The prevalence of eating disorders in infertile women
The prevalence of eating disorders in infertile women
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DOI：
10.1016/j.fertnstert.2008.09.055
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发表时间：
2010-01-01
影响因子：
6.7
通讯作者：
Domar, Alice D.
中科院分区：
文献类型：
--
作者：
Freizinger, Melissa;Franko, Debra L.;Domar, Alice D.
目的：了解不孕症妇女饮食失调的患病率。设计：描述性比较两组设计，将收集的数据与已发表的社区样本进行比较。环境：私人不孕不育中心。患者：82名参与者开始了他们的第一个促性腺激素/宫内人工授精（IUI）治疗周期，完成了评估饮食失调病理和运动习惯的自我报告测量。每个受试者都通过电话接受了DSM-IV轴I障碍（SCID-I）模块H（饮食障碍）和人口统计问卷的结构化临床访谈。干预:没有。主要结果测量：过去或现在诊断为饮食失调。结果：17名参与者（20.7%）符合过去或现在饮食失调的标准，这是美国终生患病率的五倍。没有一个符合饮食失调标准的参与者向他们的生殖内分泌学家透露他们过去或现在的诊断。结论：不孕不育诊所很可能会治疗过去或现在有饮食失调史的妇女。因此，饮食失调筛查工具应包括在初始摄入中，因为这些患者可能比非饮食失调患者有更高的母体和胎儿阴性结局的风险。此外，过去或现在患有饮食失调的患者可能不会向生殖保健提供者透露这些信息，这可能会限制提供者提供适当的医疗和心理转诊的能力。[j] .中国农业科学（英文版），2010;33(3):391 - 391。(C)2010年，美国生殖医学学会。)
Objective: To determine the prevalence of eating disorders in a sample of infertile women.Design: A descriptive comparative two-group design in which collected data were compared with a published community sample.Setting: Private infertility center.Patient(s): Eighty-two participants beginning their first gonadotropin/intrauterine insemination (IUI) treatment cycle completed self-report measures that assessed eating disorder pathology and exercise habits. Each subject was telephone-administered the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) Module H (Eating Disorders) and a. demographic questionnaire.Intervention(s): None.Main Outcome Measure(s): Past or current diagnosis of an eating disorder.Result(s): Seventeen participants (20.7%) met criteria for a past or current eating disorder, which is five times higher than the U.S. lifetime prevalence rate. None of the participants who met the criteria for an eating disorder had disclosed their past or current diagnosis to their reproductive endocrinologist.Conclusion(s): Infertility clinics are likely to be treating women with a past or current eating disorder history. Therefore, an eating disorder screening tool should be included in the initial intake, because these patients may be at a higher risk for negative maternal and fetal outcomes than non-eating disorder patients. Additionally, patients with a past or current eating disorder may not disclose this information to reproductive health care providers, which may limit providers' ability to provide appropriate medical and psychologic referrals. (Fertil Steril(R) 2010;93:72-8. (C)2010 by American Society for Reproductive Medicine.)