Binge Eating among Women Veterans in Primary Care: Comorbidities and Treatment Priorities

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• 作者：Diane L. Rosenbaum ; PhD^a ; ^b ; ^{diane.rosenbaum@drexel.edu" class="auth_mail" title="E-mail the corresponding author}Author Vitae ; Rachel Kimerling ; PhD^a ; ^cAuthor Vitae ; Alyssa Pomernacki ; MPH^aAuthor Vitae ; Karen M. Goldstein ; MD^d ; ^eAuthor Vitae ; Elizabeth M. Yano ; PhD ; MSPH^f ; ^gAuthor Vitae ; Anne G. Sadler ; PhD ; RN^h ; ⁱAuthor Vitae ; Diane Carney ; MA^aAuthor Vitae ; Lori A. Bastian ; MD ; MPH^j ; ^kAuthor Vitae ; Bevanne A. Bean-Mayberry ; MD^f ; ^lAuthor Vitae ; Susan M. Frayne ; MD ; MPH^a ; ^mAuthor Vitae
• 刊名：Women's Health Issues
• 出版年：2016
• 出版时间：July-August 2016
• 年：2016
• 卷：26
• 期：4
• 页码：420-428
• 全文大小：337 K

文摘

Little is known about the clinical profile and treatment priorities of women with binge eating disorder (BED), a diagnosis new to the fifth edition of Diagnostic and Statistical Manual of Mental Disorders. We identified comorbidities and patients' treatment priorities, because these may inform implementation of clinical services.

Methods

Data were collected from women veteran primary care patients. Analyses compared those who screened positive for BED (BED+), and those without any binge eating symptoms (BED−).

Results

Frequencies of comorbid medical and psychological disorders were high in the BED+ group. The BED+ group's self-identified most common treatment priorities were mood concerns (72.2%), weight loss (66.7%), and body image/food issues (50%). Among those with obesity, a greater proportion of the BED+ group indicated body image/food issues was their top treatment priority (12.9% vs. 2.8%; p < .01), suggesting that these patients may be more apt to seek treatment beyond weight management for their problematic eating patterns.

Conclusions

Women primary care patients with BED demonstrate high medical and psychological complexity; their subjective treatment priorities often match objective needs. These findings may inform the development of targeted BED screening practices for women with obesity in primary care settings, and the eventual adoption of patient-centered BED treatment resources.