Interactive programme to enhance protective factors for eating disorders in girls with type 1 diabetes

"This is the peer reviewed version of the following article: [Wilksch, S. M., Starkey, K., Gannoni, A., Kelly, T. and Wade, T. D. (2013), Interactive programme to enhance protective factors for eating disorders in girls with type 1 diabetes. Early Intervention in Psychiatry, 7: 315–321], which has been published in final form at [http://dx.doi.org/10.1111/eip.12012]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. http://olabout.wiley.com/WileyCDA/Section/id-820227.html#terms"AIMS: This study evaluated the effectiveness of a pilot programme in enhancing protective factors for eating disorders in young girls with type 1 diabetes (T1D). METHODS: Twenty girls with T1D (M age = 11.06 years) attended two 4-h group sessions. A 4-week baseline control period was compared against changes at post-programme and at 1-month follow-up on measures of eating disorder risk factors and indicators of glycaemic control. RESULTS: At post-intervention, significant improvements were found for self-efficacy related to diabetes management, self-esteem, body-esteem,thin-ideal internalization and perfectionism. These gains were maintained at 1-month follow-up. Participants were also rated by their parents as assuming more responsibility for specific diabetes-related tasks at follow-up. CONCLUSIONS: A brief interactive programme can favourably impact protective factors for disordered eating. The development of effective disordered eating prevention strategies for girls with T1D is an urgent priority and the current study is a first step in this direction