Buchholz Laura J, King Paul R, Wray Laura O
VA Center for Integrated Healthcare, 3495, Bailey Avenue (116N), Bldg. 3, Buffalo, NY 14215, United States; Department of Psychology, University at Buffalo/State University of New York, Park Hall Room 204, Buffalo, NY 14260-4110, United States; Department of Psychology, The University of Tampa, 401 W. Kennedy Blvd., Box Q, Tampa, FL 33606-1490, United States.
VA Center for Integrated Healthcare, 3495, Bailey Avenue (116N), Bldg. 3, Buffalo, NY 14215, United States; Department of Counseling, School, and Educational Psychology, University at Buffalo/State University of New York, 409 Baldy Hall, Buffalo, NY 14260-1000, United States.
Eat Behav. 2018 Aug;30:28-34. doi: 10.1016/j.eatbeh.2018.05.002. Epub 2018 May 16.
Rates of disordered eating may be higher among women veterans than civilians, and are associated with co-occurring mental health (MH) conditions, such as depression, post-traumatic stress disorder (PTSD), and alcohol misuse. Although evidence suggests that these conditions are common in primary care settings, limited research has examined symptoms of disordered eating among women veterans in primary care. This study used a cross-sectional design to examine rates and MH correlates of disordered eating among women veterans treated in a primary care setting. Participants (N = 176) completed self-report measures of disordered eating attitudes and behaviors, depression, anxiety, PTSD, alcohol misuse, and military sexual trauma. Results indicated that women veterans were likely to report objective (35.8%) and subjective binge episodes (29.5%), as well as shape and weight concerns (36.4% and 23.3%, respectively). While, anxiety and PTSD were strongly associated with disordered eating, restraint, eating concerns, weight concerns, and shape concerns, military sexual trauma was often unrelated to these outcomes. Further study is needed to improve the detection of disordered eating behaviors among women veterans, as well as to identify effective management strategies in primary care. Overall, these findings suggest that integrated primary care (IPC) may be a useful setting to improve the detection and treatment of eating disorders, particularly by targeting binge eating and body dissatisfaction among women veterans within these settings.
女性退伍军人中饮食失调的发生率可能高于普通民众，且与同时出现的心理健康（MH）状况相关，如抑郁症、创伤后应激障碍（PTSD）和酒精滥用。尽管有证据表明这些状况在初级保健机构中很常见，但针对初级保健机构中女性退伍军人饮食失调症状的研究有限。本研究采用横断面设计，以调查在初级保健机构接受治疗的女性退伍军人中饮食失调的发生率及其与心理健康的相关性。参与者（N = 176）完成了关于饮食失调态度和行为、抑郁、焦虑、创伤后应激障碍、酒精滥用以及军事性创伤的自我报告测量。结果表明，女性退伍军人中可能会报告客观暴饮暴食（35.8%）和主观暴饮暴食发作（29.5%），以及对体型和体重的关注（分别为36.4%和23.3%）。虽然焦虑和创伤后应激障碍与饮食失调、克制、饮食关注、体重关注和体型关注密切相关，但军事性创伤往往与这些结果无关。需要进一步研究以改善对女性退伍军人饮食失调行为的检测，并确定初级保健中的有效管理策略。总体而言，这些发现表明综合初级保健（IPC）可能是改善饮食失调检测和治疗的有益环境，特别是通过针对这些环境中女性退伍军人的暴饮暴食和身体不满来实现。
