Understanding the Mental Health Needs of a Community-Sample of UK Women Veterans
Abstract: Women are often underrepresented or entirely missing from veteran research, and there remains limited understanding of their mental health needs. The present study investigated the mental health needs of a community sample of UK women veterans. A total of 750/1680 (44.6%) participants completed an online survey. Data was collected on sociodemographic and military factors, mental health and wellbeing, and childhood adversity. Findings revealed a high prevalence and comorbidity of mental health difficulties, including common mental health difficulties (28.6%) and posttraumatic stress disorder (PTSD) (10.8%). Women veterans who were older, not working, held a lower rank during service, perceived less social support and experienced greater loneliness were more likely to report such difficulties. Results further revealed high childhood and military adversity, and wellbeing difficulties. Such findings provide insight into the needs of women veterans and have implications for providing appropriate support. Considerations of the generalizability of findings are discussed.
Abstract: Disordered eating is a prevalent and relevant health concern that remains understudied among U.S. military veterans. Avoidant/restrictive food intake disorder (ARFID) is a newly recognized feeding and eating disorder characterized by overly restrictive eating due to (a) picky eating, (b) lack of appetite, and (c) fear of aversive consequences related to eating. The Nine-Item ARFID Screen (NIAS) is a recently developed ARFID screening tool with initial validation studies demonstrating psychometric support. However, the psychometric properties of the NIAS have not been investigated in a veteran sample. To advance our understanding of ARFID screening tools that may be appropriate for use in veterans, the present study examined the factor structure of the NIAS using survey data from a large national sample of recently separated veterans (N = 1,486). Measurement invariance across key subgroups was tested in addition to exploring differential associations between the NIAS and related constructs. Results suggested that a three-factor model provided an excellent fit of the data and demonstrated scalar invariance across self-identified men and women, race and ethnicity, and sexual and gender minority (SGM) identity. Some subgroups had higher latent means on the picky eating (women, SGM, non-Hispanic Black), appetite (women, SGM), and fear (women) factors. The NIAS had some overlap with another measure of disordered eating and was moderately correlated with psychosocial impairment and mental health. Overall, the NIAS may be a useful screening tool for ARFID in veterans, given support for the three proposed subscales and equivalence across diverse identities.