부산대학교 도서관

Aim: To explore cross‐sectional associations between executive function problems and disordered eating behaviours in teens with type 1 diabetes. Methods: Executive function was assessed by the Behavior Rating Inventory of Executive Function (BRIEF), self‐report and parent proxy‐report versions. Scores ≥60 (on Global Executive Composite, Behavioral Regulation Index, Metacognition Index or clinical scales) indicated problems with executive function. Disordered eating behaviour was assessed by the Diabetes Eating Problem Survey Revised (DEPS‐R) and categorized as follows: <10 low, 10–19 moderate and ≥20 high. Results: In the 169 teens (46% girls, median age 16.0 years [range 13.7–18.7], median diabetes duration 8.9 years [range 1.4–16.6]), 29% had moderate and 12% had high level of disordered eating behaviours. Executive function problems were present in 9% by self report and 26% by parent proxy‐report. Among teens with moderate/high level of disordered eating behaviours, 19% had executive function problems by self report (vs. 2% of teens with low level of disordered eating behaviours, p < 0.001) and 33% had executive function problems by parent proxy‐report (vs. 20% of teens with low level of disordered eating behaviours, p = 0.056). A greater level of disordered eating behaviours was associated with executive function problems by teen self report on the General Executive Composite (p < 0.001), Behavioral Regulation Index (p < 0.001), emotional control clinical scale (p < 0.001), shift clinical scale (p < 0.001) and by parent proxy‐report on the task initiation clinical scale (p = 0.008). Conclusions: Assessing executive function and screening for disordered eating behaviours in teens with type 1 diabetes could help identify a subset of teens at high risk for adverse outcomes and need for intervention. [ABSTRACT FROM AUTHOR]