Evidence map›Paper›PMID 41484931›Full record

ReviewJournal of eating disorders2026

Efficacy of interventions to prevent eating disorders in people with type 1 diabetes: a systematic review.

Neisha D'Silva, Nikka S Sandoval, Kerri M Gillespie, Line Wisting, Christel Hendrieckx, Eric Stice, Lee Jones, Sean N Gannon, Warren Ward, Melanie White and 1 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of eating disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Neisha D'SilvaSchool of Clinical Sciences, Faculty of Health, Queensland University of Technology, Kelvin Grove, 4059, Brisbane, QLD, Australia. neisha.dsilva@hdr.qut.edu.au.
Nikka S SandovalSchool of Clinical Sciences, Faculty of Health, Queensland University of Technology, Kelvin Grove, 4059, Brisbane, QLD, Australia.
Kerri M GillespieSchool of Clinical Sciences, Faculty of Health, Queensland University of Technology, Kelvin Grove, 4059, Brisbane, QLD, Australia.
Line WistingRegional Department for Eating Disorders, Division of Mental Health and Addiction, Oslo University Hospital, 0450, Oslo, Norway.
Christel HendrieckxSchool of Psychology, Deakin University, 3220, Geelong, VIC, Australia.
Eric SticeDepartment of Psychiatry and Behavioral Science, Stanford University, 94305, Palo Alto, USA.
Lee JonesQIMR Berghofer Medical Research Institute, 4006, Herston, QLD, Australia.
Sean N GannonQIMR Berghofer Medical Research Institute, 4006, Herston, QLD, Australia.
Warren WardThe University of Queensland, 4006, Herston, QLD, Australia.
Melanie WhiteSchool of Psychology and Counselling, Faculty of Health, Queensland University of Technology, 4059, Kelvin Grove, QLD, Australia.
Selena E BartlettSchool of Clinical Sciences, Faculty of Health, Queensland University of Technology, Kelvin Grove, 4059, Brisbane, QLD, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals with type 1 diabetes (T1D) are at increased risk of developing disordered eating (DE) and eating disorders (ED). Diabetes self-management focuses on food and insulin administration, which may contribute to development of EDs. The dual diagnosis may contribute to suboptimal glycemia, early diabetes-related complications and mortality. Evidence for ED prevention programs for this high-risk population remains limited. This systematic review aims to evaluate the feasibility and efficacy of available interventions to prevent EDs and improve glycemia in people with T1D.

methodsA literature search of PubMed, Embase, PsycINFO, CINAHL and Web of Science was conducted on 25 January 2025. Studies using randomized controlled, quasi-experimental or cohort design that targeted ED prevention in T1D population were included.

resultsNine studies met the inclusion criteria, featuring interventions such as cognitive dissonance based programs, psychoeducation and self-compassion programs. Cognitive dissonance based programs demonstrated the most consistent reduction in ED risks and symptoms. However, most studies showed negligible improvement in glycemia. Common limitations were small sample sizes, high drop-out rates and short follow-ups.

conclusionFuture research should focus on well-powered RCTs to evaluate interventions over longer timeframes, younger age groups, both genders, carer involvement and additional modifications to improve glycemia concurrently.

Indexed as

Disordered eatingEating disorderInterventionSystematic reviewType 1 diabetes

Identifiers

PMID41484931
PMCPMC12764009

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.