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美国寻求治疗的退伍军人样本中饮食失调及共病精神病理学的患病率。

Prevalence of eating disorders and comorbid psychopathology in a US sample of treatment-seeking veterans.

作者信息

Vaught Amanda S, Piazza Vivian, Raines Amanda M

机构信息

Southeast Louisiana Veterans Health Care System, New Orleans, Louisiana, USA.

Atlas Psychiatry, New Orleans, Louisiana, USA.

出版信息

Int J Eat Disord. 2021 Nov;54(11):2009-2014. doi: 10.1002/eat.23591. Epub 2021 Aug 2.

Abstract

OBJECTIVE

Eating disorders (EDs) are a well-studied public health issue in the general population. Less is known, however, about the prevalence of such conditions and levels of comorbid psychopathology among military and veteran populations. The current study sought to describe the probable prevalence of EDs and levels of comorbid psychopathology using a racially diverse treatment-seeking sample of US veteran men and women.

METHOD

Veterans (N =254) presenting for routine clinical care completed self-report questionnaires assessing EDs, posttraumatic stress disorder, depression, and shame.

RESULTS

Thirty-one percent of the sample met probable criteria for either bulimia nervosa (BN), binge-eating disorder, or purging disorder. Although overall ED prevalence estimates were similar across men and women, estimates of BN were higher among Black veterans compared to White veterans or veterans who identified as a race other than Black or White. Further, mean levels of psychopathology were significantly higher in veterans with a probable ED compared to those without.

DISCUSSION

This study extends previous research and highlights the importance of establishing dedicated ED screening programs within the Veterans Health Administration.

摘要

目的

饮食失调(EDs)是普通人群中一项经过充分研究的公共卫生问题。然而,对于军人和退伍军人中此类疾病的患病率以及共病精神病理学水平,人们了解较少。当前研究旨在通过一个寻求治疗的美国退伍军人男女种族多样化样本,描述饮食失调的可能患病率以及共病精神病理学水平。

方法

前来接受常规临床护理的退伍军人(N = 254)完成了自我报告问卷,评估饮食失调、创伤后应激障碍、抑郁症和羞耻感。

结果

31%的样本符合神经性贪食症(BN)、暴饮暴食障碍或清除障碍的可能标准。尽管男性和女性的总体饮食失调患病率估计相似,但与白人退伍军人或自我认定为非黑人或白人种族的退伍军人相比,黑人退伍军人中神经性贪食症的估计患病率更高。此外,与没有可能饮食失调的退伍军人相比,患有可能饮食失调的退伍军人的精神病理学平均水平显著更高。

讨论

本研究扩展了先前的研究,并强调了在退伍军人健康管理局内建立专门的饮食失调筛查项目的重要性。

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