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

Rosenbaum DL, Kimerling R, Pomernacki A, Goldstein KM, Yano EM, Sadler AG, Carney D, Bastian LA, Bean-Mayberry BA, Frayne SM. Binge Eating among Women Veterans in Primary Care: Comorbidities and Treatment Priorities. Women's health issues : official publication of the Jacobs Institute of Women's Health. 2016 Jul 1; 26(4):420-8.

Related HSR&D Project(s)

• CDA 13-263 – Peer Support for Cardiovascular Risk Reduction in Female Veterans
• RCS 05-195 – Research Career Scientist Award
• SDR 10-012 – Women's Health Research Consortium/Practice-Based Research Network
• IIR 15-103 – Validation of the PTSD Primary Care Screen

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Abstract:

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.