P19 Detection of eating disorders in type 1 diabetic patients through the DEPSR survey

Abstract

Introduction: Eating disorders (ED) are more prevalent among adolescents with type 1 diabetes compared to healthy adolescents. This association is worrying since it generates poor metabolic control and therefore increases the risk of developing the complications of diabetes, increasing the risk of mortality by three times (4). This is why early detection and proper management ofED in this population at risk represents a relevant aspect in their care. Objective: We examined the clinical utility of the DEPSR (diabetes eating problem surveyrevised) survey, a short selfreport questionnaire developed for patients with type 1 diabetes, in order to identify adolescents at risk. We also analysed whether other variables including clinical, psychosocial and conflict characteristics in relation to diabetes management are associated with a positive DEPS-R screening survey. Methods: Transversal, observational, analytical design study. Thirtythree adolescents with type 1 diabetes aged between 10 and 18 years old participated in an outpatient control of the Diabetes Service of the Hospital Pediátrico Dr Humberto Notti during the month of September 2019. All participants completed the DEPSR screening survey as well as a questionnaire regarding psychosocial characteristics and conflict around diabetes management (Diabetes Family Conflict Scale Revised DFCSR). The clinical variables were obtained from the participants' medical records. Differences were examined between the groups with positive (score greater than 20) and negative DEPR. Adolescents who submitted a positive screening survey were offered a referral to a specialized eating team for further evaluation.

Keywords

• desórdenes alimentarios
• diabetes tipo 1
• encuesta