Psychological and Medical Problems in Female Insulin-Dependent Diabetes Mellitus Patients with Recurrent Binge Eating.
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Accession number;99A0455002
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| Title;Psychological and Medical Problems in Female Insulin-Dependent Diabetes Mellitus Patients with Recurrent Binge Eating. |
| Author;
TAKII MASATO
(Kyushu Univ., Fac. of Med.)
KOMAKI GEN
(Kyushu Univ., Fac. of Med.)
UCHIGATA YASUKO
(Tokyo Women's Medical College, Diabetic Center)
SATO AKIKO
(Tokyo Women's Medical College, Diabetic Center)
IWAMOTO YASUHIKO
(Tokyo Women's Medical College, Diabetic Center)
KUBO CHIHARU
(Kyushu Univ., Fac. of Med.)
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Journal Title;Journal of the Japan Diabetic Society
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Journal Code:Z0279B
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ISSN:0021-437X
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VOL.42;NO.2;PAGE.135-141(1999)
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| Figure&Table&Reference;FIG.1, TBL.3, REF.21 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;Thirty-eight female IDDM patients with recurrent binge eating episodes were divided into two groups according to the "Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition"(DSM-IV) criteria: IDDM patients with bulimia nervosa (DM+BN, n=23) and those with an "eating disorder not otherwise specified" (DM+NOS, n=15). A number of psychological and medical variables were compared between these two groups and three control groups: IDDM patients without eating disorders (DM+ED(-)), non-diabetic patients with bulimia nervosa(BN), and women without diabetes and eating disorders (NORMAL). DM+BN showed the most severe psychopathology related to eating disorders, depressiveness, anxiety, highest HbA1c level, highest rate of diabetic retinopathy and neuropathy. On the other hand, DM+ED(-) had the least psychological and medical problems and DM+NOS was between DM+BN and DM+ED(-). Moreover, DM+BN manifested psychopathology as severely as BN, and DM+ED(-) as mildly as NORMAL. It may be useful to classify IDDM patients with binge eating behavior according to the diagnostic criteria of eating disorders in the DSM-IV criteria in order to identity the severity of their psychological and medical factors and to lead them to appropriate therapeutic interventions. (author abst.) |
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