{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T01:37:15Z","timestamp":1785375435295,"version":"3.55.0"},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T00:00:00Z","timestamp":1708387200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009360","name":"King's College London","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009360","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>This qualitative study aimed to develop the first cognitive behavioural (CBT) model outlining the development and maintenance of disordered eating in adult men living with Type 1 diabetes to improve on previous theoretical models of Type 1 diabetes and disordered eating and to draw comparisons to women with Type 1 diabetes and disordered eating.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty\u2010seven men (<jats:italic>n<\/jats:italic>\u2009=\u200916 with Type 1 diabetes and disordered eating, <jats:italic>n<\/jats:italic>\u2009=\u200911 with Type 1 diabetes without disordered eating) participated in semi\u2010structured interviews. Data were analysed using thematic analysis and individual CBT formulations were developed for each participant to inform the model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Men with Type 1 diabetes and disordered eating experience negative thoughts about food, insulin, weight\/shape and diabetes itself, which cause negative emotions such as fear and vulnerability and difficulties with diabetes self care such as problems with hyper and hypoglycaemia and problems accessing structured education and technology result in men feeling more dissatisfied about their body weight\/shape.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This CBT model of disordered eating in men with Type 1 diabetes can guide new interventions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.15287","type":"journal-article","created":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T05:59:22Z","timestamp":1708495162000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["A cognitive behavioural model of the bidirectional relationship between disordered eating and diabetes self care in adult men with Type 1 diabetes mellitus"],"prefix":"10.1111","volume":"41","author":[{"given":"Amy","family":"Harrison","sequence":"first","affiliation":[{"name":"Department of Psychological Medicine, Diabetes, Psychology and Psychiatry Research Group King's College London  London UK"},{"name":"Department of Diabetes, School of Cardiovascular and Metabolic Medicine and Sciences King's College London  London UK"},{"name":"Department of Psychology and Human Development Institute of Psychiatry, University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanouela","family":"Konstantara","sequence":"additional","affiliation":[{"name":"Department of Diabetes, School of Cardiovascular and Metabolic Medicine and Sciences King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1720-1621","authenticated-orcid":false,"given":"Natalie","family":"Zaremba","sequence":"additional","affiliation":[{"name":"Department of Diabetes, School of Cardiovascular and Metabolic Medicine and Sciences King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennie","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Diabetes, School of Cardiovascular and Metabolic Medicine and Sciences King's College London  London UK"},{"name":"Diabetes Centre, King's College Hospital  London 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London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khalida","family":"Ismail","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, Diabetes, Psychology and Psychiatry Research Group King's College London  London UK"},{"name":"Diabetes Centre, King's College Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6869-9960","authenticated-orcid":false,"given":"Marietta","family":"Stadler","sequence":"additional","affiliation":[{"name":"Department of Diabetes, School of Cardiovascular and Metabolic Medicine and Sciences King's College London  London UK"},{"name":"Diabetes Centre, King's College Hospital  London 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