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分娩创伤性预期和孕期饮食失调。

Traumatic anticipation of childbirth and disordered eating during pregnancy.

机构信息

Centre de Recherches sur la Cognition et l'Apprentissage -UMR CNRS 7295, Université de Poitiers , Poitiers, France.

Centre d'Etudes et de Recherches en Psychopathologie et Psychologie de la Santé, Université de Toulouse Jean-Jaurès , Toulouse, France.

出版信息

J Reprod Infant Psychol. 2020 Jul;38(3):243-258. doi: 10.1080/02646838.2020.1741525. Epub 2020 Mar 19.

DOI:10.1080/02646838.2020.1741525
PMID:32189512
Abstract

BACKGROUND

While research on Fear Of Childbirth (FOC) during pregnancy is on the rise, research regarding pretraumatic stress reactions is lacking. Moreover, less is known regarding negative anticipation of childbirth and Eating Disorders (ED). This study aims at identifying typologies of women in the prepartum period based on FOC and pretraumatic stress symptoms and investigating whether or not the identified profiles differ on levels of bulimic symptoms and Drive for Thinness (DT).

PARTICIPANTS AND METHODS

a sample of 213 pregnant women completed questionnaires assessing FOC, pretraumatic stress, DT and bulimic symptoms.

RESULTS

four clusters based on pretraumatic stress and FOC symptoms were identified: one characterised by traumatic symptoms, one showing moderated FOC symptoms, one with high symptomatology and one with low symptoms. Higher ED symptoms were found in women with both FOC and pretraumatic stress symptoms, and in the cluster showing elevated pretraumatic stress symptomatology.

CONCLUSIONS

To our knowledge, this is the first study focusing on anticipated traumatic reactions and ED in pregnant women. While some women evidenced FOC and pretraumatic stress symptoms, two different clusters, one with FOC and one with pretraumatic stress, were found. These findings suggest that, while sharing similarities, these constructs are different.

摘要

背景

虽然关于分娩恐惧(FOC)的研究在增加,但关于创伤前应激反应的研究却很少。此外,对于分娩前的负面预期和饮食失调(ED)的了解较少。本研究旨在根据 FOC 和创伤前应激症状确定产前妇女的类型,并调查所确定的特征是否在暴食症状和瘦身欲望(DT)水平上存在差异。

参与者和方法

一项针对 213 名孕妇的样本完成了评估 FOC、创伤前应激、DT 和暴食症状的问卷。

结果

根据创伤前应激和 FOC 症状确定了四个聚类:一个以创伤症状为特征,一个表现出中等 FOC 症状,一个表现出高症状,一个表现出低症状。FOC 和创伤前应激症状都较高的女性和表现出创伤前应激症状升高的聚类中发现了更高的 ED 症状。

结论

据我们所知,这是第一项关注孕妇预期创伤反应和 ED 的研究。虽然一些女性表现出 FOC 和创伤前应激症状,但发现了两个不同的聚类,一个与 FOC 有关,另一个与创伤前应激有关。这些发现表明,尽管这些结构具有相似之处,但它们是不同的。

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