIs
Publication statusPublished - Sep 1 2002

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Bulimia
Binge-Eating Disorder
Bulimia Nervosa
Inpatients
Outpatients
Psychopathology
Glycosylated Hemoglobin A
Feeding Behavior
Therapeutics
Ambulatory Care Facilities
Counseling
Research Design
Anxiety
Observation
Depression
Psychology
Physicians
Feeding and Eating Disorders

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

A cognitive/behavioral approach to type 1 diabetic females with recurrent binge eating : A 3-year follow-up study. / Takii, Masato; Uchigata, Yasuko; Komaki, Gen; Nozaki, Takehiro; Kawai, Keisuke; Nishikata, Hiroaki; Kawai, Hiromi; Morioka, Kayo; Iwamoto, Yasuhiko; Kubo, Chiharu.

In: International Congress Series, Vol. 1241, No. C, 01.09.2002, p. 291-296.

Research output: Contribution to journalArticle

Takii, M, Uchigata, Y, Komaki, G, Nozaki, T, Kawai, K, Nishikata, H, Kawai, H, Morioka, K, Iwamoto, Y & Kubo, C 2002, 'A cognitive/behavioral approach to type 1 diabetic females with recurrent binge eating: A 3-year follow-up study', International Congress Series, vol. 1241, no. C, pp. 291-296. https://doi.org/10.1016/S0531-5131(02)00614-3
Takii, Masato ; Uchigata, Yasuko ; Komaki, Gen ; Nozaki, Takehiro ; Kawai, Keisuke ; Nishikata, Hiroaki ; Kawai, Hiromi ; Morioka, Kayo ; Iwamoto, Yasuhiko ; Kubo, Chiharu. / A cognitive/behavioral approach to type 1 diabetic females with recurrent binge eating : A 3-year follow-up study. In: International Congress Series. 2002 ; Vol. 1241, No. C. pp. 291-296.
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AU - Nishikata, Hiroaki

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