Bruneau Mélanie, Colombel Agnès, Mirallié Sophie, Fréour Thomas, Hardouin Jean-Benoit, Barrière Paul, Grall-Bronnec Marie
CHU Nantes, Department of Addictology and Psychiatry, Nantes, France.
Université Nantes, EA 4275 SPHERE "bioStatistics, Pharmacoepidemiology and Human sciEnces Research tEam", Faculties of Medicine and Pharmaceutical Sciences, Nantes, France.
PLoS One. 2017 Jun 6;12(6):e0178848. doi: 10.1371/journal.pone.0178848. eCollection 2017.
The purpose of this study was to evaluate the prevalence of EDs in women seeking treatment for infertility, and to better characterize their clinical profile.
Sixty participants completed self-report measures that assessed EDs, desire for a child, body preoccupations, quality of life, anxiety and depression.
Ten patients (17%) met criteria for a past or current ED. We showed a significant association between greater body dissatisfaction and a more ambivalent desire for a child. Furthermore, an ED was associated with (i) a lower quality of life, and (ii) more anxiety disorders.
Screening for a history of ED in infertile women is recommended to plan for adapted care regarding infertility but also regarding ED and psychiatric comorbidities. Therefore, the assessment has to take into account the desire for a child and the body satisfaction, that are essential parts of the ED process on the one hand and infertility process on the other. This could help with the infertility treatment and the prevention of negative maternal and fetal outcomes.
本研究旨在评估寻求不孕症治疗的女性中进食障碍（EDs）的患病率，并更好地描述其临床特征。
60名参与者完成了自我报告测量，评估了进食障碍、生育愿望、身体关注、生活质量、焦虑和抑郁情况。
10名患者（17%）符合过去或当前进食障碍的标准。我们发现，身体不满程度越高与生育愿望越矛盾之间存在显著关联。此外，进食障碍与以下两方面有关：（i）较低的生活质量，以及（ii）更多的焦虑症。
建议对不孕女性进行进食障碍病史筛查，以便针对不孕症以及进食障碍和精神共病制定适当的护理计划。因此，评估必须考虑生育愿望和身体满意度，这一方面是进食障碍过程的重要组成部分，另一方面也是不孕过程的重要组成部分。这有助于不孕症治疗以及预防不良母婴结局。
