{"id":{"repo_id":"east-anglia","oai_identifier":"oai:ueaeprints.uea.ac.uk:49598"},"canonical_url":"https://search.dev.ndltd.org/etd/east-anglia/oai:ueaeprints.uea.ac.uk:49598","repository":{"repo_id":"east-anglia","name":"University of East Anglia","base_url":"https://ueaeprints.uea.ac.uk/cgi/oai2"},"display":{"title":"Risk Factors for Eating Disturbances in Young People with Type 1 Diabetes and Chronic Asthma: The Role of Parenting Style and Self-Esteem.","abstract":"Background Research indicates that eating disturbances are twice as prevalent among adolescents with type 1 diabetes compared to their healthy peers; comparisons with other chronic illness groups are inconclusive. Adolescent self-esteem and parenting factors have been found to be associated with eating disturbances in type 1 diabetes. However, to date the literature is methodologically limited by a lack of comparison group, and has failed to consider the role of parent care and overprotection. Aims This study aimed to explore the relationship between adolescent-perceived parent care and overprotection, self-esteem and eating disturbances in a group of adolescents with type 1 diabetes compared to a group with asthma. Method Participants were 16 – 18 year old males and females with a diagnosis of type 1 diabetes (n = 65) or asthma (n = 37) recruited through NHS clinics. The Eating Disorder Examination-Questionnaire was used along with the Parental Bonding Instrument, as a measure of parent overprotection and care, and the Rosenberg Self-Esteem Scale. A cross-sectional, self-report questionnaire design was utilised. Results Unexpectedly, the asthma group reported significantly higher levels of eating psychopathology than the type 1 diabetes group. Significant negative associations were found between parent care and eating disturbances in both illness groups. Additionally, significant positive associations were found between parent overprotection and eating disturbances in the type 1 diabetes group, but not the asthma group. As predicted, self-esteem was strongly negatively correlated with eating disturbances in both groups. Conclusion Overall, the results suggest that adolescents with both asthma and type 1 diabetes may be vulnerable to higher levels of eating psychopathology, which in turn is associated with poorer self-esteem and less adaptive parenting. The findings are considered in relation to illness-related weight gain and the broader impact of chronic illness. The theoretical and clinical implications are discussed.","abstract_html":"Background Research indicates that eating disturbances are twice as prevalent among adolescents with type 1 diabetes compared to their healthy peers; comparisons with other chronic illness groups are inconclusive. Adolescent self-esteem and parenting factors have been found to be associated with eating disturbances in type 1 diabetes. However, to date the literature is methodologically limited by a lack of comparison group, and has failed to consider the role of parent care and overprotection. Aims This study aimed to explore the relationship between adolescent-perceived parent care and overprotection, self-esteem and eating disturbances in a group of adolescents with type 1 diabetes compared to a group with asthma. Method Participants were 16 – 18 year old males and females with a diagnosis of type 1 diabetes (n = 65) or asthma (n = 37) recruited through NHS clinics. The Eating Disorder Examination-Questionnaire was used along with the Parental Bonding Instrument, as a measure of parent overprotection and care, and the Rosenberg Self-Esteem Scale. A cross-sectional, self-report questionnaire design was utilised. Results Unexpectedly, the asthma group reported significantly higher levels of eating psychopathology than the type 1 diabetes group. Significant negative associations were found between parent care and eating disturbances in both illness groups. Additionally, significant positive associations were found between parent overprotection and eating disturbances in the type 1 diabetes group, but not the asthma group. As predicted, self-esteem was strongly negatively correlated with eating disturbances in both groups. Conclusion Overall, the results suggest that adolescents with both asthma and type 1 diabetes may be vulnerable to higher levels of eating psychopathology, which in turn is associated with poorer self-esteem and less adaptive parenting. The findings are considered in relation to illness-related weight gain and the broader impact of chronic illness. The theoretical and clinical implications are discussed.","abstract_has_math":false,"creators":["Hatton, J"],"institution":"University of East Anglia","degree_name":"phd","degree_level":"doctoral","degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2014,"date_issued":"2014-01","date_published":"2014-01","updated_at":"2026-07-24T02:12:03Z","subjects":[],"languages":["en"],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":null,"outbound_label":null,"outbound_source":null},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Hatton, J"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2014-01"]},{"key":"dc:date.issued","label":"Date","values":["2014-01"]},{"key":"dc:publisher.department","label":"Dc Publisher Department","values":["Norwich Medical School"]},{"key":"dc:publisher.institution","label":"Dc Publisher Institution","values":["University of East Anglia"]},{"key":"dc:relation.isreferencedby","label":"Dc Relation Isreferencedby","values":["https://ueaeprints.uea.ac.uk/id/eprint/49598/"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]},{"key":"dc:type.qualificationlevel","label":"Dc