@article{cdee0643f28c438daa580c7d88d5a2c4,
title = "Prevalence and clinical characterisation of pregnant women with eating disorders",
abstract = "Objective: To estimate prevalence of lifetime and current eating disorders (ED) in a sample of pregnant women in South-East London and to describe their sociodemographic and clinical characteristics. Method: Secondary analysis of data from a cross-sectional survey. Using a stratified sampling design, 545 pregnant women were recruited. Diagnostic interviews were administered to assess lifetime and current ED, depression, anxiety, and borderline personality disorder. Data were extracted from maternity records to assess identification of ED in antenatal care. Estimates of population prevalence of ED were obtained using sampling weights to account for the stratified sampling design. Results: Weighted prevalence of lifetime ED was 15.35% (95% confidence interval [CI] [11.80, 19.71]), and current ED was 1.47% (95% CI [0.64, 3.35]). Depression, anxiety, and history of deliberate self-harm or attempted suicide were common in pregnant women with ED. Identification of ED in antenatal care was low. Conclusions: Findings indicate that by early pregnancy, a significant proportion of pregnant women will have had ED, although less typically during pregnancy, and psychiatric comorbidity is common. Yet ED were poorly recognised in antenatal care. The findings highlight the importance of increasing awareness about maternal ED to improve identification and response to the healthcare needs of pregnant women with ED.",
keywords = "eating disorders, epidemiology, pregnancy",
author = "Amanda Bye and Selina Nath and Ryan, {Elizabeth G.} and Debra Bick and Abigail Easter and Howard, {Louise M.} and Nadia Micali",
note = "Funding Information: The authors are grateful for the advice received regarding the WENDY study from the Patient and Public Advisory Group, the Programme Steering Committee (Professor Rona McCandlish (Chair), Dr Heather O'Mahen, Dr Pauline Slade, Ceri Rose, and Rosemary Jones) and the Data Monitoring and Ethics Committee (Roch Cantwell [Chair], Liz McDonald-Clifford, Marian Knight, Stephen Bremner). The authors also want to take the opportunity to thank the women who participated in this study. This paper summarises independent research funded by the National Institute for Health Research (NIHR) under the Programme Grants for Applied Research programme (ESMI Programme: grant reference RP-PG-1210-12002) and the NIHR/Wellcome Trust King's Clinical Research Facility and the NIHR Biomedical Research Centre and Dementia Unit at South London and Maudsley NHS Foundation Trust and King's College London. L. M. H also has salary support from an NIHR Research Professorship (NIHR-RP-R3-12-011). Tommy's Baby Charity provided salary support for A. B. D. B. is supported by NIHR CLAHRC South London. A. E. is funded through a King's Improvement Science (KIS) Fellowship award. K. I. S. is part of the NIHR CLAHRC South London, and its work is funded by King's Health Partners (Guy's and St Thomas' NHS Foundation Trust, King's College Hospital NHS Foundation Trust, King's College London and South London and Maudsley NHS Foundation Trust), Guy's and St Thomas' Charity, the Maudsley Charity and the Health Foundation. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. Funding Information: This paper summarises independent research funded by the National Institute for Health Research (NIHR) under the Programme Grants for Applied Research programme (ESMI Programme: grant reference RP‐PG‐1210‐12002) and the NIHR/Wellcome Trust King's Clinical Research Facility and the NIHR Biomedical Research Centre and Dementia Unit at South London and Maudsley NHS Foundation Trust and King's College London. L. M. H also has salary support from an NIHR Research Professorship (NIHR‐RP‐R3‐12‐011). Tommy's Baby Charity provided salary support for A. B. D. B. is supported by NIHR CLAHRC South London. A. E. is funded through a King's Improvement Science (KIS) Fellowship award. K. I. S. is part of the NIHR CLAHRC South London, and its work is funded by King's Health Partners (Guy's and St Thomas' NHS Foundation Trust, King's College Hospital NHS Foundation Trust, King's College London and South London and Maudsley NHS Foundation Trust), Guy's and St Thomas' Charity, the Maudsley Charity and the Health Foundation. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. Publisher Copyright: {\textcopyright} 2020 John Wiley & Sons, Ltd and Eating Disorders Association",
year = "2020",
month = mar,
day = "1",
doi = "10.1002/erv.2719",
language = "English",
volume = "28",
pages = "141--155",
journal = "European Eating Disorders Review",
issn = "1072-4133",
publisher = "John Wiley and Sons Ltd",
number = "2",
}