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Eighteen-year trajectories of depressive symptoms in mothers with a lifetime eating disorder: Findings from the ALSPAC cohort

The British Journal of Psychiatry Feb 01, 2020

Chua YW, et al. - Mothers with lifetime self-reported eating disorders were investigated for long-term trajectories of depressive symptoms. Researchers traced trajectories of depressive symptoms from the 18th week of pregnancy to 18 years postnatal in women with lifetime self-reported anorexia nervosa, bulimia nervosa or both anorexia and bulimia nervosa employing data from the Avon Longitudinal Study of Parents and Children and multilevel growth curves. The study sample comprised 9,276 women; of these, 126 (1.4%) reported a lifetime diagnosis of anorexia nervosa, 153 (1.6%) of bulimia nervosa and 60 (0.6%) of both anorexia and bulimia nervosa. They identified greater depressive symptoms scores among women with lifetime eating disorders than those with no eating disorders, before and after adjustment for confounders. A dose-response correlation was observed between greater body image and eating concerns in pregnancy. They emphasize providing more training to practitioners and midwives for recognition of eating disorders in pregnancy so that depressive symptoms could be identified and the long-term burden of disease resulting from this comorbidity could be reduced.
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