Military Sexual Trauma Is Associated With Eating Disorders, While Combat Exposure Is Not
Military Sexual Trauma Is Associated With Eating Disorders, While Combat Exposure Is Not
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DOI：
10.1037/tra0000276
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发表时间：
2018-05-01
影响因子：
6.3
通讯作者：
Maguen, Shira
中科院分区：
文献类型：
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作者：
Breland, Jessica Y.;Donalson, Rosemary;Maguen, Shira
目的：创伤和进食障碍之间存在很强的关联。然而，虽然创伤和饮食失调在退伍军人中比其他人群更常见，但关于军事特定压力源如何影响饮食失调风险的信息很少。这项研究的目的是确定军事性创伤和战斗暴露是否是女性退伍军人饮食失调的独立预测因素，这是一个高风险群体。方法：参与者为18-70岁的女性，使用VA医疗中心服务，无精神病或自杀意念（N = 407）。我们估计了一个横断面逻辑回归模型，以预测饮食失调（厌食症，贪食症，暴食症）作为军事性创伤和战斗暴露的函数，调整人口统计学变量。结果：66%的参与者报告了军事性创伤，32%报告了战斗暴露，15%符合饮食失调标准。平均年龄为49岁（SD = 13）; 40%是有色人种退伍军人。报告军事性创伤的女性患饮食失调的几率是未报告的女性的两倍（比值比[OR]：2.03; 95%CI [1.03-3.98]）。战斗暴露与饮食失调无关。亚裔（OR：3.36; 95% CI [1.26 - 8.97]）和年龄（OR：1.03; 95% CI [1.01-1.06]）与进食障碍相关。结论：军队性创伤和饮食失调的高发病率突出了继续工作的必要性。结果表明，它可能是有用的，集中在妇女报告军事性创伤时，实施饮食失调筛查和治疗方案。考虑到创伤、饮食失调、肥胖和死亡率之间的联系，这些努力可以大大改善退伍军人的健康状况。
Objective: There are strong associations among trauma and eating disorders. However, while trauma and eating disorders are more common among veterans than other populations, there is little information on how military-specific stressors affect eating disorder risk. This study's objective was to determine whether military sexual trauma and combat exposure were independent predictors of eating disorders among women veterans, a high-risk group. Method: Participants were women age 18-70, using VA medical center services, without psychotic disorders or suicidal ideation (N = 407). We estimated a cross-sectional logistic regression model to predict eating disorders (anorexia, bulimia, binge eating disorder) as a function of military sexual trauma and combat exposure, adjusting for demographic variables. Results: Sixty-six percent of participants reported military sexual trauma, 32% reported combat exposure, and 15% met eating disorder criteria. Mean age was 49 years (SD = 13); 40% were veterans of color. Women reporting military sexual trauma had twice the odds of an eating disorder compared to women who did not (odds ratio [OR]: 2.03; 95% CI [1.03-3.98]). Combat exposure was not associated with eating disorders. Asian race (OR: 3.36; 95% CI [1.26 -8.97]) and age (OR: 1.03; 95% CI [1.01-1.06]) were associated with eating disorders. Conclusions: The high rates of military sexual trauma and eating disorders highlight a need for continued work. Results suggest that it may be useful to focus on women reporting military sexual trauma when implementing eating disorder screening and treatment programs. Given associations among trauma, eating disorders, obesity, and mortality, such efforts could greatly improve veteran health.