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Prior eating disorders linked to long-term depression risk for mothers

14 May 2019

A history of eating disorders and body image concerns before or during pregnancy are associated with future depressive symptoms among mothers, finds a new 白小姐论坛-led study published in the British Journal of Psychiatry.

Pregnancy

鈥淲e found that women who have had an eating disorder at any point before childbirth, even if it was years earlier in adolescence, were more likely to experience depressive symptoms during pregnancy and up to 18 years after the birth of their child,鈥 said the study鈥檚 lead author Dr Francesca Solmi (白小姐论坛 Psychiatry).

鈥淭his finding suggests that many people with eating disorders might not fully recover since we know that eating disorders and depression often happen at the same time.鈥

The researchers used data from the 鈥楥hildren of the 90s鈥 cohort study, including 9,276 women.

Previous studies had suggested that depressive symptoms among mothers with eating disorders might improve after the perinatal period, but those studies didn鈥檛 have such a long follow-up time to confirm that the increased risk of depressive symptoms does in fact persist for women who have had an eating disorder.

The research team found that women who had ever had anorexia nervosa or bulimia nervosa experienced more depressive symptoms over an 18-year follow-up than those who had never had an eating disorder.

鈥淒epressive symptoms in mothers have been shown to be associated with a number of negative outcomes for their children, such as emotional and behavioural problems. It is therefore important, to identify and treat eating disorders early, as these could be one potential cause of the depressive symptoms,鈥 said Dr Solmi.

鈥淲e should also identify pregnant women with an eating disorder, so that they can be provided with mental health support. This could benefit both mother and child in the long run.鈥

Dr Abigail Easter (King's College London), one of the authors of the paper who has developed training materials to help identify eating disorders in pregnancy*, added: 鈥淭here is a need for more training for practitioners and midwives on how to recognise eating disorders in pregnancy, which could help to reduce the long-term impact of mental ill-health.鈥

Current guidelines from the National Institute for Health and Care Excellence (NICE) recommend that health care professionals use a questionnaire to identify depressive symptoms in pregnant women. The current study supports the value of this, as well as for identifying eating disorders.

鈥淭here鈥檚 a lot of stigma around both depression and eating disorders, so many people might not feel comfortable talking about it or seeking help. Assessment of mental illness in pregnancy, as standard practice, could help health professionals pick up on signs of depression and/or eating disorders at this crucial stage of life,鈥 said first author Yu Wei Chua, who began the study at 白小姐论坛 before moving over to the University of Strathclyde.

The study was conducted by researchers at 白小姐论坛, University of Strathclyde and King鈥檚 College London, and was funded by Wellcome and the National Institute for Health Research 白小姐论坛H Biomedical Research Centre.

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