Dorflinger Lindsey M, Masheb Robin M
Walter Reed National Military Medical Center, United States of America.
Yale School of Medicine, VA Connecticut Healthcare System, United States of America.
Eat Behav. 2018 Dec;31:8-11. doi: 10.1016/j.eatbeh.2018.07.005. Epub 2018 Jul 18.
Both obesity and post-traumatic stress disorder (PTSD) are common among veterans. Veterans with PTSD are at higher risk for obesity and have poorer outcomes in obesity treatment. We examined emotional eating among veterans presenting for obesity treatment, and its relationship with PTSD. Veterans completed questionnaire batteries before initiating treatment. Participants were 120 veterans with a mean age of 62 years and mean BMI of 38. A positive PTSD screen was associated with significantly higher scores on the Yale Emotional Overeating Questionnaire (YEOQ) overall, as well as higher scores on each individual item, which includes anxiety, sadness, loneliness, tiredness, anger, happiness, boredom, guilt, and physical pain (all p < 0.005). Higher scores on the PTSD screener were associated with more frequent emotional eating for all emotions as well. Findings suggest that emotional eating is common among veterans reporting PTSD symptoms, and that any degree of PTSD symptom severity is associated with more frequent emotional eating. Veterans with PTSD may need specific attention given to alternative coping strategies when facing difficult emotions as part of weight loss treatment.
肥胖症和创伤后应激障碍（PTSD）在退伍军人中都很常见。患有创伤后应激障碍的退伍军人肥胖风险更高，且肥胖治疗效果更差。我们研究了前来接受肥胖症治疗的退伍军人的情绪化进食情况及其与创伤后应激障碍的关系。退伍军人在开始治疗前完成了问卷调查。参与者为120名退伍军人，平均年龄62岁，平均体重指数为38。总体而言，创伤后应激障碍筛查呈阳性与耶鲁情绪化进食问卷（YEOQ）得分显著较高相关，各单项得分也较高，这些单项包括焦虑、悲伤、孤独、疲惫、愤怒、快乐、无聊、内疚和身体疼痛（所有p<0.005）。创伤后应激障碍筛查得分较高也与所有情绪下更频繁的情绪化进食相关。研究结果表明，在报告有创伤后应激障碍症状的退伍军人中，情绪化进食很常见，而且创伤后应激障碍症状的任何严重程度都与更频繁的情绪化进食相关。作为减肥治疗的一部分，患有创伤后应激障碍的退伍军人在面对困难情绪时可能需要特别关注替代应对策略。