Type Qualificationlevel","values":["doctoral"]},{"key":"dc:type.qualificationname","label":"Dc Type Qualificationname","values":["phd"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["en"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://ueaeprints.uea.ac.uk/id/eprint/49598/1/Thesis_Judith_Hatton_2014.pdf"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Background Research indicates that eating disturbances are twice as prevalent among adolescents with type 1 diabetes compared to their healthy peers; comparisons with other chronic illness groups are inconclusive. Adolescent self-esteem and parenting factors have been found to be associated with eating disturbances in type 1 diabetes. However, to date the literature is methodologically limited by a lack of comparison group, and has failed to consider the role of parent care and overprotection. Aims This study aimed to explore the relationship between adolescent-perceived parent care and overprotection, self-esteem and eating disturbances in a group of adolescents with type 1 diabetes compared to a group with asthma. Method Participants were 16 – 18 year old males and females with a diagnosis of type 1 diabetes (n = 65) or asthma (n = 37) recruited through NHS clinics. The Eating Disorder Examination-Questionnaire was used along with the Parental Bonding Instrument, as a measure of parent overprotection and care, and the Rosenberg Self-Esteem Scale. A cross-sectional, self-report questionnaire design was utilised. Results Unexpectedly, the asthma group reported significantly higher levels of eating psychopathology than the type 1 diabetes group. Significant negative associations were found between parent care and eating disturbances in both illness groups. Additionally, significant positive associations were found between parent overprotection and eating disturbances in the type 1 diabetes group, but not the asthma group. As predicted, self-esteem was strongly negatively correlated with eating disturbances in both groups. Conclusion Overall, the results suggest that adolescents with both asthma and type 1 diabetes may be vulnerable to higher levels of eating psychopathology, which in turn is associated with poorer self-esteem and less adaptive parenting. The findings are considered in relation to illness-related weight gain and the broader impact of chronic illness. The theoretical and clinical implications are discussed."]},{"key":"dc:format","label":"Dc Format","values":["application/pdf"]},{"key":"dc:title","label":"Title","values":["Risk Factors for Eating Disturbances in Young People with Type 1 Diabetes and Chronic Asthma: The Role of Parenting Style and Self-Esteem."]}]}],"canonical_facts":{"dc:creator":["Hatton, J"],"dc:date":["2014-01"],"dc:date.issued":["2014-01"],"dc:description.abstract":["Background Research indicates that eating disturbances are twice as prevalent among adolescents with type 1 diabetes compared to their healthy peers; comparisons with other chronic illness groups are inconclusive. Adolescent self-esteem and parenting factors have been found to be associated with eating disturbances in type 1 diabetes. However, to date the literature is methodologically limited by a lack of comparison group, and has failed to consider the role of parent care and overprotection. Aims This study aimed to explore the relationship between adolescent-perceived parent care and overprotection, self-esteem and eating disturbances in a group of adolescents with type 1 diabetes compared to a group with asthma. Method Participants were 16 – 18 year old males and females with a diagnosis of type 1 diabetes (n = 65) or asthma (n = 37) recruited through NHS clinics. The Eating Disorder Examination-Questionnaire was used along with the Parental Bonding Instrument, as a measure of parent overprotection and care, and the Rosenberg Self-Esteem Scale. A cross-sectional, self-report questionnaire design was utilised. Results Unexpectedly, the asthma group reported significantly higher levels of eating psychopathology than the type 1 diabetes group. Significant negative associations were found between parent care and eating disturbances in both illness groups. Additionally, significant positive associations were found between parent overprotection and eating disturbances in the type 1 diabetes group, but not the asthma group. As predicted, self-esteem was strongly negatively correlated with eating disturbances in both groups. Conclusion Overall, the results suggest that adolescents with both asthma and type 1 diabetes may be vulnerable to higher levels of eating psychopathology, which in turn is associated with poorer self-esteem and less adaptive parenting. The findings are considered in relation to illness-related weight gain and the broader impact of chronic illness. The theoretical and clinical implications are discussed."],"dc:format":["application/pdf"],"dc:identifier.uri":["https://ueaeprints.uea.ac.uk/id/eprint/49598/1/Thesis_Judith_Hatton_2014.pdf"],"dc:language":["en"],"dc:publisher.department":["Norwich Medical School"],"dc:publisher.institution":["University of East Anglia"],"dc:relation.isreferencedby":["https://ueaeprints.uea.ac.uk/id/eprint/49598/"],"dc:title":["Risk Factors for Eating Disturbances in Young People with Type 1 Diabetes and Chronic Asthma: The Role of Parenting Style and Self-Esteem."],"dc:type":["Thesis"],"dc:type.qualificationlevel":["doctoral"],"dc:type.qualificationname":["phd"]},"updated_at":"2026-07-24T02:12:03Z"}