Koubaa Saloua, Hällström Tore, Hirschberg Angelica Lindén
Department of Women and Child Health, Division of Obstetrics and Gynecology, Karolinska University Hospital, Stockholm, Sweden.
Int J Eat Disord. 2008 Jul;41(5):405-10. doi: 10.1002/eat.20521.
To study early adaptation to motherhood in mothers with eating disorders (ED) before pregnancy.
Forty-four nulliparous nonsmoking women with ED before pregnancy (24 anorexia nervosa, 20 bulimia nervosa) and 67 controls were recruited from the same prenatal clinics. Three months after delivery, the women completed the maternal adjustment and maternal attitude questionnaire (MAMA) and were asked about mental health problems postpartum.
Ninety-two percent of mothers with ED before pregnancy reported problems regarding their maternal adjustment compared to 13% in the control group (p < 0.001), whereas there were no differences between the subgroups of ED and between those with and without verified relapse of ED during pregnancy. Fifty percent of mothers with previous ED reported that they had been in contact with health services after delivery because of depression or other mental problems and these women had significantly higher MAMA score than patients not reporting such contact with health services (p < 0.001).
Adjustment to motherhood was clearly impaired and related to mental problems in mothers with ED before pregnancy.
研究孕前患有饮食失调症（ED）的母亲对为人母的早期适应情况。
从同一些产前诊所招募了44名孕前患有ED的未生育不吸烟女性（24名神经性厌食症患者，20名神经性贪食症患者）和67名对照者。分娩后三个月，这些女性完成了母亲适应和母亲态度问卷（MAMA），并被问及产后的心理健康问题。
孕前患有ED的母亲中有92%报告了她们在母亲角色适应方面存在问题，而对照组这一比例为13%（p<0.001），然而ED亚组之间以及孕期有和没有确诊ED复发的母亲之间没有差异。曾患有ED的母亲中有50%报告称，她们在产后因抑郁或其他心理问题与医疗服务机构有过接触，这些女性的MAMA得分显著高于未报告与医疗服务机构有过此类接触的患者（p<0.001）。
孕前患有ED的母亲对为人母的适应明显受损，且与心理问题有关。
