{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T09:18:56Z","timestamp":1778923136979,"version":"3.51.4"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2020,5,15]],"date-time":"2020-05-15T00:00:00Z","timestamp":1589500800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Children\u2019s National Hospital"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Management of type 1 diabetes (T1D) may be difficult for adolescents, who often fail to meet glycemic targets. Adolescents are also at an increased risk for negative affect (i.e., anxiety, depressive symptoms) and are prone to disordered eating behaviors (DEB). This study hypothesized that negative affect would be associated with DEB, self-management, and glycemic control, but that this would be moderated by negative urgency (the urge to engage in impulsive behaviors in response to negative affect), such that this relationship would be significant only for those with higher negative urgency.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The Eating in Adolescents with T1D Study recruited 100 caregiver-adolescent dyads (55% male youth, 48% Caucasian) to complete questionnaires reporting on the adolescent\u2019s negative affect, negative urgency, DEB, and diabetes management. Glycemic control 3\u20134\u2009months following survey completion was extracted from the medical record.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 61% of adolescents reported elevated symptoms of anxiety or depression and 25% reported elevated disordered eating symptoms. A total of 81% of adolescents had an A1c level above recommended targets. Negative affect was associated with DEB, suboptimal T1D self-management, and suboptimal glycemic outcomes, moderated by higher levels of negative urgency. Negative affect was associated directly with suboptimal self-management and glycemic control, but not DEB, at all levels of negative urgency.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Adolescents reported high levels of negative affect, DEB, and suboptimal glycemic control. Interventions that target negative affect and negative urgency in adolescents with T1D are needed in order to reduce the risk for DEB and negative diabetes health outcomes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jpepsy\/jsaa027","type":"journal-article","created":{"date-parts":[[2020,4,6]],"date-time":"2020-04-06T19:11:20Z","timestamp":1586200280000},"page":"583-591","source":"Crossref","is-referenced-by-count":17,"title":["Risk of Disordered Eating Behaviors in Adolescents with Type 1 Diabetes"],"prefix":"10.1093","volume":"45","author":[{"given":"Meredith","family":"Rose","sequence":"first","affiliation":[{"name":"Children\u2019s National Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Randi","family":"Streisand","sequence":"first","affiliation":[{"name":"Children\u2019s National Hospital"},{"name":"George Washington University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0399-5889","authenticated-orcid":false,"given":"Carrie","family":"Tully","sequence":"first","affiliation":[{"name":"Children\u2019s National Hospital"},{"name":"George Washington University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren","family":"Clary","sequence":"first","affiliation":[{"name":"Children\u2019s National Hospital"},{"name":"George Washington University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maureen","family":"Monaghan","sequence":"first","affiliation":[{"name":"Children\u2019s National Hospital"},{"name":"George Washington University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jichuan","family":"Wang","sequence":"first","affiliation":[{"name":"Children\u2019s National Hospital"},{"name":"George Washington University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eleanor","family":"Mackey","sequence":"first","affiliation":[{"name":"Children\u2019s National Hospital"},{"name":"George Washington University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,5,15]]},"reference":[{"key":"2020051814384911900_jsaa027-B1","first-page":"S46","article-title":"Standards of medical care in diabetes - 2010","volume":"42(Suppl 1","year":"2019","journal-title":"Diabetes Care"},{"key":"2020051814384911900_jsaa027-B2","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1056\/NEJM198607243150402","article-title":"Impaired insulin action in puberty","volume":"315","author":"Amiel","year":"1986","journal-title":"New England Journal of Medicine"},{"key":"2020051814384911900_jsaa027-B3","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1093\/jpepsy\/jss107","article-title":"Qualitative