Abstract

This study was aimed to identify eating disorder (ED) relapse, childbirth, postnatal depression,and the family support. Of the ED patients during treatment from 1994 to 2004,55 were pregnant and had ED recovery. Of them, 25 (21 Bulimia Nervosa (BN)and 4 Anorexia Nervosa (AN)) agreed to take part in this study. We interviewed them every 2 wk. both during the pregnancy and after childbirth. We also interviewed family members each month. The Eating Attitudes Test-26 (EAT-26) and Edinburgh Postnatal Depression Scale (EPDS) were helpful for diagnosing the EDs and postnatal depression. As the statistical analysis, We conducted t-test.67%relapsed ED while pregnant and 50%relapsed postnatal. In the non-relapse group, all the subjects had vaginal delivery and their infants were male. 50% of the subjects had postnatal depression. Non-Postnatal depression group had average body- weight infants. With regard to family support, there was no relationship between ED relapse and postnatal depression. We found that the rate of ED relapse and that of suffering from postnatal depression were remarkable in this group, suggesting the necessity for long-term follow-up for the EDs.

Highlights

  • Anorexia nervosa (AN) and Bulimia nervosa (BN), are characterized by clinical conditions in body shape and eating attitudes

  • We have previously reported that characteristics of women who have recovered from eating disorder (ED) in detail [1]

  • We found the in spite of the relapse, mothers and infants complications were not different compared to NRED group

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Summary

Introduction

Anorexia nervosa (AN) and Bulimia nervosa (BN), are characterized by clinical conditions in body shape and eating attitudes. Subjects with AN thought themselves as fat even when they are very thin. They deny the severe thinness to their body weight and have afear of weight gain together with a constant desire for thinness. They fail to maintain an adequate body weight and shape; girls and women with AN may experience amenorrhea.BN is always concern about their body weight and shape, leading to binging and self-vomiting [1–3]. Claydon et al [4] concluded that higher risk for relapse of ED was a maternal period and it was a difficult time for EDs with mind and body. One of the recent studies, Watson et al [6] showed both mothers and their infants complications

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