The course of pregnancy complicated by bulimia.

Abstract

The few studies of pregnancy complicated by bulimia imply that women either cease or reduce bulimic behaviors when they become pregnant. Contrary to these reports, our interviews with three pregnant bulimics revealed they did not reduce bingeingand-purging behaviors or, if they did, replaced them with other potentially dangerous weight-control measures. The results of this case study underscore the importance of therapist awareness of the medical risks for bulimics who become pregnant and the need to identify and directly address these clients' cognitive and perceptual distortions. Interventions are useful in terminating bingeing-and-purging behaviors.Only a few accounts of pregnancy occurring in bulimic women appear in the literature and those studies that do exist (

Perturbações do comportamento alimentar na gravidez: uma revisão

“…Estudos demonstraram que a gravidez pode, por um lado, agravar, manter, reduzir, despoletar recaídas, ou mesmo evitar comportamentos de risco em mulheres com história passada ou actual de perturbações do comportamento alimentar, ou precipitar ou manter afastadas destes comportamentos as mulheres sem sintomatologia (Blais et al, 2000;Crow, Agras, Crosby, Halmi, & Mitchell, 2008;Crow, Keel, Thuras, & Mitchell, 2004;Dunker, Alvarenga, & Alves, 2009;Edelstein, 2007;Hollifield & Hobdy, 1990;Lemberg & Phillips, 1989;Mitchell-Gieleghem et al, 2002;Newton & Chizawsky, 2006;Ramchandani & Whedon, 1988), podendo estas alterações ser permanentes ou transitórias (Blais et al, 2000;Newton & Chizawsky, 2006). Siega-Riz et al (2008) constataram que as mulheres com bulimia nervosa antes e durante a gravidez exibiam padrões dietéticos diferentes das grávidas sem perturbações do comportamento alimentar.…”

Anorexia Nervosa and Bulimia Nervosa During Pregnancy

“…One consistent finding in these studies, however, was inadequate [45,46,48] or excessive [46,49] weight gain.…”

“…Individual case studies and case series reports show a range of maternal and fetal outcomes, largely due to the inconsistencies in use of diagnostic criteria, length of BN history, treatment interventions during pregnancy, and lack of comparison to appropriate controls [44][45][46][47][48][49]. One consistent finding in these studies, however, was inadequate [45,46,48] or excessive [46,49] weight gain.…”

“…In active AN or BN, body dissatisfaction and low body esteem may worsen during pregnancy [61] in addition to an increased frequency of restricting, binge eating-purging, and nonpurging behaviors [36,44,46,51,58]. Conversely, AN or BN symptoms and behaviors improved during pregnancy in women receiving treatment [45,46,53,54] and not currently receiving treatment [47,49,55,[61][62][63].…”

Prevalência de transtornos alimentares em gestantes: uma associação com ansiedade, depressão e atitudes alimentares

“…Porém, parece haver concordância quanto à presença da sintomatologia, seja como retorno, seja como intensificação dos sintomas, no período pós-parto 51,68,95 .…”