Eating disorders and associated mental health comorbidities in female veterans

Mitchell, Karen S.; Rasmusson, Ann M.; Bartlett, Brooke A.; Gerber, Megan R.

doi:10.1016/j.psychres.2014.06.018

Cited by 23 publications

(21 citation statements)

References 14 publications

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“…In our sample of female veteran VA patients, 1 in 10 women met screening criteria for a probable ED. Our rate of probable EDs (10.6%) was far higher than rates of EDs observed in VA administrative data, where rates range from .0007% to 2.8% (Mitchell, Rasmusson, Bartlett, & Gerber, ; Striegel‐Moore, Garvin, Dohm, & Rosenheck, ). Women with probable EDs reported higher frequency of VA mental healthcare use and SUD treatment, independent from comorbid PTSD and depression symptoms.…”

Section: Discussioncontrasting

confidence: 63%

Associations between healthcare use and disordered eating among female veterans

Huston

Iverson

Mitchell

2018

Intl J Eating Disorders

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Section: Discussioncontrasting

confidence: 63%

Associations between healthcare use and disordered eating among female veterans

Huston

Iverson

Mitchell

2018

Intl J Eating Disorders

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“…Many of the experiences described by participants align with and add nuance to findings from past quantitative work demonstrating relationships between eating disorders and military sexual trauma or pressure to meet weight requirements (e.g., Bodell et al, 2014; Forman-Hoffman et al, 2012; Maguen et al, 2012; Mitchell, Porter, Boyko, & Field, 2016; Mitchell et al, 2014). Women in the present study also described significant distress due to weight- and eating-related judgements from peers and superiors.…”

Section: Discussionsupporting

confidence: 54%

“…In the general population, traumatic event exposure is associated with disordered eating (Brewerton, 2007; Forman-Hoffman, Mengeling, Booth, Torner, & Sadler, 2012; Harrington, Crowther, Henrickson, & Mickelson, 2006; Hirth, Rahman, & Berenson, 2011; Lucea, Francis, Sabri, Campbell, & Campbell, 2012; Mitchell, Mazzeo, Schlesinger, Brewerton, & Smith, 2012; Mitchell, Rasmusson, Bartlett, & Gerber, 2014). Among veterans, military-specific traumatic events – combat exposure and military sexual trauma – are associated with disordered eating (Bartlett & Mitchell, 2015; Jacobson et al, 2009; Maguen et al, 2012; Tanofsky-Kraff et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Military experience can influence Women's eating habits

et al. 2017

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Background. Disordered eating, ranging from occasional binge eating or restriction to behaviors associated with eating disorder diagnoses, is common among military personnel and veterans. However, there is little information on how military service affects eating habits. Objective. To describe possible pathways between military service and disordered eating among women veterans, a high risk group. Materials and Methods. Twenty women veterans who reported changing eating habits in response to stress participated in audio-recorded focus groups or dyadic interviews between April 2013 and October 2014. We used thematic analysis of transcripts to identify and understand women’s self-reported eating habits before, during, and after military service. Results. Participants reported entering the military with varied eating habits, but little disordered eating. Participants described several ways military environments affected eating habits, for example, by promoting fast, irregular, binge-like eating and disrupting the reward value of food. Participants believed military-related stressors, which were often related to gender, also affected eating habits. Such stressors included military sexual trauma and the need to meet military weight requirements in general and after giving birth. Participants also reported that poor eating habits continued after military service, often because they remained under stress. Conclusions. For some women, military service can result in socialization to poor eating habits, which when combined with exposure to stressors can lead to disordered eating. Additional research is needed, including work to understand possible benefits associated with providing support in relation to military weight requirements and the transition out of military service. Given the unique experiences of women in the military, future work could also focus on health services surrounding pregnancy-related weight change and the stress associated with being a woman in predominantly male military environments.

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“…The prevalence of PTSD in administrative data-based studies ranged from 3.5% to 48.8% (11 studies 25, 47, 48, 51, 52, 54, 25, 50, 55-57 ). Finally, the lifetime prevalence of PTSD diagnosis based on diagnostic interviews ranged from 14.5% to 48.7% (6 studies 18, 20, 23, 25, 44, 58 ).…”

Section: Resultsmentioning

confidence: 99%

The Prevalence of Posttraumatic Stress Disorder in Primary Care: A Systematic Review

Spottswood

Davydow

Huang

2017

Harv Rev Psychiatry

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Background There is limited information on the prevalence of posttraumatic stress disorder (PTSD) across primary care settings. Objective Determine the prevalence of clinician-diagnosed PTSD and questionnaire-ascertained PTSD symptoms in primary care patients. Methods A systematic review of the literature using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method, searching MEDLINE, CINAHL, Cochrane Database, PsychINFO, EMBASE, Google Scholar, and relevant book chapter bibliographies. Studies that reported on the prevalence, including point and/or lifetime prevalence, of PTSD ascertained using diagnostic interviews, self-report questionnaires, or from administrative data, among patients seen in primary care were deemed eligible for inclusion. We abstracted data on the PTSD assessment tool, the mean questionnaire scores/cutoff scores, the time period of PTSD symptoms, and PTSD prevalence reported. Results Of 10,613 titles screened, 41 studies were eligible for inclusion. The included studies assessed PTSD in a total of 7,256,826 primary care patients. The median point prevalence of PTSD across studies was 12.5%. The point prevalence of the civilian population median was 11.1%, the special risk population median was 12.5%, and the veteran median was 24.5%. The point prevalence of diagnostic interview-ascertained PTSD ranged from 2% to 32.5%, the point prevalence of questionnaire-based substantial PTSD symptoms ranged from 2.9% to 39.1%. Lifetime prevalence of diagnostic interview ascertained-PTSD ranged from 14.5% to 44.3%. The prevalence of PTSD in administrative data-based studies ranged from 3.5% to 48.8%. Conclusions PTSD is common in primary care settings. Additional research on effective and generalizable interventions for PTSD in primary care is needed.

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Eating disorders and associated mental health comorbidities in female veterans

Cited by 23 publications

References 14 publications

Associations between healthcare use and disordered eating among female veterans

Associations between healthcare use and disordered eating among female veterans

Military experience can influence Women's eating habits

The Prevalence of Posttraumatic Stress Disorder in Primary Care: A Systematic Review

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