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Multidisciplinary Approach to Obesity Management: A Case Report
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PTSD symptom decrease and use of weight loss programs.

Jeffrey F Scherrer1, Joanne Salas1, Kathleen M Chard2

  • 1Department of Family and Community Medicine, Saint Louis University School of Medicine, St. Louis, MO 63104, United States; Harry S. Truman Veterans Administration Medical Center, Columbia, MO, United States.

Journal of Psychosomatic Research
|October 27, 2019
PubMed
Summary
This summary is machine-generated.

Significant improvement in posttraumatic stress disorder (PTSD) is linked to greater use of weight loss programs among Veterans. PTSD does not prevent individuals from seeking weight loss support.

Keywords:
CohortEpidemiologyHealth servicesNutritionPosttraumatic stress disorderVeteranWeight

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Area of Science:

  • Health Services Research
  • Mental Health
  • Obesity Research

Background:

  • Posttraumatic stress disorder (PTSD) is linked to poor health behaviors, including low engagement with weight loss programs within the Veteran Health Affairs (VHA).
  • The relationship between clinically significant PTSD improvement and utilization of VHA weight loss programs remains unclear.

Purpose of the Study:

  • To investigate if clinically meaningful improvement in PTSD symptoms is associated with increased use of VHA weight loss programs.
  • To determine if PTSD hinders weight loss program utilization.

Main Methods:

  • A retrospective study analyzed VHA medical records of 993 patients receiving PTSD specialty care from FY2008-FY2012.
  • Clinically meaningful PTSD improvement was defined by a ≥20-point decrease on the PTSD Checklist (PCL).
  • Cox proportional hazard models and inverse probability of exposure weighting were used to assess the association between PTSD improvement and weight loss clinic utilization.

Main Results:

  • Patients with clinically meaningful PTSD improvement were more likely to use weight loss clinics (HR=1.37).
  • Among users, PTSD improvement did not correlate with the number of weight loss encounters (RR=1.13).
  • Compared to those without PTSD, patients with PTSD improvement showed higher utilization of weight loss services.

Conclusions:

  • Substantial PTSD symptom reduction is associated with increased engagement in VHA weight loss programs.
  • PTSD is not a barrier to seeking weight loss interventions.
  • Further research is needed to understand the factors influencing weight loss outcomes despite PTSD improvement.