Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Eat Behav. 2021 Dec;43:101562. doi: 10.1016/j.eatbeh.2021.101562. Epub 2021 Sep 7.
To characterize disordered eating behaviors, eating disorder (ED) risk and diagnosis, and treatment seeking behaviors in active-duty military personnel/veterans compared with civilians.
Self-selecting participants (n = 113,388; 1744 were military personnel/veterans) 18+ years old completed the National Eating Disorders Association's online screen. Engagement in and frequencies of disordered eating behaviors were compared across military/veteran and civilian groups and were stratified by gender. ED risk and diagnosis and treatment seeking behaviors were also compared.
Individuals in the military/veteran group were more likely to engage in diuretic/laxative use and excessive exercise compared with civilians. Compared with civilians, the military/veteran group had a lower percentage who screened "at risk for an ED" and a higher percentage who screened for "no risk". Females in the military/veteran group were more likely to engage in diuretic/laxative use, excessive exercise, and fasting compared with female civilians; males in the military/veteran group were more likely to engage in excessive exercise and less likely to engage in vomiting than male civilians. Of the self-identified military personnel/veterans who screened positive for any ED, 86% had never received treatment, which did not differ significantly from civilians. Notably, 56.7% of those (54.1% of military/veteran group; 56.7% of civilians) who completed an optional item on intention to seek treatment (n = 5312) indicated they would not seek treatment.
Disordered eating and ED profiles, but not treatment seeking, may differ between military personnel/veterans and civilians who complete an online ED screen. Future work should emphasize treatment options and connecting respondents directly to tailored resources.
描述现役军人/退伍军人与平民相比，其饮食失调行为、饮食失调（ED）风险和诊断以及治疗寻求行为的特征。
18 岁及以上的自我选择参与者（n=113388；1744 人为现役军人/退伍军人）完成了国家饮食失调协会的在线筛查。比较了现役/退伍军人和平民群体之间饮食失调行为的参与和频率，并按性别进行了分层。还比较了 ED 风险和诊断以及治疗寻求行为。
与平民相比，现役/退伍军人组更有可能使用利尿剂/泻药和过度运动。与平民相比，现役/退伍军人组筛查“ED 风险”的比例较低，筛查“无风险”的比例较高。与平民女性相比，现役/退伍军人组的女性更有可能使用利尿剂/泻药、过度运动和禁食；与平民男性相比，现役/退伍军人组的男性更有可能过度运动，而不太可能呕吐。在自我认定为阳性的现役军人/退伍军人中，有任何 ED 筛查的人中，86%从未接受过治疗，与平民没有显著差异。值得注意的是，完成意向治疗（n=5312）可选项目的人中，有 56.7%（54.1%的现役/退伍军人组；56.7%的平民）表示他们不会寻求治疗。
现役军人/退伍军人和完成在线 ED 筛查的平民之间，饮食失调和 ED 特征（但不是治疗寻求）可能不同。未来的工作应强调治疗选择，并将受访者直接与定制资源联系起来。
