US Military Veteran Perspectives on Eating Disorder Screening, Diagnosis, and Treatment: A Qualitative Study.

Autor: Masheb RM; VA Connecticut Healthcare System, West Haven, Connecticut, USA.; Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA., Snow JL; VA Connecticut Healthcare System, West Haven, Connecticut, USA., Siegel SE; Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California, USA., Munro LF; VA Connecticut Healthcare System, West Haven, Connecticut, USA., Huggins J; San Francisco VA Health Care System, Mental Health Service, San Francisco, California, USA., Hamilton AB; VA Greater Los Angeles Healthcare System, Los Angeles, California, USA.; Psychiatry and Biobehavioral Sciences, University of California-Los Angeles, Los Angeles, California, USA., Maguen S; San Francisco VA Health Care System, Mental Health Service, San Francisco, California, USA.; Department of Psychiatry and Behavioral Sciences, University of California-San Francisco, San Francisco, California, USA.
Jazyk: angličtina
Zdroj: The International journal of eating disorders [Int J Eat Disord] 2024 Jul 11. Date of Electronic Publication: 2024 Jul 11.
DOI: 10.1002/eat.24255
Abstrakt: Objective: We aimed to explore US veteran perspectives on eating disorder screening, diagnosis, patient-provider conversations, and care in the Veterans Health Administration (VHA).
Method: Rapid qualitative analysis of 30-45 min phone interviews with 16 (N = 16) veterans with an electronic health record ICD-10 eating disorder diagnosis, who received care at one of two VHA healthcare systems in Connecticut or California. Topics covered included: conversations with providers about eating disorder symptoms, diagnosis, and referral to treatment; feedback about an eating disorder screener, and; reflections on eating disorders among veterans and VHA's effort to address them.
Results: Most veterans reported difficulty understanding and defining the problems they were experiencing and self-diagnosed their eating disorder before discussing it with a provider. Treatment referrals were almost universally for being overweight rather than for an eating disorder, often leading veterans to feel misunderstood or marginalized. Overall, veterans were enthusiastic about the screener, preferred screening to be conducted by primary care providers, and noted that conversations needed to be non-stigmatizing. There was consensus that VHA is not doing enough to address this issue, that group support and therapy could be beneficial, and that resources needed to be centralized and accessible.
Discussion: For the most part, veterans felt that, at best, eating disorders and disordered eating are overlooked, and at worst, conflated with overweight. The majority of veterans got referred for weight loss or weight management services but would welcome the opportunity to be screened for, and referred to, eating disorder treatment.
(© 2024 Wiley Periodicals LLC.)
Databáze: MEDLINE
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