DSM-5 eating disorder prevalence, gender differences, and mental health associations in United States military veterans.
DSM-5 eating disorder prevalence, gender differences, and mental health associations in United States military veterans.
复制标题
DSM-5 美国退伍军人饮食失调患病率、性别差异和心理健康协会。
DOI：
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复制
发表时间：
2021
影响因子：
5.5
通讯作者：
S. Haskell
中科院分区：
文献类型：
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作者：
R. Masheb;C. Ramsey;Alison G. Marsh;Suzanne E Decker;S. Maguen;C. Brandt;S. Haskell
客观的
关于新的和经过修订的DSM-5饮食失调症的患病率估计很少，尤其是在高风险，服务不足和潜水员的饮食失调症中。
方法
伊拉克和阿富汗战争时代的退伍军人（n = 1,121，51.2％妇女）完成了饮食失调诊断量表5，并在2014年7月至2019年9月之间验证了饮食病理和心理健康的验证措施。
结果
总体而言，女性多于男性（32.8％对18.8％，p <.001）报告的症状与DSM-5饮食失调一致。 .6％比4.9％），亚临床BN （0.0％vs. 0.2％），亚临床床（1.4％vs. 0.6％），清除障碍（2.1％vs. 0.7％）和夜间饮食综合征（NES； 5.2％vs. 6.0％），女性更可能患有BN或NES的差异。
讨论
大约三分之一的女性和五分之一的男性报告了与DSM-5饮食失调症的诊断一致的症状。
OBJECTIVE
Little is known about prevalence estimates of new and revised DSM-5 eating disorders diagnoses in general, and especially among high-risk, underserved and diverse eating disorder populations. The aim of the current study was to determine prevalence, gender differences and correlates of DSM-5 eating disorders in veterans.
METHOD
Iraq and Afghanistan war era veterans (N = 1,121, 51.2% women) completed the Eating Disorder Diagnostic Scale-5 and validated measures of eating pathology and mental health between July 2014 and September 2019.
RESULTS
Overall more women than men (32.8% vs. 18.8%, p < .001) reported symptoms consistent with a DSM-5 eating disorder. Prevalence estimates (women vs. men) for the specific diagnoses were: Anorexia Nervosa (AN; 0.0% vs. 0.0%), Bulimia Nervosa (BN; 6.1% vs. 3.5%), Binge-Eating Disorder (BED; 4.4% vs. 2.9%), Atypical AN (AAN; 13.6% vs. 4.9%), Subclinical BN (0.0% vs. 0.2%), Subclinical BED (1.4% vs. 0.6%), Purging Disorder (2.1% vs. 0.7%), and Night Eating Syndrome (NES; 5.2% vs. 6.0%). Women were more likely to have BN or AAN, and there was no difference for BED or NES among genders. The eating disorder group had a higher mean BMI, and significantly greater eating pathology and mental health symptoms than the non-eating disorder group.
DISCUSSION
Approximately one-third of women, and one-fifth of men, reported symptoms consistent with a DSM-5 eating disorder diagnosis. These high prevalence estimates across genders, and associated mental health concerns, suggest an urgent need to better understand and address eating disorders in military and veteran populations.