Evidence map›Paper›PMID 42169365›Full record

SynthesisDiabetic medicine : a journal of the British Diabetic Association2026

Psychological research in eating disorders/disordered eating in type 1 diabetes: A systematic review using the NIH stage model for behavioural intervention development.

Heather L Stuckey, Debbie Cooke, Amy C Knehans, Timothy C Skinner

Abstract readSystematic Review
In one paragraph

Synthesis in Diabetic medicine : a journal of the British Diabetic Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

4 authors.

Heather L StuckeyDepartment of Medicine, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-3200-3543
Debbie CookeDepartment of Health & Medical Sciences, University of Surrey, Guildford, UK.
Amy C KnehansDepartment of Library Sciences, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, USA.
Timothy C SkinnerDepartment of Health Psychology, Australian Centre for Behavioural Research in Diabetes, Melbourne, Victoria, Australia.

Funding

Breakthrough T1D
6 · The paper itself

Abstract

aimsEating disorders in type 1 diabetes are 2.4 times more likely to develop than those who do not have diabetes. The aim was to conduct a systematic review on psychological interventions in IRDEB (insulin-related disordered eating behaviour)/eating disorders with adults who have type 1 diabetes. The review describes the type and quality of studies with control/comparison groups, as well as qualitative research, and synthesises the research according to the NIH Stage Model of Behavioural Intervention Development. Classification according to the Model allows for discussion of gaps and recommendations for further research.

methodsThe methodology for this research followed PRISMA guidelines, with inclusion criteria of: (1) type 1 diabetes; (2) adults (age ≥18); (3) behavioural and psychological interventions in eating disorders or disordered eating; (4) primary outcome being psychological, (5) conducted from 2014 to February 2024; (6) in English; (7) full-text, peer-reviewed articles; AND (8) quantitative trials with control or comparison groups OR (9) qualitative research.

resultsFrom a total of 28 studies related to type 1 diabetes and psychological outcomes, nine studies were found to be relevant to IRDEB and eating disorders. Although studies of disorders have risen in publication, there was only one completed full RCT since 2014, which met the inclusion criteria, the Diabetes Body Project. Methodological designs for the nine studies included six qualitative studies and three experimental studies. Six studies were categorised as Stage 0, one as Stage 1, one as Stage II and one as Stage III. Two studies included participants with 'diabulimia' alone, and the seven remaining studies combined eating disorders and eating disorder symptoms (e.g., 'diabulimia', anorexia, binge-eating, bulimia).

conclusionsWith the limited research that is available, and only one recently completed RCT, the opportunities for research in IRDEB/eating disorders are capacious. There is a need to tailor existing eating disorder interventions to T1D and to continue to investigate the efficacy (Stages II and III), and effectiveness (Stages IV and V), keeping in mind the unique needs and conditions under which IRDEB and eating disorder symptoms emerge.

Indexed as

Behavior TherapyDiabetes Mellitus, Type 1Feeding and Eating DisordersAdultHumanspsychosocialsystematic reviewstype 1 diabetes

Identifiers

PMID42169365
PMCPMC13613988

What OpenQuestion holds

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Registered trials

None linked

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.