Women's Experience and Understanding of Food Cravings in Pregnancy: A Qualitative Study in Women Receiving Prenatal Care at the University of North Carolina-Chapel Hill
Women's Experience and Understanding of Food Cravings in Pregnancy: A Qualitative Study in Women Receiving Prenatal Care at the University of North Carolina-Chapel Hill
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DOI：
10.1016/j.jand.2019.09.020
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发表时间：
2020-05-01
影响因子：
4.8
通讯作者：
Nansel, Tonja R.
中科院分区：
文献类型：
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作者：
Blau, Lauren E.;Lipsky, Leah M.;Nansel, Tonja R.
背景虽然怀孕期间发生的食物渴望是公认的，有一个定性的数据，孕妇的看法和反应的食物渴望。本研究旨在评估和描述孕妇的经验和行为有关的食物crawlings.Methods八个焦点小组进行了68名孕妇在他们的第二孕期从2015年3月至2016年10月。使用半结构化的方法，主持人问妇女开放式的问题，关于他们的饮食行为和食物渴望的经验。从焦点小组的内容进行了分析，使用自下而上的方法，基于扎根理论和不断的比较analysis.Results参与者描述的渴望紧急，特定的食物，和认知要求的发生，从饥饿区分。他们描述了关于渴望的生理原因和满足渴望的理由的信念。用于管理渴望的策略包括环境改造，以限制渴望的食物的接近和可用性，认知和行为策略，如分散注意力，以及通过满足渴望来接受。参与者描述的食物渴望作为一个心理上的显着方面，他们的怀孕，报告了各种情绪的前兆和周围的反应，他们的渴望.Conclusions更好地了解食物的渴望可能有助于制定干预措施，以改善饮食行为，减少饮食相关的痛苦在怀孕期间。接受对食物的渴望被认为是缓解怀孕压力的一种方式。这些发现有助于我们了解心理因素对孕妇饮食行为的影响。
Background Although the occurrence of food cravings during pregnancy is well established, there is a paucity of qualitative data on pregnant women's perceptions of and responses to food cravings. This study sought to assess and describe pregnant women's experiences and behaviors pertaining to food cravings.Methods Eight focus groups were conducted with 68 pregnant women in their second trimester from March 2015 to October 2016. Using a semistructured approach, the facilitator asked women open-ended questions regarding their experience of eating behaviors and food cravings. The content from the focus groups was analyzed using a bottom-up approach based on grounded theory and constant comparison analysis.Results Participants described cravings as urgent, food-specific, and cognitively demanding occurrences that were differentiated from hunger. They described beliefs surrounding the physiological causes of cravings and rationales for satisfying their cravings. Strategies used to manage cravings included environmental modifications to limit proximity and availability of craved foods, cognitive and behavioral strategies like distraction, and acceptance through satisfying the craving. Participants described food cravings as a psychologically salient aspect of their pregnancy, reporting a variety of emotional precursors and reactions surrounding their cravings.Conclusions A better understanding of food cravings may assist with the development of interventions to improve eating behaviors and reduce eating-related distress during pregnancy. Acceptance regarding food cravings was indicated as a way to diffuse pregnancy-related stress. These findings contribute to our understanding of psychological influences on eating behaviors in pregnant women.