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首页> 外文期刊>The British journal of psychiatry : >Impact of pregnancy on bulimia nervosa.
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Impact of pregnancy on bulimia nervosa.

机译：怀孕对神经性贪食症的影响。

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BACKGROUND: Bulimia nervosa affects women at a peak age of reproductive functioning, but few studies have examined the impact of pregnancy on bulimia. AIM: To examine the impact of pregnancy on symptoms of bulimia nervosa and associated psychopathology. METHOD: Women actively suffering from bulimia nervosa during pregnancy (n = 94) were interviewed using the eating disorder examination (12th edn) and structured clinical interview for DSM-III-R, with additional structured questions. Behaviours were recorded at conception, each trimester and postnatally. Relative risks were calculated for prognostic factors. RESULTS: Bulimic symptoms improved throughout pregnancy. After delivery, 57% had worse symptoms than pre-pregnancy, but 34% were no longer bulimic. Relapse was predicted by behavioural severity and persistence, previous anorexia nervosa ('Type II' bulimia), gestational diabetes and 'unplanned' pregnancy. Unplanned pregnancies were the norm, usually resulting from mistaken beliefs about fertility. 'Postnatal depression' was suggested in one-third of the sample, and in two-thirds of those with'Type II' bulimia, and was predicted by alcohol misuse, symptom severity and persistence. CONCLUSIONS: Postnatal treatment intervention should focus on women 'at risk' of relapse, but all women with bulimia should be assessed for postnatal depression.
机译：背景：神经性贪食症会在生殖功能高峰时期影响女性，但很少有研究检查怀孕对贪食症的影响。目的：研究妊娠对神经性贪食症症状及相关心理病理的影响。方法：使用饮食失调检查（第十二版）对妊娠期间积极遭受神经性贪食症的妇女（n = 94）进行访谈，并对DSM-III-R进行结构化临床访谈，并提出其他结构性问题。在怀孕时，每三个月和出生后记录行为。计算预后因素的相对风险。结果：在整个怀孕期间，饥饿感得到改善。分娩后，有57％的症状比怀孕前更严重，但34％不再是贫血。行为严重程度和持续性，先前的神经性厌食症（“ II型”贪食症），妊娠糖尿病和“计划外”妊娠可预测复发。计划外怀孕是正常现象，通常是由于人们对生育能力的错误认识造成的。在三分之一的样本中和三分之二的“ II型”贪食症患者中建议“产后抑郁症”，并且可以通过滥用酒精，症状严重和持续性来预测。结论：产后治疗干预措施应侧重于“有复发风险的妇女”，但应评估所有患有贪食症的妇女的产后抑郁症。

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