development of the PROMIS\u00ae pediatric stress response item banks","volume":"38","author":"Bevans","year":"2013","journal-title":"Journal of Pediatric Psychology"},{"key":"2020051814384911900_jsaa027-B4","doi-asserted-by":"crossref","first-page":"1052","DOI":"10.2337\/diacare.26.4.1052","article-title":"Poor prognosis of young adults with type 1 diabetes: a longitudinal study","volume":"26","author":"Bryden","year":"2003","journal-title":"Diabetes Care"},{"key":"2020051814384911900_jsaa027-B5","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.psyneuen.2016.04.019","article-title":"Symptoms of depression and anxiety in youth with type 1 diabetes: a systematic review and meta-analysis","volume":"70","author":"Buchberger","year":"2016","journal-title":"Psychoneuroendocrinology"},{"key":"2020051814384911900_jsaa027-B6","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1080\/10640266.2015.1118958","article-title":"Including the excluded: males and gender minorities in eating disorder prevention","volume":"24","author":"Cohn","year":"2016","journal-title":"Eating Disorders: The Journal of Prevention and Treatment"},{"key":"2020051814384911900_jsaa027-B7","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1002\/eat.20851","article-title":"A risk model for preadolescent disordered eating","volume":"44","author":"Combs","year":"2011","journal-title":"International Journal of Eating Disorders"},{"key":"2020051814384911900_jsaa027-B8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2017\/1075428","article-title":"Measures of adherence and challenges in using glucometer data in youth with type 1 diabetes: rethinking the value of self-report","volume":"2017","author":"Datye","year":"2017","journal-title":"Journal of Diabetes Research"},{"key":"2020051814384911900_jsaa027-B17246442","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1146\/annurev-clinpsy-050212-185617","article-title":"Principles underlying the use of multiple informants' reports","author":"De Los Reyes","year":"2013","journal-title":"Annual Review of Clinical Psychology"},{"key":"2020051814384911900_jsaa027-B9","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1111\/pedi.12737","article-title":"ISPAD Clinical Practice Consensus Guidelines 2018: glycemic control targets and glucose monitoring for children, adolescents, and young adults with diabetes","volume":"19(Suppl 27","author":"DiMeglio","year":"2018","journal-title":"Pediatric Diabetes"},{"key":"2020051814384911900_jsaa027-B10","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/21642850.2017.1415810","article-title":"Feasibility of mindfulness-based stress reduction for older adolescents and young adults with poorly controlled type 1 diabetes","volume":"6","author":"Ellis","year":"2018","journal-title":"Health Psychology and Behavioral Medicine"},{"key":"2020051814384911900_jsaa027-B11","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1089\/dia.2018.0384","article-title":"State of type 1 diabetes management and outcomes from the T1D Exchange in 2016-2018","volume":"21","author":"Foster","year":"2019","journal-title":"Diabetes Technology & Therapeutics"},{"key":"2020051814384911900_jsaa027-B12","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1007\/s11892-009-0023-8","article-title":"Disturbed eating behaviors and eating disorders in type 1 diabetes: clinical significance and treatment recommendations","volume":"9","author":"Goebel-Fabbri","year":"2009","journal-title":"Current Diabetes Reports"},{"key":"2020051814384911900_jsaa027-B13","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/s40479-018-0087-7","article-title":"Negative urgency partially accounts for the relationship between major depressive disorder and marijuana problems","volume":"5","author":"Gunn","year":"2018","journal-title":"Borderline Personality Disorder and Emotion Dysregulation"},{"key":"2020051814384911900_jsaa027-B14","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1007\/s11892-013-0418-4","article-title":"Eating disorders and disordered eating in type 1 diabetes: prevalence, screening, and treatment options","volume":"13","author":"Hanlan","year":"2013","journal-title":"Current Diabetes Reports"},{"key":"2020051814384911900_jsaa027-B15","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)\u2014a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"Journal of Biomedical Informatics"},{"key":"2020051814384911900_jsaa027-B16","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.jadohealth.2012.05.009","article-title":"Predictors of deteriorations in diabetes