Gender differences in direct and indirect associations of trauma types with disordered eating in a national U.S. veteran sample.
Gender differences in direct and indirect associations of trauma types with disordered eating in a national U.S. veteran sample.
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在美国退伍军人样本中，创伤类型与饮食失调的直接和间接关联存在性别差异。
DOI：
10.1037/tra0001353
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Mitchell,KarenS
中科院分区：
文献类型：
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作者：
Zelkowitz,RachelL;Sienkiewicz,MeganE;Vogt,DawneS;Smith,BrianN;Mitchell,KarenS
退伍军人的饮食失调（DE）与创伤暴露有关，但这种关联的机制仍不清楚。目前的研究记录了直接协会的DE与多种创伤类型的退伍军人的性别平衡的样本，并检查间接协会的创伤和DE通过自我报告的创伤后应激障碍症状和关注的形状和weight.MethodParticipants包括1,187退伍军人（50%的女性，46%的男性，4%的另一个）从多个服务时代。抽样权重，以提高代表性的国家veterinarypopulation. ResultsGender分层，加权模型显示协会的premilitary，战争和分离后创伤与DE在男性和协会的premilitary，军事性（MST），和分离后创伤与DE在女性。间接影响的蒙特卡罗估计显示支持通过男性PTSD症状与DE的军事前，战争和分离后相关的创伤/压力源暴露的间接关联;分离后压力源也通过形状和体重问题与DE间接相关。在女性中，每种创伤类型都通过形状和体重问题与DE间接相关，但与创伤后应激障碍症状无关。当同时检查创伤暴露时，MST和分离后创伤暴露通过女性的形状和体重问题与DE唯一相关。只有间接关联的分离后创伤/压力源暴露与DE通过形状和重量的关注是显着的amendes.ConclusionsFindings支持需要针对不同的机制，有助于DE症状退伍军人的性别特异性干预措施。
ObjectiveDisordered eating (DE) in military veterans has been linked to trauma exposure, but the mechanisms underlying this association remain unclear. The current study documented the direct associations of DE with multiple trauma types in a gender-balanced sample of veterans and examined indirect associations of trauma and DE via self-reported PTSD symptoms and concerns about shape and weight.MethodParticipants included 1,187 veterans (50% women, 46% men, 4% another) from multiple service eras. Sampling weights were applied to enhance representativeness to the national veteran population.ResultsGender-stratified, weighted models revealed associations of premilitary, warfare, and postseparation trauma with DE in men and associations of premilitary, military sexual (MST), and postseparation trauma with DE in women. Monte Carlo estimation of indirect effects showed support for indirect associations of premilitary, warfare, and postseparation-related trauma/stressor exposure with DE via PTSD symptoms among men; postseparation stressors were also indirectly associated with DE via shape and weight concerns. Among women, each trauma type was indirectly associated with DE via shape and weight concerns but not PTSD symptoms. When trauma exposures were examined concurrently, MST and postseparation trauma exposure were uniquely associated with DE via shape and weight concerns among women. Only the indirect association of postseparation trauma/stressor exposure with DE via shape and weight concerns was significant among men.ConclusionsFindings support the need for gender-specific interventions that target different mechanisms contributing to DE symptoms among veterans.