Eating disorders symptoms in pregnancy: A longitudinal study of women with recent and past eating disorders and obesity
Eating disorders symptoms in pregnancy: A longitudinal study of women with recent and past eating disorders and obesity
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DOI：
10.1016/j.jpsychores.2007.05.003
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发表时间：
2007-09-01
影响因子：
4.7
通讯作者：
Simonoff, Emily
中科院分区：
文献类型：
--
作者：
Micali, Nadia;Treasure, Janet;Simonoff, Emily
目的：利用一项大型前瞻性、以社区为基础的队列研究的数据，确定妊娠对进食障碍（艾德）症状的影响。研究方法：妇女（12，254）根据她们是否有近期或既往艾德病史、怀孕前是否肥胖或是否构成一般人群对照组进行分类。我们评估了自我诱发的呕吐（SIV），泻药的使用，运动行为，怀孕期间体重增加的评估，以及节食，怀孕前和怀孕期间的形状和体重问题。结果：最近一次艾德发作的妇女在怀孕期间比其他组节食、使用泻药、报告SIV和锻炼更多。她们在怀孕期间也更有可能报告艾德认知，她们的体重和体型关注分数在怀孕期间保持较高。有过艾德的妇女也比对照组更可能有一些艾德行为和/或担心怀孕期间体重增加。结论：近期发生过艾德的妇女在怀孕期间继续出现一些艾德症状，尽管与怀孕前相比较少。虽然在较低的水平，妇女与过去的历史艾德也有艾德症状在怀孕。在怀孕期间筛查艾德症状可能为参与治疗提供了一个有用的机会，并减少可能对胎儿有害的行为。(c)2007年爱思唯尔公司All rights reserved.
Objective: To determine the impact of pregnancy on eating disorders (ED) symptoms using data from a large prospective, community-based cohort study. Methods: Women (12,254) were classified according to whether they had a recent or past history of ED, were obese before pregnancy, or constituted part of the general population control group. We evaluated self-induced vomiting (SIV), laxative use, exercise behavior, and appraisals about weight gain during pregnancy, as well as dieting, and shape and weight concern before and during pregnancy. Results: Women with a recent episode of ED dieted, used laxatives, reported SIV, and exercised more than other groups during pregnancy. They were also more likely to report ED cognitions in pregnancy and their weight and shape concern scores remained high during pregnancy. Women with past ED were also more likely than controls to have some ED behaviors and/or concerns about weight gain during pregnancy. Conclusions: Women with a recent ED continued to have some ED symptoms in pregnancy, albeit fewer compared to before pregnancy. Although at a lower level, women with a past history of ED also had ED symptoms in pregnancy. Screening for ED symptoms during pregnancy may provide a useful opportunity for engagement in treatment and to reduce behaviors that might be detrimental to the foetus. (c) 2007 Elsevier Inc. All rights reserved.