# Sociocultural Attitudes Toward Appearance and Attitudes Toward Eating in Adolescents With Type 1 Diabetes: The Importance of Perfectionism

## TL;DR

This study explores how perfectionism mediates the link between appearance attitudes and eating issues in teens with type 1 diabetes.

## Contribution

The study identifies perfectionism as a key mediator in the relationship between sociocultural appearance attitudes and eating disorder risk in adolescents with type 1 diabetes.

## Key findings

- Perfectionism associated with eating problems fully mediates the relationship between sociocultural appearance attitudes and eating attitudes.
- High levels of perfectionism may increase the risk of eating problems in adolescents with type 1 diabetes.
- Interventions targeting perfectionism could help prevent eating disorders in this population.

## Abstract

Objective: Adolescents managing type 1 diabetes (T1D) are at increased risk of experiencing eating disorders (EDs). Identifying risk factors is essential to develop preventive strategies. This study examines the potential mediation value of self-esteem and the perfectionism associated with EDs in the relationship between sociocultural attitudes toward appearance and eating attitudes related to EDs in a sample of adolescents with T1D.

Methods: Forty-six adolescents aged 12–17 years diagnosed with T1D participated in the current study. Sociocultural attitudes toward appearance, perfectionism associated with EDs, and self-esteem were measured. Multiple and simple mediator analyses using the bootstrapping method with bias-corrected confidence estimates were conducted.

Results: Our results show that perfectionism associated with eating problems is not only related to sociocultural attitudes toward appearance and eating attitudes, but rather the relationship between these last two variables would be fully mediated by perfectionism.

Conclusions: A high degree of perfectionism could be a risk variable when developing potential eating problems in T1D adolescents. Perfectionism and its self-management would be a prominent factor that may help to design interventions developed for adolescents with diabetes who show behaviors that potentially conflict with eating. The clinical implications are discussed.