Antenatal and postnatal psychopathology among women with current and past eating disorders: longitudinal patterns.
Antenatal and postnatal psychopathology among women with current and past eating disorders: longitudinal patterns.
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DOI：
10.1002/erv.2328
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发表时间：
2015-01
影响因子：
5.3
通讯作者：
Micali, Nadia
中科院分区：
文献类型：
--
作者：
Easter, Abigail;Solmi, Francessca;Bye, Amanda;Taborelli, Emma;Corfield, Freya;Schmidt, Ulrike;Treasure, Janet;Micali, Nadia
本研究的目的是调查纵向模式的精神病理学在产前和产后期间的妇女与当前（C-ED）和过去（P-ED）的饮食失调。招募女性进行前瞻性纵向研究：C-ED（n = 31），P-ED（n = 29）和健康对照（HC; n = 57）。分别于孕早期、孕中期、孕晚期、产后8周和产后6个月测量焦虑、抑郁和艾德症状。使用线性混合效应模型检验组间差异。在所有诊断类别中，C-ED和P-ED女性在所有时间点的精神病理学水平均显著较高。艾德症状在C-艾德组中减少，而在其他两组中总体增加，但随后在怀孕后增加。总体而言，抑郁症和状态和特质焦虑评分下降的C-ED组相比，HC组在整个产前和产后期间。高水平的精神病理学在当前和过去的艾德妇女的产前和产后时期是常见的，尽管有一些总体减少，症状仍然具有临床意义。© 2014作者。《欧洲饮食失调评论》（European Eating Disorders Review），出版社：John Wiley & Sons，Ltd.
This study aims to investigate longitudinal patterns of psychopathology during the antenatal and postnatal periods among women with current (C-ED) and past (P-ED) eating disorders. Women were recruited to a prospective longitudinal study: C-ED (n = 31), P-ED (n = 29) and healthy control (HC; n = 57). Anxiety, depression and ED symptoms were measured at four time points: first/second trimester, third trimester, 8 weeks and 6 months postpartum. Linear mixed effects models were used to test for group differences. Women with C-ED and P-ED, in all diagnostic categories, had significantly higher levels of psychopathology at all time points. ED symptoms decreased in the C-ED group, compared with an overall increase in the other two groups but subsequently increased after pregnancy. Overall, depression and state and trait anxiety scores decreased in the C-ED group compared with the HC group throughout the antenatal and postnatal periods. High levels of psychopathology are common throughout the antenatal and postnatal periods among women with current and past ED, and despite some overall reductions, symptoms remain clinically significant. © 2014 The Authors. European Eating Disorders Review published by John Wiley & Sons, Ltd.
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