Eating Disturbance of Female Patients with Type-1 DM

本研究研究了女性1型糖尿病患者类似饮食失调的饮食障碍（DSM-III）。1999年，制定了EBAS（环境障碍依从性量表）问卷来衡量患者对糖尿病治疗的依从性，并检查了问卷中的项目（Cronbach α: 0.73-0,83）。2000年，我们询问了专门从事糖尿病治疗的医生是否有治疗表现为进食障碍的1型糖尿病女性患者的经历，以及如果有的话，这些病例是如何进展的（受访者：254人；报告病例：97人），并对EBAS问卷进行了修改。报告病例的症状包括暴饮暴食、自我呕吐、滥用泻药等。2001年，当这项与医生的研究继续进行时（受访者：246人；病例报告：45人），修订的EBAS问卷被用于调查糖尿病患者的依从性障碍（Cronbach α: 0.77-0.80）。同时，我们询问了从事糖尿病患者治疗的营养师和护士，他们在咨询或护理表现出饮食障碍的1型糖尿病女性患者方面的经历，以及这些病例的简要进展情况(营养师受访者：143人；报告病例：22人；护士受访者：120人（门诊护士）和140人（住院护士）；报告病例：门诊52例，住院65例。此外，我们还采访了女性1型糖尿病患者，在这些研究结果的基础上，进一步研究饮食治疗对糖尿病患者日常生活的意义。

This study researched into eating disturbances resembling eating disorder (DSM-III) in female patients with type-1 DM. In 1999, an EBAS (Environmental Barriers to Adherence Scale) questionnaire was created to measure patient adherence to DM treatments, examining items included in the questionnaire (Cronbach α : 0.73-0,83). In 2000, we questioned physicians specializing in DM treatment whether they had had experiences of treating type-1 DM female patients manifesting eating disturbances and how such cases, if any, had progressed in brief (respondents : 254 ; cases reported : 97) , and the EBAS questionnaire was modified. Reported case's symptoms were comprised binge eating, self-induced vomiting, abuse of laxative, and so on.In 2001, while this study with physicians was continued (respondents : 246 ; cases reported : 45), the revised EBAS questionnaire was used to survey adherence barriers in patients with DM (Cronbach α : 0.77-0.80). And in parallel, we questioned dieticians and nurses engaged in treatment of DM patients what experiences they had had in counseling or nursing female patients with type-1 DM manifesting eating disturbances and how such cases had progressed in brief (dietician respondents : 143 ; cases reported : 22 ; nurse respondents : 120 (outpatient nurses) and 140 (inpatient nurses) ; cases 'reported : 52 (outpatients) and 65 (inpatients).Furthermore, we interviewed female patients with type-1 DM, and based on the results of these studies, further study was made about the meanings of diet therapies for DM patients in daily life.