Department of Psychological Sciences, Swinburne University, Hawthorn, Melbourne, Australia.
Eur Eat Disord Rev. 2019 Sep;27(5):462-480. doi: 10.1002/erv.2675. Epub 2019 Apr 17.
This paper systematically reviews the literature to date on the relationship between disordered eating and mental health, psychological and social factors during pregnancy and the post-partum period, as well as the direction of associations.
Peer reviewed articles were sourced from seven databases: PsycINFO, CINAHL, Psychology and Behavioural Sciences Collection, Academic Search Complete, Scopus (MEDLINE), Web of Science, and Proquest. A quality review and best evidence synthesis was conducted.
The final review included 11 prospective cohort and 14 cross sectional/retrospective studies. According to a synthesis of findings, a strong level of evidence supports an association between disordered eating during pregnancy and depressive and anxiety symptoms during pregnancy. There was also a limited level of evidence for the association between disordered eating and obsessive-compulsive symptoms during pregnancy and between disordered eating and depressive symptoms during the post-partum period. No directions of associations could be determined.
On the basis of initial findings, it is recommended that depressive and anxiety symptoms be monitored in conjunction with any disordered eating concerns during perinatal care. Given the significance of the childbearing years to the health and well-being of both mother and infant, further prospective cohort studies in this area are necessitated.
本文系统地回顾了迄今为止关于孕期和产后期间饮食失调与心理健康、心理和社会因素之间关系的文献，以及关联的方向。
从七个数据库中获取同行评审文章：PsycINFO、CINAHL、心理学和行为科学收藏、学术搜索完整、Scopus（MEDLINE）、Web of Science 和 Proquest。进行了质量审查和最佳证据综合。
最终的综述包括 11 项前瞻性队列研究和 14 项横断面/回顾性研究。根据综合研究结果，强有力的证据支持孕期饮食失调与孕期抑郁和焦虑症状之间存在关联。孕期饮食失调与强迫症症状之间以及产后期间饮食失调与抑郁症状之间也存在有限的证据支持关联。无法确定关联的方向。
根据初步发现，建议在围产期护理中监测抑郁和焦虑症状，并结合任何饮食失调问题。鉴于生育期对母婴健康和福祉的重要性，需要在这一领域进行进一步的前瞻性队列研究。