management and control in adolescents with type 1 diabetes","volume":"52","author":"Hilliard","year":"2013","journal-title":"Journal of Adolescent Health"},{"key":"2020051814384911900_jsaa027-B17","doi-asserted-by":"crossref","first-page":"e1171","DOI":"10.1542\/peds.2009-0207","article-title":"Association between adherence and glycemic control in pediatric type 1 diabetes: a meta-analysis","volume":"124","author":"Hood","year":"2009","journal-title":"Pediatrics"},{"key":"2020051814384911900_jsaa027-B18","doi-asserted-by":"crossref","first-page":"23","DOI":"10.2337\/ds15-0041","article-title":"Perceptions of adolescent patients of the \u201clived experience\u201d of type 1 diabetes","volume":"30","author":"King","year":"2017","journal-title":"Diabetes Spectrum"},{"key":"2020051814384911900_jsaa027-B19","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1093\/jpepsy\/jsp032","article-title":"Validity and reliability of an adolescent and parent rating scale of type 1 diabetes adherence behaviors: the Self-Care Inventory (SCI)","volume":"34","author":"Lewin","year":"2009","journal-title":"Journal of Pediatric Psychology"},{"key":"2020051814384911900_jsaa027-B20","doi-asserted-by":"crossref","first-page":"797","DOI":"10.2337\/dc08-1990","article-title":"Continuity and change in glycemic control trajectories from adolescence to emerging adulthood: relationships with family climate and self-concept in type 1 diabetes","volume":"32","author":"Luyckx","year":"2009","journal-title":"Diabetes Care"},{"key":"2020051814384911900_jsaa027-B21","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.appet.2018.04.025","article-title":"A multimodal investigation of impulsivity as a moderator of the relation between momentary elevations in negative internal states and subsequent dietary lapses","volume":"127","author":"Manasse","year":"2018","journal-title":"Appetite"},{"key":"2020051814384911900_jsaa027-B22","doi-asserted-by":"crossref","first-page":"495","DOI":"10.2337\/dc09-1890","article-title":"Brief screening tool for disordered eating in diabetes: internal consistency and external validity in a contemporary sample of pediatric patients with type 1 diabetes","volume":"33","author":"Markowitz","year":"2010","journal-title":"Diabetes Care"},{"key":"2020051814384911900_jsaa027-B23","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1080\/15374416.2012.734021","article-title":"Associations between dispositions to rash action and internalizing and externalizing symptoms in children","volume":"42","author":"Marmorstein","year":"2013","journal-title":"Journal of Clinical Child & Adolescent Psychology"},{"key":"2020051814384911900_jsaa027-B24","doi-asserted-by":"crossref","first-page":"1419","DOI":"10.1056\/NEJMoa1610187","article-title":"Incidence trends of type 1 and type 2 diabetes among youths, 2002\u20132012","volume":"376","author":"Mayer-Davis","year":"2017","journal-title":"New England Journal of Medicine"},{"key":"2020051814384911900_jsaa027-B26","doi-asserted-by":"crossref","first-page":"e49185","DOI":"10.1371\/journal.pone.0049185","article-title":"Brain structural neural correlates of reward sensitivity and impulsivity in adolescents with normal and excess weight","volume":"7","author":"Moreno-Lopez","year":"2012","journal-title":"PLoS One"},{"key":"2020051814384911900_jsaa027-B3894982","author":"Muthe\u0301n","year":"2016"},{"key":"2020051814384911900_jsaa027-B27","doi-asserted-by":"crossref","first-page":"1289","DOI":"10.2337\/diacare.25.8.1289","article-title":"Weight control practices and disordered eating behaviors among adolescent females and males with type 1 diabetes: associations with sociodemographics, weight concerns, familial factors, and metabolic outcomes","volume":"25","author":"Neumark-Sztainer","year":"2002","journal-title":"Diabetes Care"},{"key":"2020051814384911900_jsaa027-B28","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1017\/S0033291799008454","article-title":"Prevalence, 20-month incidence and outcome of unipolar depressive disorders in a community sample of adolescents","volume":"29","author":"Oldehinkel","year":"1999","journal-title":"Psychological Medicine"},{"key":"2020051814384911900_jsaa027-B29","doi-asserted-by":"crossref","first-page":"1978","DOI":"10.2337\/dc08-0333","article-title":"Prediction of the onset of disturbed eating behavior in adolescent girls with type 1 diabetes","volume":"31","author":"Olmsted","year":"2008","journal-title":"Diabetes Care"},{"key":"2020051814384911900_jsaa027-B30","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1016\/j.drugalcdep.2014.09.771","article-title":"Depressive