Eating Disorders, Co-Morbid Disorders and Early Risk Factors Amongst Post-9/11 Veteran Men and Women

IF 2.5 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
Zafra Cooper, Brian N. Smith, Shannon Kehle-Forbes, Julianne Dorset, Karen S. Mitchell
{"title":"Eating Disorders, Co-Morbid Disorders and Early Risk Factors Amongst Post-9/11 Veteran Men and Women","authors":"Zafra Cooper,&nbsp;Brian N. Smith,&nbsp;Shannon Kehle-Forbes,&nbsp;Julianne Dorset,&nbsp;Karen S. Mitchell","doi":"10.1002/jclp.23756","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>To assess, by interview, the rates of eating disorders in a nationally representative sample of recent veterans, describe their DSM-5 eating disorder diagnoses and the occurrence of comorbid psychiatric disorders. To conduct an exploratory case-control analysis of previously documented and additional specific military risk factors before eating disorder onset to inform studies of prospective risk.</p>\n </section>\n \n <section>\n \n <h3> Method</h3>\n \n <p>Using a two-stage design, probable cases and controls were identified by screening questionnaires from a sample of 1494 veterans who completed a survey study and interviewed to establish case status and confirm probable co-morbid psychiatric diagnoses. Previously documented risk factors and military risk factors occurring before disorder onset were investigated.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Ninety-one cases and 51 controls were confirmed. Weighted prevalence for any eating disorder was 5.2%, with estimates for anorexia nervosa, bulimia nervosa, binge eating disorder and other specified eating disorder being 0.01%, 0.6%, 1.4%, and 1.6%, respectively. Seventy-nine (86.8%) confirmed cases had a diagnosis of one or more co-morbid psychiatric disorders. Previously documented risk factors were associated with subsequent case status, while in this sample, military risk factors were not.</p>\n </section>\n \n <section>\n \n <h3> Discussion</h3>\n \n <p>Rates of eating disorder and co-occurring psychiatric disorders in recent veterans were comparable to those reported for non-veterans, with levels of posttraumatic stress disorder likely higher. As co-occurring psychiatric disorders, particularly posttraumatic stress disorder, may complicate achieving good outcomes with existing evidence-based treatments, there is an urgent need to adapt them where necessary to improve outcomes. Military risk factors may maintain or exacerbate pre-existing problems and need to be investigated alongside other maintaining factors in longitudinal studies.</p>\n </section>\n \n <section>\n \n <h3> Public Significance</h3>\n \n <p>Rates of eating disorder and co-occurring psychiatric disorders in recent veterans were comparable to those reported for non-veterans, highlighting a need to detect eating problems and address unmet treatment need. Co-occurring psychiatric disorders may complicate achieving good outcomes with existing treatments, emphasising a need to adapt them to improve outcomes. Investigating maintaining factors, including military factors in longitudinal studies will likely aid treatment development.</p>\n </section>\n </div>","PeriodicalId":15395,"journal":{"name":"Journal of Clinical Psychology","volume":"81 3","pages":"133-144"},"PeriodicalIF":2.5000,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jclp.23756","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Psychology","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/jclp.23756","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
引用次数: 0

Abstract

Objective

To assess, by interview, the rates of eating disorders in a nationally representative sample of recent veterans, describe their DSM-5 eating disorder diagnoses and the occurrence of comorbid psychiatric disorders. To conduct an exploratory case-control analysis of previously documented and additional specific military risk factors before eating disorder onset to inform studies of prospective risk.

Method

Using a two-stage design, probable cases and controls were identified by screening questionnaires from a sample of 1494 veterans who completed a survey study and interviewed to establish case status and confirm probable co-morbid psychiatric diagnoses. Previously documented risk factors and military risk factors occurring before disorder onset were investigated.

Results

Ninety-one cases and 51 controls were confirmed. Weighted prevalence for any eating disorder was 5.2%, with estimates for anorexia nervosa, bulimia nervosa, binge eating disorder and other specified eating disorder being 0.01%, 0.6%, 1.4%, and 1.6%, respectively. Seventy-nine (86.8%) confirmed cases had a diagnosis of one or more co-morbid psychiatric disorders. Previously documented risk factors were associated with subsequent case status, while in this sample, military risk factors were not.

Discussion

Rates of eating disorder and co-occurring psychiatric disorders in recent veterans were comparable to those reported for non-veterans, with levels of posttraumatic stress disorder likely higher. As co-occurring psychiatric disorders, particularly posttraumatic stress disorder, may complicate achieving good outcomes with existing evidence-based treatments, there is an urgent need to adapt them where necessary to improve outcomes. Military risk factors may maintain or exacerbate pre-existing problems and need to be investigated alongside other maintaining factors in longitudinal studies.

Public Significance

Rates of eating disorder and co-occurring psychiatric disorders in recent veterans were comparable to those reported for non-veterans, highlighting a need to detect eating problems and address unmet treatment need. Co-occurring psychiatric disorders may complicate achieving good outcomes with existing treatments, emphasising a need to adapt them to improve outcomes. Investigating maintaining factors, including military factors in longitudinal studies will likely aid treatment development.

Abstract Image

9/11后退伍军人中的饮食失调、共病失调和早期危险因素
目的:通过访谈,评估近期退伍军人的饮食失调率,描述他们的DSM-5饮食失调诊断和共病精神障碍的发生率。在进食障碍发病前对先前记录的和其他特定军事危险因素进行探索性病例对照分析,为前瞻性风险研究提供信息。方法:采用两阶段设计,从1494名退伍军人中筛选问卷,确定可能病例和对照组,这些退伍军人完成了一项调查研究,并进行了访谈,以确定病例状态并确认可能的共病精神病学诊断。调查了先前记录的危险因素和在发病前发生的军事危险因素。结果:确诊病例91例,对照组51例。任何饮食失调的加权患病率为5.2%,神经性厌食症、神经性贪食症、暴食症和其他特定饮食失调的估计患病率分别为0.01%、0.6%、1.4%和1.6%。79例(86.8%)确诊病例诊断为一种或多种共病性精神障碍。先前记录的危险因素与随后的病例状态有关,而在本样本中,军事危险因素与此无关。讨论:最近退伍军人的饮食失调和同时发生的精神疾病的比率与非退伍军人的报告相当,创伤后应激障碍的水平可能更高。由于同时发生的精神疾病,特别是创伤后应激障碍,可能会使现有的循证治疗方法取得良好的结果复杂化,因此迫切需要在必要时对其进行调整,以改善结果。军事风险因素可能维持或加剧已有的问题,需要在纵向研究中与其他维持因素一起调查。公共意义:最近退伍军人的饮食失调和共同发生的精神疾病的比率与非退伍军人的报告相当,突出了发现饮食问题和解决未满足治疗需求的必要性。同时发生的精神疾病可能会使现有治疗方法取得良好结果变得复杂,强调需要调整它们以改善结果。调查维持因素,包括纵向研究中的军事因素,可能有助于治疗的发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Journal of Clinical Psychology
Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-
CiteScore
5.40
自引率
3.30%
发文量
177
期刊介绍: Founded in 1945, the Journal of Clinical Psychology is a peer-reviewed forum devoted to research, assessment, and practice. Published eight times a year, the Journal includes research studies; articles on contemporary professional issues, single case research; brief reports (including dissertations in brief); notes from the field; and news and notes. In addition to papers on psychopathology, psychodiagnostics, and the psychotherapeutic process, the journal welcomes articles focusing on psychotherapy effectiveness research, psychological assessment and treatment matching, clinical outcomes, clinical health psychology, and behavioral medicine.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信