Associations between healthcare use and disordered eating among female veterans
Associations between healthcare use and disordered eating among female veterans
复制标题
DOI：
10.1002/eat.22885
复制
发表时间：
2018-08-01
影响因子：
5.5
通讯作者：
Mitchell, K. S.
中科院分区：
文献类型：
--
作者：
Huston, J. C.;Iverson, K. M.;Mitchell, K. S.
目的患有饮食失调（ED）的个体有相当多的医疗和精神合并症，以及医疗保健使用和相关费用的增加。然而，退伍军人群体中的 ED 基本上未被发现和研究，并且退伍军人事务部 (VA) 医疗机构也没有对 ED 进行常规筛查或治疗。需要研究阐明饮食失调与 VA 和非 VA 医疗保健使用之间的联系，为 ED 筛查和治疗的政策和实践提供信息。方法结果有关可能的 ED 和 VA 和非 VA 医疗保健使用的数据是通过对 198 名接受 VA 护理的女性退伍军人进行的邮件调查获得的。总共 21 名参与者 (10.6%) 符合阈下神经性厌食症、神经性贪食症或神经性贪食症的可能标准。暴食症。负二项回归模型显示，患有 ED 的女性退伍军人报告使用退伍军人管理局心理保健和药物滥用障碍治疗的频率更高，超出了共病 PTSD 和抑郁症状的关联。讨论这些发现证实，患有 ED 的女退伍军人很可能正在利用大量的 VA 心理健康资源。 ED 筛查在 VA 医疗和心理健康环境中可能尤为重要。
ObjectiveIndividuals with eating disorders (EDs) have considerable medical and psychiatric comorbidity as well as increased healthcare use and associated costs. However, EDs remain largely undetected and understudied among veteran populations, and EDs are not routinely screened for or treated in Veterans Affairs (VA) medical settings. Research elucidating the links between disordered eating and VA and non-VA healthcare use is needed to inform policy and practice for ED screening and treatment.MethodResultsData regarding probable EDs and VA and non-VA healthcare use was obtained through a mail survey of 198 female veterans receiving care from VA.A total of 21 participants (10.6%) met probable criteria for subthreshold anorexia nervosa, bulimia nervosa, or binge-eating disorder. Negative binomial regression models revealed that female veterans with EDs reported higher frequency of VA mental healthcare use and substance use disorder treatment, above and beyond the association of comorbid PTSD and depression symptoms.DiscussionThese findings confirm the high probability that female veterans with EDs are utilizing significant VA mental health resources. Screening for EDs may be particularly important in VA medical and mental health settings.