Mental Health and Obesity Among Veterans: A Possible Need for Integrated Care

被引：12

作者：

Breland, Jessica Y. ^{[1
]}

Frayne, Susan M. ^{[1
,2
]}

Timko, Christine ^{[1
,3
]}

Washington, Donna L. ^{[4
,5
]}

Maguen, Shira ^{[6
,7
]}

机构：

[1] VA Palo Alto Hlth Care Syst, Ctr Innovat Implementat, Hlth Serv Res & Dev HSR&D, US Dept Vet Affairs VA, Palo Alto, CA 94304 USA

[2] Stanford Univ, Sch Med, Div Primary Care & Populat Hlth, Stanford, CA 94305 USA

[3] Stanford Univ, Sch Med, Dept Psychiat & Behav Sci, Stanford, CA 94305 USA

[4] VA Greater Los Angeles Healthcare Syst, VA HSR&D Ctr Study Healthcare Innovat Implementat, Los Angeles, CA USA

[5] Univ Calif Los Angeles, David Geffen Sch Med, Dept Med, Div Gen Internal Med & Hlth Serv Res, Los Angeles, CA 90095 USA

[6] San Francisco VA Hlth Care Syst, San Francisco, CA USA

[7] Univ Calif San Francisco, Dept Psychiat, San Francisco, CA USA

来源：

PSYCHIATRIC SERVICES | 2020年 / 71卷 / 05期

关键词：

DISORDERS;

D O I：

10.1176/appi.ps.201900078

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objective: The goal was to examine psychiatric diagnosis rates among a national cohort of primary care patients with and without obesity. Methods: The cohort was derived from national Veterans Health Administration data (women, N=342,262; men, N=4,524,787). Sex-stratified descriptive statistics characterized psychiatric diagnosis rates. Chi-square tests determined whether diagnosis rates differed by obesity status (alpha=0.001). Results: Rates of any psychiatric diagnosis were higher among women than among men and among people with obesity versus without obesity (women, 53.9% vs. 50.4%; men, 37.9% vs. 35.2%). Depression and posttraumatic stress disorder diagnosis rates were higher for people with obesity, and substance use disorder diagnosis rates were lower for people with obesity. Anxiety diagnosis rates were slightly lower among women with obesity versus women without obesity. Conclusions: Programs simultaneously addressing weight management and mental health could address the psychiatric comorbidities observed among people with obesity. Women are most likely to need these services.

引用

页码：506 / 509

页数：4

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