Baskin Rachel, Galligan Roslyn, Meyer Denny
Department of Psychological Sciences, Swinburne University of Technology, Hawthorn, VIC, 3122, Australia.
Centre for Mental Health, Swinburne University of Technology, Hawthorn, VIC, 3122, Australia.
Appetite. 2021 Jan 1;156:104862. doi: 10.1016/j.appet.2020.104862. Epub 2020 Sep 6.
The postpartum period has been identified as high-risk period for the increase of disordered eating. This study examined the psychosocial factors-attitudes to motherhood, self-compassion and relationship satisfaction- and mental health factors-depressive and anxiety symptoms-associated with this increase. One hundred and fourteen women completed online questionnaires about their eating behaviours between: 18-24 weeks gestation (T1), 30-32 weeks gestation (T2) and 8-10 weeks postpartum (T3). A cluster analysis examined the change of disordered eating from T2 to T3. Multinomial logistic regressions examined which demographic, psychosocial and mental health factors were associated with disordered eating cluster groups, as individual factors and as a combined model of predictors at T1, T2 and T3. Four cluster groups were identified: 'lower disordered eating', 'increasing risk', 'sub-clinical' and 'clinical'. All psychosocial and mental health predictors were individually associated with a risk group, when compared to the lower disordered eating group. However, when combined, only multiparity and higher depressive symptoms were associated with the sub-clinical group. Multiparity, higher pre-pregnancy body mass index and lower self-compassion were associated with the increasing risk group. This study introduces self-compassion as a psychosocial factor worthy of further investigation and application in the field of perinatal disordered eating, with promising avenues for antenatal intervention.
产后时期已被确定为饮食失调增加的高危时期。本研究调查了与这种增加相关的心理社会因素——对母亲身份的态度、自我同情和关系满意度——以及心理健康因素——抑郁和焦虑症状。114名女性完成了关于她们在妊娠18 - 24周（T1）、30 - 32周（T2）和产后8 - 10周（T3）的饮食行为的在线问卷。聚类分析研究了从T2到T3饮食失调的变化。多项逻辑回归分析了哪些人口统计学、心理社会和心理健康因素与饮食失调聚类组相关，作为个体因素以及作为T1、T2和T3时预测因素的组合模型。确定了四个聚类组：“较低饮食失调”、“风险增加”、“亚临床”和“临床”。与较低饮食失调组相比，所有心理社会和心理健康预测因素均与一个风险组单独相关。然而，综合来看，只有多胎妊娠和较高的抑郁症状与亚临床组相关。多胎妊娠、孕前较高的体重指数和较低的自我同情与风险增加组相关。本研究将自我同情作为一个值得在围产期饮食失调领域进一步研究和应用的心理社会因素引入，为产前干预提供了有前景的途径。
