Nicola R Gawlik1, Anna J Elias2, Malcolm J Bond3. 1. School of Psychology, Flinders University, Adelaide, Australia. 2. School of Medicine, Flinders University, Level 3, Health Sciences Building, GPO Box 2100, Adelaide, South Australia, 5001, Australia. 3. School of Medicine, Flinders University, Level 3, Health Sciences Building, GPO Box 2100, Adelaide, South Australia, 5001, Australia. malcolm.bond@flinders.edu.au.
Abstract
BACKGROUND: Concomitants of Type 1 diabetes management include weight gain and dietary restraint. Body image concerns, particularly among women, are therefore common. PURPOSE: The study evaluated associations between the appearance investment component of body image, age, quality of life and self-reported metabolic control were examined, along with the practice of insulin restriction as a weight control strategy. METHOD: A questionnaire comprising demographic and diabetes-related information, the Appearance Schemas Inventory, and Diabetes Quality of Life Brief Clinical Inventory was completed by Australian women diagnosed with type 1 diabetes (N = 177). RESULTS: Self-evaluative salience was higher among younger participants, those with a lower quality of life, and those with better metabolic control of their diabetes, with the relationships between metabolic control and all of age, quality of life, and self-evaluative salience noted to be non-linear. Among participants who reported restricting insulin for weight control, self-evaluative salience was particularly relevant. Motivational salience was not related to other study variables. CONCLUSION: Clinically, the provision of information regarding appearance changes that might arise in order to mitigate later body image difficulties is a potentially beneficial adjunct to standard diabetes management protocols that may lead to more successful disease adjustment.
BACKGROUND: Concomitants of Type 1 diabetes management include weight gain and dietary restraint. Body image concerns, particularly among women, are therefore common. PURPOSE: The study evaluated associations between the appearance investment component of body image, age, quality of life and self-reported metabolic control were examined, along with the practice of insulin restriction as a weight control strategy. METHOD: A questionnaire comprising demographic and diabetes-related information, the Appearance Schemas Inventory, and Diabetes Quality of Life Brief Clinical Inventory was completed by Australian women diagnosed with type 1 diabetes (N = 177). RESULTS: Self-evaluative salience was higher among younger participants, those with a lower quality of life, and those with better metabolic control of their diabetes, with the relationships between metabolic control and all of age, quality of life, and self-evaluative salience noted to be non-linear. Among participants who reported restricting insulin for weight control, self-evaluative salience was particularly relevant. Motivational salience was not related to other study variables. CONCLUSION: Clinically, the provision of information regarding appearance changes that might arise in order to mitigate later body image difficulties is a potentially beneficial adjunct to standard diabetes management protocols that may lead to more successful disease adjustment.
Entities:
Keywords:
Appearance investment; Insulin restriction; Metabolic control; Quality of life; Type 1 diabetes
Authors: Gary Rodin; Marion P Olmsted; Anne C Rydall; Sherry I Maharaj; Patricia A Colton; Jennifer M Jones; Lisa A Biancucci; Denis Daneman Journal: J Psychosom Res Date: 2002-10 Impact factor: 3.006
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