symptoms, negative urgency and substance use initiation in adolescents","volume":"144","author":"Pang","year":"2014","journal-title":"Drug and Alcohol Dependence"},{"key":"2020051814384911900_jsaa027-B529237122"},{"key":"2020051814384911900_jsaa027-B31","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1080\/10615806.2015.1134786","article-title":"The relationship between negative urgency and generalized anxiety disorder symptoms: the role of intolerance of negative emotions and intolerance of uncertainty","volume":"29","author":"Pawluk","year":"2016","journal-title":"Anxiety, Stress, & Coping"},{"key":"2020051814384911900_jsaa027-B32","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1093\/jpepsy\/jsu106","article-title":"Topical review: a comprehensive risk model for disordered eating in youth with type 1 diabetes","volume":"40","author":"Peterson","year":"2015","journal-title":"Journal of Pediatric Psychology"},{"key":"2020051814384911900_jsaa027-B33","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1037\/a0031250","article-title":"Exploring the relationship between negative urgency and dysregulated eating: etiologic associations and the role of negative affect","volume":"122","author":"Racine","year":"2013","journal-title":"Journal of Abnormal Psychology"},{"key":"2020051814384911900_jsaa027-B34","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1007\/s11920-018-0938-3","article-title":"Eating disorders in ethnic minorities: an update","volume":"20","author":"Rodgers","year":"2018","journal-title":"Current Psychiatry Reports"},{"key":"2020051814384911900_jsaa027-B35","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1093\/jpepsy\/jsx127","article-title":"Impulse control in negative mood states, emotional eating, and food addiction are associated with lower quality of life in adolescents with severe obesity","volume":"43","author":"Rose","year":"2018","journal-title":"Journal of Pediatric Psychology"},{"key":"2020051814384911900_jsaa027-B36","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.ctim.2017.04.003","article-title":"Pilot randomized controlled trial of a mindfulness-based group intervention in adolescent girls at risk for type 2 diabetes with depressive symptoms","volume":"32","author":"Shomaker","year":"2017","journal-title":"Complementary Therapies in Medicine"},{"key":"2020051814384911900_jsaa027-B37","doi-asserted-by":"crossref","first-page":"1541","DOI":"10.1111\/dme.12839","article-title":"Developing a theoretical maintenance model for disordered eating in type 1 diabetes","volume":"32","author":"Treasure","year":"2015","journal-title":"Diabetic Medicine"},{"key":"2020051814384911900_jsaa027-B39","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1002\/per.556","article-title":"Validation of the UPPS impulsive behaviour scale: a four-factor model of impulsivity","volume":"19","author":"Whiteside","year":"2005","journal-title":"European Journal of Personality"},{"key":"2020051814384911900_jsaa027-B40","doi-asserted-by":"crossref","first-page":"2126","DOI":"10.2337\/dc16-2053","article-title":"Psychosocial care for people with diabetes: a position statement of the American Diabetes Association","volume":"39","author":"Young-Hyman","year":"2016","journal-title":"Diabetes Care"},{"key":"2020051814384911900_jsaa027-B41","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1177\/1932296816645118","article-title":"Depressive symptoms, emotion dysregulation, and bulimic symptoms in youth with type 1 diabetes","volume":"10","author":"Young-Hyman","year":"2016","journal-title":"Journal of Diabetes Science and Technology"}],"container-title":["Journal of Pediatric Psychology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jpepsy\/article-pdf\/45\/5\/583\/33232591\/jsaa027.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jpepsy\/article-pdf\/45\/5\/583\/33232591\/jsaa027.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,18]],"date-time":"2020-05-18T21:38:52Z","timestamp":1589837932000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jpepsy\/article\/45\/5\/583\/5835529"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,15]]},"references-count":42,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2020,5,15]]},"published-print":{"date-parts":[[2020,6,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jpepsy\/jsaa027","relation":{},"ISSN":["0146-8693","1465-735X"],"issn-type":[{"value":"0146-8693","type":"print"},{"value":"1465-735X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,6]]},"published":{"date-parts":[[2020,5,15]]}}}