Pregnancy and the self: a qualitative exploration of the impact of pregnancy on self-identity and the relational self in women with a history of anorexia nervosa

Abstract

Objective: To explore the impact of first pregnancy on self-identity and the relational self in women with a history of anorexia nervosa (AN). Method: Semi-structured interviews were conducted with six women with a history of AN. Data were analysed using interpretative phenomenological analysis. Results: Three superordinate themes emerged from participants' accounts: (1) ‘the negative self’; (2) ‘making way for self as mother’; and (3) ‘social isolation and relational strain’. Discussion: Women with a history of AN may find the psychological process of adapting to pregnancy and motherhood particularly challenging. Pregnancy was also a time of social isolation and relational strain for many women. Findings suggest a need for clinical interventions that address the potential impact of becoming a mother, taking into consideration practical, psychological, and relationship issues.