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

Background: 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.

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Work Title Binge Eating among Women Veterans in Primary Care: Comorbidities and Treatment Priorities
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Open Access
Creators
  1. Diane L. Rosenbaum
  2. Rachel Kimerling
  3. Alyssa Pomernacki
  4. Karen M. Goldstein
  5. Elizabeth M. Yano
  6. Anne G. Sadler
  7. Diane Carney
  8. Lori A. Bastian
  9. Bevanne A. Bean-Mayberry
  10. Susan M. Frayne
Keyword
  1. Binge eating disorder
  2. treatment priorities
  3. women veterans
  4. obesity
License CC BY-NC-ND 4.0 (Attribution-NonCommercial-NoDerivatives)
Work Type Article
Publisher
  1. Women's Health Issues
Publication Date March 10, 2016
Publisher Identifier (DOI)
  1. https://doi.org/10.1016/j.whi.2016.02.004
Deposited July 23, 2024

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Version 1
published

  • Created
  • Added Accepted_Version_of_Manuscript_WHI.pdf
  • Added Creator Diane L. Rosenbaum
  • Added Creator Rachel Kimerling
  • Added Creator Alyssa Pomernacki
  • Added Creator Karen M. Goldstein
  • Added Creator Elizabeth M. Yano
  • Added Creator Anne G. Sadler
  • Added Creator Diane Carney
  • Added Creator Lori A. Bastian
  • Added Creator Bevanne A. Bean-Mayberry
  • Added Creator Susan M. Frayne
  • Published
  • Updated
  • Updated Keyword, Description, Publication Date Show Changes
    Keyword
    • Binge eating disorder, treatment priorities, women veterans, obesity
    Description
    • <p>Background 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 &lt; .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.</p>
    • <p>Background: 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 &lt; .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.</p>
    Publication Date
    • 2016-07-01
    • 2016-03-10