Division of Mental Health, Norwegian Institute of Public Health, Oslo, Norway.
Int J Eat Disord. 2011 Mar;44(2):124-33. doi: 10.1002/eat.20797.
To identify factors associated with incidence and course of broadly defined binge eating disorder (BED) in pregnancy.
As a part of the Norwegian Mother and Child Cohort Study (MoBa), 45,644 women completed a questionnaire at approximately 18 weeks of gestation.
Incidence of BED was significantly associated with lifetime sexual abuse, lifetime physical abuse, lifetime major depression, symptoms of anxiety and depression, low life satisfaction, low self-esteem, low partner relationship satisfaction, smoking, alcohol use, lack of social support, and several weight-related factors. Continuation was negatively associated with thoughts of being overweight before pregnancy. Remission was positively associated with thoughts of being overweight before pregnancy and negatively associated with overvaluation of weight.
Onset of BED in pregnancy was associated with psychological, social and weight-related factors, as well as health behaviors and adverse life events. In women with prepregnancy BED, thoughts of being overweight before pregnancy and overvaluation of weight were associated with course of BED during pregnancy.
确定与妊娠期广义暴食障碍(BED)发病和病程相关的因素。
作为挪威母亲和儿童队列研究(MoBa)的一部分,45644 名妇女在妊娠约 18 周时完成了一份问卷。
BED 的发生率与终生性虐待、终生身体虐待、终生重度抑郁症、焦虑和抑郁症状、低生活满意度、低自尊、低伴侣关系满意度、吸烟、饮酒、缺乏社会支持以及与体重相关的几个因素显著相关。持续与怀孕前超重的想法呈负相关。缓解与怀孕前超重的想法呈正相关,与体重过高的评价呈负相关。
妊娠期间 BED 的发病与心理、社会和体重相关因素以及健康行为和不良生活事件有关。在有妊娠前 BED 的女性中,怀孕前超重的想法和对体重的高估与妊娠期间 BED 的病程相关。