Evidence map›Paper›PMID 34534875›Full record

ArticleEating behaviors2021

Eating disorder behaviors and treatment seeking in self-identified military personnel and veterans: Results of the National Eating Disorders Association online screening.

Rachael E Flatt, Elliott Norman, Laura M Thornton, Ellen E Fitzsimmons-Craft, Katherine N Balantekin, Lauren Smolar, Claire Mysko, Denise E Wilfley, C Barr Taylor, Cynthia M Bulik

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Eating behaviors, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

Rachael E FlattDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. Electronic address: rflatt@unc.edu.
Elliott NormanGillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Laura M ThorntonDepartment of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Ellen E Fitzsimmons-CraftDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
Katherine N BalantekinDepartment of Exercise and Nutrition Sciences, University at Buffalo, Buffalo, NY, USA.
Lauren SmolarNational Eating Disorders Association, New York City, NY, USA.
Claire MyskoNational Eating Disorders Association, New York City, NY, USA.
Denise E WilfleyDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
C Barr TaylorDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA; Center for m(2)Health, Palo Alto University, Palo Alto, CA, USA.
Cynthia M BulikDepartment of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
University of North Carolina at Chapel Hill · USNational Eating Disorders Association · USWashington University in St. Louis · USStanford University · USUniversity at Buffalo, State University of New York · US

Funding

Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Brian N Finck · 1999 to 2026
$30.2M
Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
Eating Disorders Genetics Initiative (EDGI)R01MH120170 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BULIK, CYNTHIA M · 2019 to 2023
$7.2M
Using Technology to Improve Eating Disorders TreatmentR01MH100455 · NIMH · WASHINGTON UNIVERSITY · PI TAYLOR, CRAIG BARR, WILFLEY, DENISE ELLA · 2013 to 2017
$3.4M
Predicting Binge and Purge Episodes from Passive and Active Apple Watch Data Using a Dynamical Systems ApproachR01MH119084 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BULIK, CYNTHIA M, BUTNER, JONATHAN · 2019 to 2022
$2.8M
Developing an Optimized Conversational Agent or "Chatbot" to Facilitate Mental Health Services Use in Individuals with Eating DisordersK08MH120341 · NIMH · WASHINGTON UNIVERSITY · PI FITZSIMMONS-CRAFT, ELLEN E. · 2019 to 2023
$824k
The Intersection between Loss of Control Eating and Obesity: The Role of Restriction and Food Reinforcement.K01DK120778 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI BALANTEKIN, KATHERINE NAIME · 2020 to 2024
$785k
NIDDK NIH HHS K01 DK120778NIDDK NIH HHS P30 DK056341NIDDK NIH HHS P30 DK092950NIMH NIH HHS K08 MH120341NIMH NIH HHS R01 MH100455NIMH NIH HHS R01 MH119084NIMH NIH HHS R01 MH120170
6 · The paper itself

Abstract

objectiveTo characterize disordered eating behaviors, eating disorder (ED) risk and diagnosis, and treatment seeking behaviors in active-duty military personnel/veterans compared with civilians.

methodSelf-selecting participants (n = 113,388; 1744 were military personnel/veterans) 18+ years old completed the National Eating Disorders Association's online screen. Engagement in and frequencies of disordered eating behaviors were compared across military/veteran and civilian groups and were stratified by gender. ED risk and diagnosis and treatment seeking behaviors were also compared.

resultsIndividuals in the military/veteran group were more likely to engage in diuretic/laxative use and excessive exercise compared with civilians. Compared with civilians, the military/veteran group had a lower percentage who screened "at risk for an ED" and a higher percentage who screened for "no risk". Females in the military/veteran group were more likely to engage in diuretic/laxative use, excessive exercise, and fasting compared with female civilians; males in the military/veteran group were more likely to engage in excessive exercise and less likely to engage in vomiting than male civilians. Of the self-identified military personnel/veterans who screened positive for any ED, 86% had never received treatment, which did not differ significantly from civilians. Notably, 56.7% of those (54.1% of military/veteran group; 56.7% of civilians) who completed an optional item on intention to seek treatment (n = 5312) indicated they would not seek treatment.

conclusionsDisordered eating and ED profiles, but not treatment seeking, may differ between military personnel/veterans and civilians who complete an online ED screen. Future work should emphasize treatment options and connecting respondents directly to tailored resources.

Indexed as

Feeding and Eating DisordersMilitary PersonnelVeteransAdolescentFeeding BehaviorFemaleHumansMaleMass ScreeningDisordered eating behaviorsEating disordersMilitaryOnline screeningTreatment seekingVeterans

Identifiers

PMID34534875
PMCPMC8952181
OpenAlexW3196444639

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.