Arditte Hall Kimberly A, Bartlett Brooke A, Iverson Katherine M, Mitchell Karen S
National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts.
Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts.
Int J Eat Disord. 2017 Nov;50(11):1328-1331. doi: 10.1002/eat.22782. Epub 2017 Sep 23.
Eating disorders are understudied among male veterans, who may be at increased risk due to the high rates of trauma exposure and experiences of multiple traumatization in this population. This study sought to examine the associations between specific types of trauma (i.e., childhood physical abuse, adult physical assault, childhood sexual abuse, adult sexual assault, and military-related trauma) and eating disorder symptoms in a large, nationally-representative sample of trauma-exposed male veterans.
Survey data were collected from N = 642 male veterans. Traumatic experiences in childhood and adulthood were assessed using the Trauma History Screen and the National Stressful Events Survey. Eating disorder symptoms were assessed with the Eating Disorder Diagnostic Scale. Analyses also controlled for age and body mass index.
Multiple traumatization was associated with increased eating disorder symptoms. However, military-related trauma was the only trauma type that was uniquely associated with eating disorder symptoms when controlling for other trauma types. Examination of different types of military-related trauma indicated that this association was not driven by exposure to combat.
Noncombat, military-related trauma was associated with eating disorder symptom severity in male veterans. Results highlight the need for better assessment of eating disorder symptoms in this population.
饮食失调在男性退伍军人中研究较少，由于该人群创伤暴露率高且经历多次创伤，他们可能面临更高风险。本研究旨在在一个具有全国代表性的受创伤男性退伍军人样本中，考察特定类型的创伤（即童年期身体虐待、成年期身体攻击、童年期性虐待、成年期性侵犯以及与军事相关的创伤）与饮食失调症状之间的关联。
收集了N = 642名男性退伍军人的调查数据。使用创伤史筛查表和国家应激事件调查评估童年期和成年期的创伤经历。用饮食失调诊断量表评估饮食失调症状。分析还控制了年龄和体重指数。
多次创伤与饮食失调症状增加有关。然而，在控制其他创伤类型时，与军事相关的创伤是唯一与饮食失调症状有独特关联的创伤类型。对不同类型的与军事相关的创伤进行检查表明，这种关联并非由战斗暴露所驱动。
与军事相关的非战斗创伤与男性退伍军人的饮食失调症状严重程度有关。结果凸显了对该人群饮食失调症状进行更好评估的必要性。
