Eating disorder behaviors and treatment seeking in self-identified military personnel and veterans: Results of the National Eating Disorders Association online screening.

Eating disorder behaviors and treatment seeking in self-identified military personnel and veterans: Results of the National Eating Disorders Association online screening.
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DOI:
10.1016/j.eatbeh.2021.101562
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发表时间:
2021-12
期刊:
影响因子:
2.8
通讯作者:
Bulik CM
Bulik CM
中科院分区:
医学3区
文献类型:
--
作者:
Flatt RE;Norman E;Thornton LM;Fitzsimmons-Craft EE;Balantekin KN;Smolar L;Mysko C;Wilfley DE;Taylor CB;Bulik CM

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描述现役军人/退伍军人与平民相比的进食障碍行为、进食障碍(艾德)风险和诊断以及寻求治疗的行为。18岁以上的自选参与者(n= 113,388; 1,744人为军事人员/退伍军人)完成了国家饮食失调协会的在线屏幕。在军事/退伍军人和平民群体中比较了饮食失调行为的参与和频率,并按性别分层。比较了艾德的患病风险和就诊行为。与平民相比,军人/退伍军人组的个人更有可能使用利尿剂/泻药和过度运动。与平民相比,军人/退伍军人组筛查“有艾德风险”的百分比较低,而筛查“无风险”的百分比较高。与女性平民相比,军人/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;军人/退伍军人组的男性更有可能进行过度运动,并且比男性平民更不可能进行呕吐。在自我认定的任何艾德筛查呈阳性的军事人员/退伍军人中,86%从未接受过治疗,这与平民没有显着差异。值得注意的是,56.7%的人(54.1%的军人/退伍军人组; 56.7%的平民)完成了关于寻求治疗意向的可选项目(n= 5,312),表示他们不会寻求治疗。在完成在线艾德筛查的军事人员/退伍军人和平民之间,饮食失调和艾德特征可能不同,但寻求治疗的情况并非如此。未来的工作应强调治疗方案,并将受访者直接与定制资源联系起来。
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; 1,744 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=5,312) 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.
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