War stress may be another risk factor for eating disorders in civilians: a study in Lebanese University Students
Identifieur interne : 000306 ( Main/Exploration ); précédent : 000305; suivant : 000307War stress may be another risk factor for eating disorders in civilians: a study in Lebanese University Students
Auteurs : RBID : Pascal:13-0287909Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Guerre, Université, Homme.
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Abstract
Objective: Traumatic life events are important risk factors for eating disorders (ED). War has been associated, in military populations, with an increased post-service incidence of ED and an increased mean body mass index. We hypothesize that a modification of eating behavior (EB) related to stress during wartime may increase the risk of developing an ED later on among civilians exposed to war stress during adulthood. Methods: This descriptive cross-sectional study was performed in a group of 303 undergraduate young adult students of both sexes from Lebanon, 6 months after the July 2006 war. Modification of EB during wartime, sociodemographic and other potential risk factors were assessed retrospectively. Students were then screened for ED using the SCOFF questionnaire. Results: SCOFF was positive in 31.4% of the students, with a mean value 41.6% higher among subjects who reported an altered EB during the war. Among subjects with a positive SCOFF screening, 71% had experienced a change of EB during wartime. Alteration of EB during war was related to an odds ratio for a positive SCOFF screening of 2.6 (95% CI 1.54-4.34) and 1.8 (95% CI 1.01-3.21) for non-adjusted and adjusted analysis, respectively. Conclusions: Modification of EB related to stress during wartime is associated with an increased risk of eating disorders. Early detection and treatment of eating disorders may be improved by routinely evaluation of EB modification in patients with a past history of war exposure.
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">War stress may be another risk factor for eating disorders in civilians: a study in Lebanese University Students</title><author><name sortKey="Aoun, Antoine" uniqKey="Aoun A">Antoine Aoun</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Saint Joseph University</s1><s2>Beirut 1104-2020</s2><s3>LBN</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Liban</country><wicri:noRegion>Saint Joseph University</wicri:noRegion></affiliation><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>INSERM U1073, Rouen University and Rouen University Hospital</s1><s2>76183 Rouen</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region" nuts="2">Haute-Normandie</region><settlement type="city">Rouen</settlement></placeName></affiliation></author><author><name sortKey="Duarte Garcia, Frederico" uniqKey="Duarte Garcia F">Frederico Duarte Garcia</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>INSERM U1073, Rouen University and Rouen University Hospital</s1><s2>76183 Rouen</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region" nuts="2">Haute-Normandie</region><settlement type="city">Rouen</settlement></placeName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>Department of Psychiatry, Universidade Federal de Minas Gerais, Hospital das Clínicas da UFMG</s1><s2>Belo Horizonte - MG CEP 30315360</s2><s3>BRA</s3><sZ>2 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Minas Gerais</region></placeName><orgName type="university">Université fédérale du Minas Gerais</orgName></affiliation></author><author><name sortKey="Mounzer, Caroll" uniqKey="Mounzer C">Caroll Mounzer</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Saint Joseph University</s1><s2>Beirut 1104-2020</s2><s3>LBN</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Liban</country><wicri:noRegion>Saint Joseph University</wicri:noRegion></affiliation></author><author><name sortKey="Hlais, Sani" uniqKey="Hlais S">Sani Hlais</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Saint Joseph University</s1><s2>Beirut 1104-2020</s2><s3>LBN</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Liban</country><wicri:noRegion>Saint Joseph University</wicri:noRegion></affiliation></author><author><name sortKey="Grigioni, Sebastien" uniqKey="Grigioni S">Sebastien Grigioni</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>INSERM U1073, Rouen University and Rouen University Hospital</s1><s2>76183 Rouen</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region" nuts="2">Haute-Normandie</region><settlement type="city">Rouen</settlement></placeName></affiliation></author><author><name sortKey="Honein, Khalil" uniqKey="Honein K">Khalil Honein</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Saint Joseph University</s1><s2>Beirut 1104-2020</s2><s3>LBN</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Liban</country><wicri:noRegion>Saint Joseph University</wicri:noRegion></affiliation></author><author><name sortKey="Dechelotte, Pierre" uniqKey="Dechelotte P">Pierre Déchelotte</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>INSERM U1073, Rouen University and Rouen University Hospital</s1><s2>76183 Rouen</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region" nuts="2">Haute-Normandie</region><settlement type="city">Rouen</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="inist">13-0287909</idno><date when="2013">2013</date><idno type="stanalyst">PASCAL 13-0287909 INIST</idno><idno type="RBID">Pascal:13-0287909</idno><idno type="wicri:Area/Main/Corpus">000460</idno><idno type="stanalyst">FRANCIS 13-0287909 INIST</idno><idno type="wicri:Area/Main/Curation">002400</idno><idno type="wicri:Area/Main/Exploration">000306</idno></publicationStmt><seriesStmt><idno type="ISSN">0163-8343</idno><title level="j" type="abbreviated">Gen. hosp. psych.