Document Detail


Patterns of remission, continuation and incidence of broadly defined eating disorders during early pregnancy in the Norwegian Mother and Child Cohort Study (MoBa).
MedLine Citation:
PMID:  17493296     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: We explored the course of broadly defined eating disorders during pregnancy in the Norwegian Mother and Child Cohort Study (MoBa) at the Norwegian Institute of Public Health.
METHOD: A total of 41,157 pregnant women, enrolled at approximately 18 weeks' gestation, had valid data from the Norwegian Medical Birth Registry. We collected questionnaire-based diagnostic information on broadly defined anorexia nervosa (AN), and bulimia nervosa (BN), and eating disorders not otherwise specified (EDNOS). EDNOS subtypes included binge eating disorder (BED) and recurrent self-induced purging in the absence of binge eating (EDNOS-P). We explored rates of remission, continuation and incidence of BN, BED and EDNOS-P during pregnancy.
RESULTS: Prepregnancy prevalence estimates were 0.1% for AN, 0.7% for BN, 3.5% for BED and 0.1% for EDNOS-P. During early pregnancy, estimates were 0.2% (BN), 4.8% (BED) and 0.1% (EDNOS-P). Proportions of individuals remitting during pregnancy were 78% (EDNOS-P), 40% (BN purging), 39% (BED), 34% (BN any type) and 29% (BN non-purging type). Additional individuals with BN achieved partial remission. Incident BN and EDNOS-P during pregnancy were rare. For BED, the incidence rate was 1.1 per 1000 person-weeks, equating to 711 new cases of BED during pregnancy. Incident BED was associated with indices of lower socio-economic status.
CONCLUSIONS: Pregnancy appears to be a catalyst for remission of some eating disorders but also a vulnerability window for the new onset of broadly defined BED, especially in economically disadvantaged individuals. Vigilance by health-care professionals for continuation and emergence of eating disorders in pregnancy is warranted.
Authors:
Cynthia M Bulik; Ann Von Holle; Robert Hamer; Cecilie Knoph Berg; Leila Torgersen; Per Magnus; Camilla Stoltenberg; Anna Maria Siega-Riz; Patrick Sullivan; Ted Reichborn-Kjennerud
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2007-05-10
Journal Detail:
Title:  Psychological medicine     Volume:  37     ISSN:  0033-2917     ISO Abbreviation:  Psychol Med     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-07-19     Completed Date:  2007-10-16     Revised Date:  2014-09-17    
Medline Journal Info:
Nlm Unique ID:  1254142     Medline TA:  Psychol Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  1109-18     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Anorexia Nervosa / diagnosis,  epidemiology*,  psychology
Bulimia Nervosa / diagnosis,  epidemiology*,  psychology
Cohort Studies
Cross-Sectional Studies
Female
Follow-Up Studies
Health Surveys
Humans
Incidence
Norway
Parity
Pregnancy
Pregnancy Complications / diagnosis,  epidemiology*,  psychology
Pregnancy Trimester, Second
Prospective Studies
Risk Factors
Socioeconomic Factors
Grant Support
ID/Acronym/Agency:
1 U01 NS 047537-01/NS/NINDS NIH HHS; HD047186/HD/NICHD NIH HHS; N01 ES-85433/ES/NIEHS NIH HHS; R01 HD047186/HD/NICHD NIH HHS; R01 HD047186-01A1/HD/NICHD NIH HHS
Comments/Corrections
Erratum In:
Psychol Med. 2012 Apr;42(4):893

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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