دورية أكاديمية

Distinguishing probable atypical anorexia nervosa from weight loss alone in a national sample of U.S. Military Veterans: Disentangling the roles of weight suppression and cognitive concerns.

التفاصيل البيبلوغرافية
العنوان: Distinguishing probable atypical anorexia nervosa from weight loss alone in a national sample of U.S. Military Veterans: Disentangling the roles of weight suppression and cognitive concerns.
المؤلفون: Herb Neff, Kirstie M., Buta, Eugenia, Fenn, Lindsay M., Ramsey, Christine N., Snow, Jennifer L., Haskell, Sally G., Masheb, Robin M.
المصدر: International Journal of Eating Disorders; Apr2024, Vol. 57 Issue 4, p827-838, 12p
مصطلحات موضوعية: WEIGHT loss, STATISTICAL models, POST-traumatic stress disorder, MENTAL health, RESEARCH funding, SECONDARY analysis, CRONBACH'S alpha, BODY mass index, HEALTH status indicators, QUESTIONNAIRES, DESCRIPTIVE statistics, CLASSIFICATION of mental disorders, PSYCHOLOGY of veterans, ANOREXIA nervosa, CASE-control method, PSYCHOLOGICAL stress, SOCIODEMOGRAPHIC factors, COMPARATIVE studies, COMPULSIVE eating, PSYCHOLOGICAL tests, ANXIETY disorders, COGNITION, REGRESSION analysis, SELF-perception, COMORBIDITY
مصطلحات جغرافية: UNITED States
مستخلص: Objective: Veterans are at high risk for eating disorders (EDs), and specifically for atypical anorexia nervosa (atypical AN). The current study aimed to better understand this under‐studied disorder and how it differs from weight loss without ED cognitive features. Method: Secondary analyses were conducted with data from a national study of Veterans (N = 882, 49.4% women). Participants were categorized into four mutually exclusive groups using the Eating Disorder Diagnostic Scale 5: probable atypical AN, a cognitive concerns group (Cog Only), a weight suppressed group (WS Only), and a no ED control group. Adjusted regression models were used to compare groups on measures of eating pathology and mental health. Three weight suppression thresholds (5%, 10%, and 15%) for probable atypical AN were also tested. Results: The sample was comprised of 12% probable atypical AN, 23.6% Cog Only, 16.3% WS Only, and 48.1% Control. The probable atypical AN group was most like the Cog Only group except for higher levels of dietary restraint. Atypical AN fared worse and was least like the Control group followed by the WS Only group. All weight suppression thresholds significantly predicted dietary restraint, with 5% being the best predictor. Discussion: Results found that probable atypical AN is a distinct clinical entity and that the exact weight suppression threshold associated with atypical AN is less important than having any weight suppression. Findings highlight the clinical significance of atypical AN and the importance of gaining a better understanding of how to address this clinical entity. Public significance: Atypical anorexia nervosa is a relatively underexamined but highly prevalent eating disorder in the Veteran population. Results show that ED cognitive features are more closely linked to clinically significant eating pathology and poor mental health than weight suppression alone suggesting that negative thinking about weight gain and appearance, regardless of the presence or severity of weight loss, may signal the need for specialized intervention. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:02763478
DOI:10.1002/eat.24116