Reproduction and eating disorders: a fruitless union

Key, Adrienne; Mason, Helen; Bolton, Jim

doi:10.1002/(sici)1099-0968(200003)8:2<98::aid-erv343>3.0.co;2-t

Cited by 10 publications

(9 citation statements)

References 38 publications

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“…In those recovering from AN, fertility problems, spontaneous abortion, prematurity and small-for-gestational-age babies are regularly reported, as are elevated rates of infant mortality. 7,8 A systematic review of 119 outcome studies of patients across the age range, 9 found high rates of anxiety disorders and affective disorders at longterm follow-up as well as substance misuse. Full long-term recovery was reported for 45.1%, a fair outcome for 35%, whereas 19.8% had a chronic course.…”

Section: Clinical Featuresmentioning

confidence: 99%

A randomised controlled multicentre trial of treatments for adolescent anorexia nervosa including assessment of cost-effectiveness and patient acceptability – the TOuCAN trial

Gowers

Clark²,

Roberts³

et al. 2010

Health Technol Assess

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Section: Clinical Featuresmentioning

confidence: 99%

A randomised controlled multicentre trial of treatments for adolescent anorexia nervosa including assessment of cost-effectiveness and patient acceptability – the TOuCAN trial

Gowers

Clark²,

Roberts³

et al. 2010

Health Technol Assess

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“…Reproductive function is seen to be closely interwoven with nutrition and body weight (Key et al ., ), and eating disorders (EDs) have commonly occurred in girls/ women during the peak years of their fertility (Morgan, ). As such, EDs have often been discussed in relation to reproductive health and as a risk to fertility.…”

Section: Introductionmentioning

confidence: 99%

Responses to warnings about the impact of eating disorders on fertility: a qualitative study

Holmes

2018

Sociology Health & Illness

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Eating disorders (EDs) have often been discussed as a risk to reproductive health. But existing research is quantitative in nature, paying no attention to issues of patient experience. In discussing data from 24 semi-structured interviews, this article draws on sociological approaches to medical 'risk' and feminist approaches to EDs to explore how women with experience of an ED responded to fertility warnings within treatment contexts. In doing so, it is suggested that responses to fertility warnings offer unique insight into the potentially damaging limitations of biomedical approaches to eating problems and their focus on EDs as individual 'pathologies' (rather than culturally embedded expressions of gendered embodiment). At best warnings are seen as making problematic assumptions about the aspirations of female patients, which may curtail feelings of agency and choice. At worst, they may push women further into destructive bodily and eating practices, and silence the distress that may be articulated by an ED.

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“…AN peaks in adolescence, thus is typically present during the early reproductive lifecycle (Micali, 2010). The associated medical and psychological issues mean that pregnancy in active AN is relatively rare (Key, Mason & Bolton, 2000;Morgan, 1999). Nevertheless its occurrence is being increasingly recognised (Hoffman, Zerwas & Bulik, 2011).…”

Section: Introductionmentioning

confidence: 99%

The experience of pregnancy in women with a history of anorexia nervosa: An interpretive phenomenological analysis

Mason¹,

Cooper²,

Turner³

2012

Journal of Behavioral Addictions

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Background and aims:To explore the experience of pregnancy for women who have a history of anorexia nervosa (AN), in relation to the impact of AN on pregnancy, and pregnancy on AN. Methods: Semi-structured interviews were conducted with six women with a history of AN. Data were analysed using Interpretive Phenomenological Analysis. Results: Four super-ordinate themes emerged: 'Effortful resistance of AN'; 'The unvalued self, valued other dialectic'; 'In new territory'; and 'Feeling distanced'. Conclusions: Various factors motivated the women to try and change their AN behaviours. This was achieved with varying degrees of success. Attempts to manage AN cognitions and emotions were less successful, and this aspect of their illness persisted. Whilst the baby was viewed as worthy of nurturance, the self was not. Pregnancy represented an unfamiliar experience, and was a time of relative isolation and lack of psychological support. Findings are discussed in the context of theory, research and practice.

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Reproduction and eating disorders: a fruitless union

Cited by 10 publications

References 38 publications

A randomised controlled multicentre trial of treatments for adolescent anorexia nervosa including assessment of cost-effectiveness and patient acceptability – the TOuCAN trial

A randomised controlled multicentre trial of treatments for adolescent anorexia nervosa including assessment of cost-effectiveness and patient acceptability – the TOuCAN trial

Responses to warnings about the impact of eating disorders on fertility: a qualitative study

The experience of pregnancy in women with a history of anorexia nervosa: An interpretive phenomenological analysis

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