Worsening of Symptoms of Bulimia Nervosa During Pregnancy

Conrad, Rupert; Schablewski, Jörg; Schilling, G; Liedtke, Reinhard

doi:10.1176/appi.psy.44.1.76

Cited by 25 publications

(17 citation statements)

References 14 publications

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“…Pregnancy and menopause are the most discussed topics in literature. As it is well known, the social, psychological and biological changes occurring during pregnancy could influence the perceptions of the body determining the remission [89] or the exacerbation of pre-existing abnormal eating behaviours or favoring the onset of an eating disorder [90][91]. A relatively recent study reported a high incidence of BED in the first half of pregnancy, also demonstrating a certain association between BED, anxiety, depression, low life satisfaction, deficient social support and weightrelated factors [92].…”

Section: Midlife and Late-life Eating Disordersmentioning

confidence: 99%

Eating Disorders in Late-life

Luca

Calandra

2014

aging dis

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Eating disorders are a heterogeneous group of complex psychiatric disorders characterized by abnormal eating behaviours that lead to a high rate of morbidity, or even death, if underestimated and untreated. The main disorders enlisted in the chapter of the Diagnostic and Statistic Manual of Mental Disorders-5 dedicated to "Feeding and Eating Disorders" are: anorexia nervosa, bulimia nervosa and binge eating disorder. Even though these abnormal behaviours are mostly diagnosed during childhood, interesting cases of late-life eating disorders have been reported in literature. In this review, these eating disorders are discussed, with particular attention to the diagnosis and management of those cases occurring in late-life.

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Section: Midlife and Late-life Eating Disordersmentioning

confidence: 99%

Eating Disorders in Late-life

Luca

Calandra

2014

aging dis

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“…54 The majority of women with bulimia have improvement in symptoms during pregnancy, but an exacerbation of symptoms after delivery is common. 55 A particularly difficult combination to effectively treat is the coexistence of bulimia nervosa and insulin dependent diabetes mellitus (type 1). Whether or not there is an increased prevalence of bulimia among women with type 1 diabetes or merely an overlap of two common problems remains controversial.…”

Section: Diuretic Abusementioning

confidence: 99%

Medical complications of bulimia nervosa and their treatments

Mehler

2011

Intl J Eating Disorders

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“…Larsson y cols (20), afirman que independientemente de la presencia o no de un cuadro alimentario, existe una muy positiva imagen de la experiencia del embarazo y los cambios en la forma corporal que eso conlleva. En contraposición, otros autores (11,29) hallaron un empeoramiento de síntomas de trastornos alimentarios durante y después del embarazo, particularmente una exacerbación de síntomas bulímicos durante el primer trimestre. La personalidad de las mujeres con afecciones alimentarias puede impedir la adquisición de un rol maternal adecuado, ya que la madurez nece-saria para la maternidad puede contribuir al advenimiento de ansiedades y temores (6).…”

Section: Introductionunclassified

Trastornos De La Conducta Alimentaria en Mujeres Embarazadas Controladas en Atención Primaria

A²,

P³

et al. 2008

Rev. chil. obstet. ginecol.

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RESUMENAntecedentes: En relación al impacto de los trastornos de la conducta alimentaria (TCA) sobre el embarazo, la mayoría de la evidencia advierte sobre consecuencias negativas prenatales y postnatales para la madre y el feto. Objetivo: Determinar la presencia de comportamientos alimentarios anormales en gestantes controladas en atención primaria, y analizar descriptiva y comparativamente las pacientes con estas actitudes en relación con variables maternas, del embarazo, rasgos psicológicos y conductuales. Método: 141 pacientes embarazadas fueron encuestadas con el test de actitudes alimentarias (EAT-40) y el inventario de trastornos alimentarios (EDI), a los cuales se añadieron preguntas relativas al embarazo e historia de TCA. Resultados: 23,4% de las encuestadas obtuvieron puntajes en rango patológico de EAT-40, donde la historia previa de TCA emerge como un factor de riesgo importante para el desarrollo de un desorden alimentario en estas pacientes. Otras diferencias se observaron en los puntajes del EAT-40, el EDI y todas sus subescalas. Conclusión: La cifra alcanzada para conductas anormales de alimentación supera ampliamente a la planteada para TCA clínicos, los que además reflejan tendencia a la cronicidad aun en el embarazo. Se requieren estudios adicionales que orienten a los profesionales de salud en la prevención, detección y tratamiento de los TCA en el embarazo.PALABRAS CLAVE: Trastornos de la conducta alimentaria, embarazo, bulimia, anorexia nerviosa, control prenatal SUMMARYBackground: According to the impact of eating disorders on pregnant women, most evidence shows negative pre and post natal consequences for the mother and the fetus. Objective: To determine the presence of abnormal eating behaviors in pregnant women controlled in primary care, and to describe and compare eating disordered patients in relation to the pregnancy, maternal, psychological and behavioral characteristics. Method: The Eating Attitudes Test (EAT-40), the Eating Disorders Inventory (EDI) and a questionnaire about demographic and pregnancy data and previous history of eating disorders were administered to 141 pregnant women. Results: 23.4% of the polled women scored within the pathological range of EAT-40, in whom the prior history of eating disorders emerged as the most important factor of risk to develop an eating disorder in these patients. Furthermore, considerable differences were seen in the average of EAT-40 scores and in the EDI and its all subscales. Conclusion: The percentage of pregnant women who displayed abnormal eating behaviors exceeds the rate described in literature for clinical eating disorders. Besides, it

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Worsening of Symptoms of Bulimia Nervosa During Pregnancy

Cited by 25 publications

References 14 publications

Eating Disorders in Late-life

Eating Disorders in Late-life

Medical complications of bulimia nervosa and their treatments

Trastornos De La Conducta Alimentaria en Mujeres Embarazadas Controladas en Atención Primaria

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