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Eating disorders and psychiatric comorbidity among Iraq and Afghanistan veterans.
Womens Health Issues. 2012 Jul-Aug; 22(4):e403-6.WH

Abstract

OBJECTIVE

Individuals with mental health problems are at elevated risk for eating disorders. Veterans serving in support of the conflicts in Afghanistan and Iraq (OEF/OIF) have a high prevalence of deployment-related mental health problems, but little is known about their risk for eating disorders. Our aim was to determine rates of eating disorder diagnoses among OEF/OIF veterans with mental health problems, particularly among those with comorbid mental health problems.

METHODS

This retrospective, cross-sectional analysis of nationwide VA healthcare facilities used descriptive statistics and regression analyses to determine eating disorder rates in OEF/OIF veterans who were new users of VA healthcare from October 7, 2001 to December 31, 2010 (N = 593,739).

RESULTS

Although the prevalence of eating disorder diagnoses was 0.007% (n = 465) in women and <0.001% (n = 192) in men, veterans diagnosed with mental health problems were significantly more likely to have an eating disorder than those without mental health diagnoses. Eating disorders were significantly more common in women with depression, posttraumatic stress disorder, and alcohol and/or drug use disorders than in women veterans without these mental health disorders. Among men, the associations between eating disorder diagnoses and comorbid mental health diagnoses closely paralleled those observed in women.

CONCLUSIONS

Rates of eating disorders are significantly higher among returning veterans with comorbid mental health problems compared with those without mental health diagnoses. Further research should examine methods to improve detection and treatment of eating disorders in this population.

Authors+Show Affiliations

San Francisco VA Medical Center, San Francisco, CA 94121, USA. Shira.Maguen@va.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

22749199

Citation

Maguen, Shira, et al. "Eating Disorders and Psychiatric Comorbidity Among Iraq and Afghanistan Veterans." Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, vol. 22, no. 4, 2012, pp. e403-6.
Maguen S, Cohen B, Cohen G, et al. Eating disorders and psychiatric comorbidity among Iraq and Afghanistan veterans. Womens Health Issues. 2012;22(4):e403-6.
Maguen, S., Cohen, B., Cohen, G., Madden, E., Bertenthal, D., & Seal, K. (2012). Eating disorders and psychiatric comorbidity among Iraq and Afghanistan veterans. Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, 22(4), e403-6. https://doi.org/10.1016/j.whi.2012.04.005
Maguen S, et al. Eating Disorders and Psychiatric Comorbidity Among Iraq and Afghanistan Veterans. Womens Health Issues. 2012 Jul-Aug;22(4):e403-6. PubMed PMID: 22749199.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Eating disorders and psychiatric comorbidity among Iraq and Afghanistan veterans. AU - Maguen,Shira, AU - Cohen,Beth, AU - Cohen,Greg, AU - Madden,Erin, AU - Bertenthal,Daniel, AU - Seal,Karen, PY - 2011/10/29/received PY - 2012/02/21/revised PY - 2012/04/20/accepted PY - 2012/7/4/entrez PY - 2012/7/4/pubmed PY - 2012/9/19/medline SP - e403 EP - 6 JF - Women's health issues : official publication of the Jacobs Institute of Women's Health JO - Womens Health Issues VL - 22 IS - 4 N2 - OBJECTIVE: Individuals with mental health problems are at elevated risk for eating disorders. Veterans serving in support of the conflicts in Afghanistan and Iraq (OEF/OIF) have a high prevalence of deployment-related mental health problems, but little is known about their risk for eating disorders. Our aim was to determine rates of eating disorder diagnoses among OEF/OIF veterans with mental health problems, particularly among those with comorbid mental health problems. METHODS: This retrospective, cross-sectional analysis of nationwide VA healthcare facilities used descriptive statistics and regression analyses to determine eating disorder rates in OEF/OIF veterans who were new users of VA healthcare from October 7, 2001 to December 31, 2010 (N = 593,739). RESULTS: Although the prevalence of eating disorder diagnoses was 0.007% (n = 465) in women and <0.001% (n = 192) in men, veterans diagnosed with mental health problems were significantly more likely to have an eating disorder than those without mental health diagnoses. Eating disorders were significantly more common in women with depression, posttraumatic stress disorder, and alcohol and/or drug use disorders than in women veterans without these mental health disorders. Among men, the associations between eating disorder diagnoses and comorbid mental health diagnoses closely paralleled those observed in women. CONCLUSIONS: Rates of eating disorders are significantly higher among returning veterans with comorbid mental health problems compared with those without mental health diagnoses. Further research should examine methods to improve detection and treatment of eating disorders in this population. SN - 1878-4321 UR - https://www.unboundmedicine.com/medline/citation/22749199/Eating_disorders_and_psychiatric_comorbidity_among_Iraq_and_Afghanistan_veterans_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1049-3867(12)00032-1 DB - PRIME DP - Unbound Medicine ER -