Latent Profiles of Disordered Eating Among Veterans: Associations With Mental Health Concerns

IF 2.8 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Womens Health Issues Pub Date : 2024-07-01 DOI:10.1016/j.whi.2024.03.002

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Abstract

Background

Varying patterns in eating disorder (ED) classification are evident and may impact ED treatment and prevention. However, investigations of patterns of heterogeneity in ED presentations have been limited to civilian samples, despite the high prevalence of EDs in military personnel and veterans. The present study aimed to explore ED-related symptom patterns, including emotional overeating, in women veterans.

Methods

Participants were 407 women veterans using health care services at a large Veterans Affairs health care system who completed mental health measures via surveys. Latent profile analyses were used to explore distinct ED symptom patterns (binge eating, purging, heavy exercise, positive and negative emotional overeating, dietary restraint, and shape/weight concerns). Subsequent auxiliary models explored associations with mental health concerns (depressive symptoms, posttraumatic stress disorder, anxiety, alcohol misuse, substance misuse), adjusting for age, race and ethnicity, and service branch.

Results

A four-class solution demonstrated the best model fit, characterized as follows: 1) Low ED Concerns, 2) Moderate Dietary Restraint/Negative Emotional Eating, 3) High Binge/Emotional Eating, and 4) High ED Concerns. Although all profiles had moderate or higher levels of negative emotional overeating, the High Binge/Emotional Eating and High ED Concerns profiles were distinct in levels of dietary restraint and had the highest probabilities of positive emotional overeating. The High ED Concerns profile also had the most severe mental health concerns relative to the other profiles.

Conclusions

The identification of unique ED symptom patterns in women veterans can inform prevention and intervention efforts.

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退伍军人饮食失调的潜在特征：退伍军人饮食失调的潜在特征：与心理健康问题的关联。

背景：饮食失调症（ED）分类的不同模式显而易见，可能会影响 ED 的治疗和预防。然而，尽管进食障碍在军人和退伍军人中的发病率很高，但对进食障碍表现的异质性模式的调查却仅限于平民样本。本研究旨在探讨女退伍军人中与 ED 相关的症状模式，包括情绪性暴饮暴食：研究对象是在退伍军人事务医疗保健系统中使用医疗保健服务的 407 名女性退伍军人，她们通过调查完成了心理健康测量。我们使用潜在特征分析来探索不同的 ED 症状模式（暴饮暴食、清除、剧烈运动、积极和消极情绪性暴饮暴食、饮食节制以及对体形/体重的担忧）。随后的辅助模型探讨了与心理健康问题（抑郁症状、创伤后应激障碍、焦虑、酒精滥用、药物滥用）的关联，并对年龄、种族和民族以及服役部门进行了调整：四类解决方案显示出最佳模型拟合度，其特征如下：1）低 ED 关切，2）中度饮食限制/负面情绪化饮食，3）高暴饮暴食/情绪化饮食，4）高 ED 关切。虽然所有特征都有中等或更高程度的消极情绪暴食，但 "暴饮暴食/情绪化进食程度高 "和 "对教育的高度关注 "特征在饮食限制程度上截然不同，其积极情绪暴食的概率也最高。与其他特征相比，高ED关注特征也具有最严重的心理健康问题：结论：识别女性退伍军人的独特 ED 症状模式可为预防和干预工作提供依据。

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来源期刊

Womens Health Issues Multiple-

CiteScore

4.50

自引率

6.20%

发文量

审稿时长

32 days

期刊介绍： Women"s Health Issues (WHI) is a peer-reviewed, bimonthly, multidisciplinary journal that publishes research and review manuscripts related to women"s health care and policy. As the official journal of the Jacobs Institute of Women"s Health, it is dedicated to improving the health and health care of all women throughout the lifespan and in diverse communities. The journal seeks to inform health services researchers, health care and public health professionals, social scientists, policymakers, and others concerned with women"s health.