Bulimia nervosa, childbirth, and psychopathology

Bulimia nervosa, childbirth, and psychopathology
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DOI:
10.1016/s0022-3999(02)00641-4
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发表时间:
2003-10-01
影响因子:
4.7
通讯作者:
Bulik, CM
Bulik, CM
中科院分区:
医学3区
文献类型:
--
作者:
Carter, FA;McIntosh, VVW;Bulik, CM

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目的:研究神经性贪食症治疗后生育婴儿是否会增加女性持续或复发饮食失调或重度抑郁症的风险。研究方法:受试者是参与了一项大型随机对照试验的女性,该试验评估了神经性贪食症的认知行为疗法,并进行了5年以上的前瞻性随访。在随访评估时(至少每年一次),完成患者的生命图表,并记录分娩情况。使用DSM-III-R结构化访谈评估进食障碍和重度抑郁症的存在。结果:分娩与乳腺癌的增加无特异性相关。在分娩的同一年和分娩后的一年,饮食失调和重度抑郁症都发现了这一点。结论:分娩与神经性贪食症治疗后的肥胖症无特异性相关。(C)2003年爱思唯尔公司All rights reserved.
Objective: To examine whether having a baby following treatment for bulimia nervosa places women at increased risk for continuing or relapsing eating disorders or major depression. Methods: Subjects were women who had participated in a large randomized controlled trial evaluating cognitive behavior therapy for bulimia nervosa, who were prospectively followed-up over 5 years. At follow-up assessments (at least yearly), life charts were completed with patients and childbirth was recorded. The presence of eating disorders and major depressive disorder was assessed using the Structured Interview for DSM-III-R. Results: Childbirth was not specifically associated with increased symptomatology. This was found for both eating disorders and major depression in the same year as childbirth and for the year following childbirth. Conclusion: Childbirth is not specifically associated with symptomatology following treatment for bulimia nervosa. (C) 2003 Elsevier Inc. All rights reserved.