School of Nursing, Midwifery and Social Work, University Place, University of Manchester, UK.
Int J Nurs Stud. 2011 Oct;48(10):1223-33. doi: 10.1016/j.ijnurstu.2010.11.007. Epub 2010 Dec 22.
Pregnancy is a life event that involves a change in appearance, during which the eating behaviour and body of childbearing women is scrutinised by others. The impact this has on the thoughts and behaviours of individuals who have or have had an eating disorder has been little investigated.
A qualitative project to provide a deeper understanding of the views of women with an eating disorder history about pregnancy and the early stages of motherhood.
Semi-structured interviews were conducted with eight women who were or had recently been pregnant. All had an eating disorder history. It explored how becoming a mother impacted on thoughts and practices relating to weight, using framework analysis.
Interviews lasted approximately 80min. The overriding concept identified through analysis was the divided loyalties participants experienced between putting their child first and disregarding the eating disorder. Interpretation of data resulted in the identification by the research team of four main themes: fear of failure, transforming body and eating, uncertainties about child's shape and emotional regulation.
Three types of women were identified among interviewees; those that seemed to be 'cured' of their eating disorder through motherhood, those that seemed able to put their condition on hold during pregnancy and those that seemed unable to relinquish dangerous behaviours. Issues relating to control, identity and perfectionism may impede some women's ability to enjoy pregnancy and motherhood if they have an eating disorder history.
怀孕是人生中的一个重要阶段，女性的外貌会发生变化，在此期间，她们的饮食习惯和体型会受到他人的关注。然而，目前对于饮食障碍患者在怀孕和产后早期阶段的思想和行为变化，人们的研究还很有限。
本研究旨在通过定性研究，深入了解有饮食障碍病史的女性对怀孕和早期母性的看法。
对 8 名处于或刚刚怀孕的女性进行了半结构化访谈。所有参与者都有饮食障碍病史。本研究使用框架分析探讨了成为母亲如何影响与体重相关的想法和行为。
访谈持续约 80 分钟。通过分析，确定了一个主要的概念，即参与者在将孩子放在首位和忽视饮食障碍之间存在分裂的忠诚。研究团队对数据的解释得出了四个主要主题：对失败的恐惧、身体和饮食的改变、对孩子体型的不确定以及情绪调节。
受访者中存在三种类型的女性：一些女性似乎通过成为母亲治愈了饮食障碍，一些女性似乎能够在怀孕期间暂停病情，而一些女性似乎无法放弃危险行为。对于那些有饮食障碍病史的女性来说，如果她们有控制、身份认同和完美主义的问题，那么这些问题可能会阻碍她们享受怀孕和母性。
