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Rates and correlates of disordered eating among women veterans in primary care

机译：初级保健女子退伍军人患者紊乱的速度和相关性

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Rates of disordered eating may be higher among women veterans than civilians, and are associated with co-occurring mental health (MH) conditions, such as depression, post-traumatic stress disorder (PTSD), and alcohol misuse. Although evidence suggests that these conditions are common in primary care settings, limited research has examined symptoms of disordered eating among women veterans in primary care. This study used a cross-sectional design to examine rates and MH correlates of disordered eating among women veterans treated in a primary care setting. Participants (N = 176) completed self-report measures of disordered eating attitudes and behaviors, depression, anxiety, PTSD, alcohol misuse, and military sexual trauma. Results indicated that women veterans were likely to report objective (35.8%) and subjective binge episodes (29.5%), as well as shape and weight concerns (36.4% and 23.3%, respectively). While, anxiety and PTSD were strongly associated with disordered eating, restraint, eating concerns, weight concerns, and shape concerns, military sexual trauma was often unrelated to these outcomes. Further study is needed to improve the detection of disordered eating behaviors among women veterans, as well as to identify effective management strategies in primary care. Overall, these findings suggest that integrated primary care (IPC) may be a useful setting to improve the detection and treatment of eating disorders, particularly by targeting binge eating and body dissatisfaction among women veterans within these settings.
机译：女性退伍军人的饮食率可能比平民更高，并且与共同发生的心理健康（MH）条件相关，如抑郁症，创伤后应激障碍（PTSD）和酒精滥用。虽然证据表明，这些条件在初级保健环境中常见，但有限的研究检测了初级保健女子退伍军人患有紊乱的症状。本研究采用横截面设计来检查初级保健环境中妇女退伍军人中无序饮食的速率和MH相关性。参与者（n = 176）完成了自我报告的饮食态度和行为，抑郁，焦虑，应激障碍，酒精滥用和军事性问题的自我报告措施。结果表明，妇女退伍军人可能会报告目标（35.8％）和主观狂暴发作（29.5％），以及体形和重量问题（分别为36.4％和23.3％）。虽然，焦虑和应激障碍与饮食无序，克制，饮食的疑虑，重量问题和形状问题强烈有关，但军事性创伤往往与这些结果无关。需要进一步研究，以改善女性退伍军人失种的饮食行为的检测，以及确定初级保健的有效管理策略。总体而言，这些研究结果表明，综合初级保健（IPC）可能是改善饮食障碍的检测和治疗的有用设定，特别是通过在这些环境中瞄准女性退伍军人的狂欢进食和身体不满。

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