We suggest a reconsideration of the role of ‘attachment orientation’ in the context of eating disorders and paediatric diabetes. Attachment orientation is a psychological construct that describes a relatively stable set of expectations and behaviours an individual relies upon in managing relationships. There is considerable evidence of an association between attachment orientation and the development and maintenance of disordered eating in individuals without diabetes, though evidence is more scant in populations with diabetes. We discuss the underpinning theory and critically examine the existing literature for the relationship between attachment orientation and disordered eating in paediatric diabetes. Finally, we draw on adjacent literatures to highlight potential future directions for research should this area be revisited. Overall, we contextualise our discussion in terms of patient-centred, holistic care that addresses the mind and body (i.e., our discussion of attachment orientation assumes a psycho-biological approach).

我们建议重新考虑“依恋取向”在饮食失调和小儿糖尿病背景下的作用。依恋取向是一种心理结构，它描述了个人在管理人际关系时所依赖的一组相对稳定的期望和行为。有大量证据表明，依恋取向与非糖尿病患者饮食紊乱的发展和维持之间存在关联，尽管在糖尿病人群中证据较少。我们讨论了基础理论，并批判性地审查了现有文献，了解儿童糖尿病中依恋取向与饮食紊乱之间的关系。最后，我们利用相邻的文献来强调如果重新审视这一领域，未来潜在的研究方向。总体，