Examination and expansion of the entire modified dual pathway model of disordered eating among individuals with type 1 diabetes

This study supports the associations proposed in the modified dual pathway model and highlights the potential for targeted interventions addressing disease-specific risk factors for DEB, including diabetes-specific dietary regimen, dietary restraint, accelerated weight gain since T1D diagnosis, body dissatisfaction, and diabetes-specific negative affect in adolescents with T1D. These findings underscore the need for strategies that focus on the unique psychological and physiological challenges faced by this population. Longitudinal studies are needed to test the temporal ordering of constructs and identify mechanistic pathways for intervention.