Background

Eating disorders (EDs) have been shown to negatively impact occupational functioning and may be associated with employment status. Findings have been inconsistent, and depression may mediate this relation. Further, prior research focuses mainly on binge eating disorder's (BED) impact on occupational functioning. We assessed the association between transdiagnostic ED symptoms and occupational functioning and employment status among female veterans, who tend to have high rates of EDs and unemployment but who remain understudied.

Method

Participants were 198 female veterans (M_age = 54.09) in the New England region who participated in a larger study. They completed a mailed survey including the Eating Disorder Diagnostic Scale, Center for Epidemiologic Studies-Depression Scale, employment status (employed vs. unemployed and out of the workforce), and the Inventory of Psychosocial Functioning to assess occupational functioning.

Results

ED symptoms were not significantly related to employment status but were negatively associated with occupational functioning when controlling for body mass index. Depressive symptoms mediated the associations between ED symptoms and both being out of the workforce and occupational functioning, respectively.

Discussion

Higher levels of ED symptoms were associated with worse occupational functioning in a female veteran sample. Further, comorbid depressive symptoms may be an important treatment target when addressing occupational health in women experiencing ED symptoms.

中文翻译：

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女性退伍军人饮食失调症状、就业状况和职业功能之间的关联

背景

饮食失调 (ED) 已被证明会对职业功能产生负面影响，并且可能与就业状况有关。结果不一致，抑郁症可能会调节这种关系。此外，先前的研究主要集中在暴食症 (BED) 对职业功能的影响。我们评估了女性退伍军人的跨诊断 ED 症状与职业功能和就业状况之间的关联，这些退伍军人往往具有较高的 ED 率和失业率，但仍未得到充分研究。

方法

参与者是 新英格兰地区的198 名女性退伍军人（M_年龄= 54.09），他们参与了一项更大的研究。他们完成了一项邮寄调查，包括饮食失调诊断量表、流行病学研究中心 - 抑郁量表、就业状况（就业与失业和失业）以及心理社会功能清单，以评估职业功能。

结果

ED 症状与就业状况无显着相关，但在控制体重指数时与职业功能呈负相关。抑郁症状分别介导了 ED 症状与失业和职业功能之间的关联。

讨论

在女性退伍军人样本中，较高水平的 ED 症状与较差的职业功能相关。此外，在解决患有 ED 症状的女性的职业健康问题时，共病抑郁症状可能是一个重要的治疗目标。