</title><title level="j" type="main">General hospital psychiatry</title></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anorexia nervosa</term><term>Bulimia</term><term>Eating disorder</term><term>Human</term><term>Medical screening</term><term>Risk factor</term><term>Stress</term><term>Student</term><term>University</term><term>University environment</term><term>War</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Guerre</term><term>Stress</term><term>Facteur risque</term><term>Trouble du comportement alimentaire</term><term>Milieu universitaire</term><term>Université</term><term>Anorexie mentale</term><term>Boulimie</term><term>Dépistage</term><term>Homme</term><term>Etudiant</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Guerre</term><term>Université</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: Traumatic life events are important risk factors for eating disorders (ED). War has been associated, in military populations, with an increased post-service incidence of ED and an increased mean body mass index. We hypothesize that a modification of eating behavior (EB) related to stress during wartime may increase the risk of developing an ED later on among civilians exposed to war stress during adulthood. Methods: This descriptive cross-sectional study was performed in a group of 303 undergraduate young adult students of both sexes from Lebanon, 6 months after the July 2006 war. Modification of EB during wartime, sociodemographic and other potential risk factors were assessed retrospectively. Students were then screened for ED using the SCOFF questionnaire. Results: SCOFF was positive in 31.4% of the students, with a mean value 41.6% higher among subjects who reported an altered EB during the war. Among subjects with a positive SCOFF screening, 71% had experienced a change of EB during wartime. Alteration of EB during war was related to an odds ratio for a positive SCOFF screening of 2.6 (95% CI 1.54-4.34) and 1.8 (95% CI 1.01-3.21) for non-adjusted and adjusted analysis, respectively. Conclusions: Modification of EB related to stress during wartime is associated with an increased risk of eating disorders. Early detection and treatment of eating disorders may be improved by routinely evaluation of EB modification in patients with a past history of war exposure.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0163-8343</s0></fA01><fA02 i1="01"><s0>GHPSDB</s0></fA02><fA03 i2="1"><s0>Gen. hosp. psych.</s0></fA03><fA05><s2>35</s2></fA05><fA06><s2>4</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>War stress may be another risk factor for eating disorders in civilians: a study in Lebanese University Students</s1></fA08><fA11 i1="01" i2="1"><s1>AOUN (Antoine)</s1></fA11><fA11 i1="02" i2="1"><s1>DUARTE GARCIA (Frederico)</s1></fA11><fA11 i1="03" i2="1"><s1>MOUNZER (Caroll)</s1></fA11><fA11 i1="04" i2="1"><s1>HLAIS (Sani)</s1></fA11><fA11 i1="05" i2="1"><s1>GRIGIONI (Sebastien)</s1></fA11><fA11 i1="06" i2="1"><s1>HONEIN (Khalil)</s1></fA11><fA11 i1="07" i2="1"><s1>DÉCHELOTTE (Pierre)</s1></fA11><fA14 i1="01"><s1>Saint Joseph University</s1><s2>Beirut 1104-2020</s2><s3>LBN</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>6 aut.</sZ></fA14><fA14 i1="02"><s1>INSERM U1073, Rouen University and Rouen University Hospital</s1><s2>76183 Rouen</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ></fA14><fA14 i1="03"><s1>Department of Psychiatry, Universidade Federal de Minas Gerais, Hospital das Clínicas da UFMG</s1><s2>Belo Horizonte - MG CEP 30315360</s2><s3>BRA</s3><sZ>2 aut.</sZ></fA14><fA20><s1>393-397</s1></fA20><fA21><s1>2013</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>18886</s2><s5>354000505158330120</s5></fA43><fA44><s0>0000</s0><s1>© 2013 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>56 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>13-0287909</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>General hospital psychiatry</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>Objective: Traumatic life events are important risk factors for eating disorders (ED). War has been associated, in military populations, with an increased post-service incidence of ED and an increased mean body mass index. We hypothesize that a modification of eating behavior (EB) related to stress during wartime may increase the risk of developing an ED later on among civilians exposed to war stress during adulthood. Methods: This descriptive cross-sectional study was performed in a group of 303 undergraduate young adult students of both sexes from Lebanon, 6 months after the July 2006 war. Modification of EB during wartime, sociodemographic and other potential risk factors were assessed retrospectively. Students were then screened for ED using the SCOFF questionnaire. Results: SCOFF was positive in 31.4% of the students, with a mean value 41.6% higher among subjects who reported an altered EB during the war. Among subjects with a positive SCOFF screening, 71% had experienced a change of EB during wartime. Alteration of EB during war was related to an odds ratio for a positive SCOFF screening of 2.6 (95% CI 1.54-4.34) and 1.8 (95% CI 1.01-3.21) for non-adjusted and adjusted analysis, respectively. Conclusions: Modification of EB related to stress during wartime is associated with an increased risk of eating disorders. 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