Department of Psychological and Brain Sciences, Boston University, Boston, MA, USA.
National Center for PTSD at the VA Boston Healthcare System, Boston, MA, 02130, USA.
Curr Obes Rep. 2020 Jun;9(2):98-108. doi: 10.1007/s13679-020-00374-1.
Eating disorders (EDs) and overweight/obesity (OW/OB) have a significant impact on veterans. This review highlights current research on EDs and OW/OB in this population.
Prevalence estimates for both EDs and OW/OB among veterans remain consistent with and possibly higher than those in the general population. Both diagnoses share multiple risk factors, including trauma history, and mental health comorbidities. Although weight loss treatments have been fairly well studied among veteran samples, there are no published investigations on psychotherapies for EDs in this population. The Veterans Healthcare Administration is working to train providers in ED treatments. VHA treatments for OW/OB show some benefits and areas for improvement. Areas for future research include structured assessments for EDs and disordered eating behaviors in veterans to clarify prevalence estimates. There is a need for interventions that consider common mechanisms for ED and OW/OB, and there is a need for more research on the associations between different types of trauma and ED/OW/OB in veterans.
饮食失调（EDs）和超重/肥胖（OW/OB）对退伍军人有重大影响。本综述重点介绍了该人群中 EDs 和 OW/OB 的当前研究。
退伍军人中 EDs 和 OW/OB 的患病率估计与一般人群一致，甚至可能更高。这两种诊断都有许多共同的风险因素，包括创伤史和精神健康共病。尽管在退伍军人样本中对减肥治疗进行了相当充分的研究，但在该人群中没有关于 ED 心理治疗的已发表研究。退伍军人医疗保健管理局正在努力培训 ED 治疗方面的提供者。VHA 对 OW/OB 的治疗显示出一些益处和改进的领域。未来的研究领域包括对退伍军人进行 ED 和饮食失调行为的结构化评估，以明确患病率估计。需要考虑 ED 和 OW/OB 常见机制的干预措施，也需要更多研究退伍军人中不同类型的创伤与 ED/OW/OB 之间的关系。
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