title: Binge Eating among Women Veterans in Primary Care: Comorbidities and Treatment Priorities.
abstract: 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.
  
  
  
  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-).
  
  
  
  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.
  
  
  
  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.
authors.affiliation: VA Palo Alto Health Care System, Health Services Research & Development, Center for Innovation to Implementation, Palo Alto, California; Department of Psychology, Drexel University, Philadelphia, Pennsylvania. Electronic address: diane.rosenbaum@drexel.edu.
authors.forename: Diane L
authors.initials: DL
authors.lastname: Rosenbaum
authors.affiliation: VA Palo Alto Health Care System, Health Services Research & Development, Center for Innovation to Implementation, Palo Alto, California; VA Palo Alto Health Care System, National Center for PTSD, Palo Alto, California.
authors.forename: Rachel
authors.initials: R
authors.lastname: Kimerling
authors.affiliation: VA Palo Alto Health Care System, Health Services Research & Development, Center for Innovation to Implementation, Palo Alto, California.
authors.forename: Alyssa
authors.initials: A
authors.lastname: Pomernacki
authors.affiliation: Durham VA Medical Center, Health Services Research and Development (HSR&D) Center for Health Services Research in Primary Care, Durham, North Carolina; Department of Medicine, Duke University, Durham, North Carolina.
authors.forename: Karen M
authors.initials: KM
authors.lastname: Goldstein
authors.affiliation: VA Greater Los Angeles Healthcare System, Health Services Research and Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation and Policy, Los Angeles, California; Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, California.
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: Yano
authors.affiliation: Iowa City VA Health Care System, Health Services Research and Development (HSR&D) Center for Comprehensive Access and Delivery Research and Evaluation, Iowa City, Iowa; Department of Psychiatry, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
authors.forename: Anne G
authors.initials: AG
authors.lastname: Sadler
authors.affiliation: VA Palo Alto Health Care System, Health Services Research & Development, Center for Innovation to Implementation, Palo Alto, California.
authors.forename: Diane
authors.initials: D
authors.lastname: Carney
authors.affiliation: VA Connecticut Healthcare System, Health Services Research and Development (HSR&D) Pain Research, Informatics, Multi-Morbidities, and Education Center, West Haven, Connecticut; Internal Medicine, Yale School of Medicine, New Haven, Connecticut.
authors.forename: Lori A
authors.initials: LA
authors.lastname: Bastian
authors.affiliation: VA Greater Los Angeles Healthcare System, Health Services Research and Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation and Policy, Los Angeles, California; Department of Medicine, University of California Los Angeles (UCLA) David Geffen School of Medicine, Los Angeles, California.
authors.forename: Bevanne A
authors.initials: BA
authors.lastname: Bean-Mayberry
authors.affiliation: VA Palo Alto Health Care System, Health Services Research & Development, Center for Innovation to Implementation, Palo Alto, California; Division of General Medical Disciplines, Stanford University, Stanford, California.
authors.forename: Susan M
authors.initials: SM
authors.lastname: Frayne
mesh_terms: D001007:Anxiety / Q000453:epidemiology; D056912:Binge-Eating Disorder / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D001828:Body Image; D015897:Comorbidity; D003863:Depression / Q000453:epidemiology; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D009765:Obesity / Q000453:epidemiology / Q000523:psychology*; D011320:Primary Health Care; D017406:Sexual Harassment / Q000523:psychology / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014481:United States; D014493:United States Department of Veterans Affairs; D014728:Veterans / Q000523:psychology / Q000706:statistics & numerical data