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Abstract(s)
As perturbações do comportamento alimentar (PCA) têm sido consensualmente descritas como um problema grave que afeta, sobretudo, adolescentes e mulheres jovens, pelo que poderá ser comum em mulheres em idade reprodutiva (Micali, Simonoff & Treasure, 2007). Porém, apesar da existência de alguns estudos de grande validade ao nível europeu (Bulik et al., 2009b), centrados na eventual relação entre história reprodutiva e PCA, em Portugal esta temática tem sido pouco explorada. OBJETIVO: O presente estudo tem o intuito de: i) compreender a relação entre PCA e sintomatologia durante a gravidez e pós-parto; ii) analisar a possível relação entre PCA, dificuldades ao nível da conceção e complicações obstétricas; iii) verificar a eventual presença de problemas de saúde e desenvolvimento nos filhos de mulheres com PCA (do nascimento à 1ª infância). MÉTODO: Participaram neste estudo 30 mulheres com diagnóstico passado ou atual de PCA, anterior à conceção. Estas foram distribuídas por dois grupos clínicos: um composto por 21 mulheres com diagnóstico inicial de anorexia nervosa (AN) e outro constituído por 9 mulheres diagnosticadas com bulimia nervosa (BN). Foram administradas duas entrevistas clinicas - Eating Disorders Examination (Fairburn & Cooper, 2000) e uma secção da Risk Factors for Eating Disorders: Interview Schedule (Fairburn & Welch, 1990) e um questionário autónomo. RESULTADOS: A amostra clínica da BN parece estar associada a sintomas de PCA (dietas e vómito autoinduzido), desde a conceção até ao puerpério. Na AN, não se verificou a presença de sintomatologia de PCA na gravidez. Constatou-se a existência de mais problemas de saúde na gestação no caso da BN e um maior número de prematuros no caso da AN. Não foram encontrados problemas significativos no bebé e na 1ª infância. Os sujeitos com sintomas de PCA no puerpério continuam a revelar sintomas atualmente
The eating disorders (PCA) has been consensually described as a serious problem that affects mainly adolescents and young women, so it may be common in women of reproductive age (Micali, Simonoff & Treasure, 2007). However, despite the existence of some European level studies of great accuracy (Bulik et al., 2009b), focused on the possible relationship between reproductive history and PCA, in Portugal this topic has been underexplored. AIMS: This study aims to understand: i) the relationship between PCA and symptoms during pregnancy and postpartum; ii) analyze the possible relationship between PCA, with conception difficulty and obstetric complications; iii) verify the possible presence of health and development problems in sons of women with PCA (from birth to 1st child). METHOD: In this study, 30 women with current or past PCA diagnosis prior to conception participated. These were distributed by two clinical groups: consisting of one, with an initial diagnosis of anorexia nervosa (AN) 21 women and the other consisting of 9 women diagnosed with bulimia nervosa (BN). Were given two clinical interviews - Eating Disorders Examination (Fairburn & Cooper, 2000) and a Risk Factors for Eating Disorders section: Interview Schedule (Fairburn & Welch, 1990) and an autonomous quiz. RESULTS: The clinical sample of BN appears to be associated with PCA symptoms (diets and self-inflicted vomiting), from conception to postpartum. In AN, there was the presence of PCA symptoms in pregnancy. It was found that there are more health problems during pregnancy in the case of BN and a greater number of premature in the case of AN. There were no significant baby and the 1st childhood problems. Individuals with postpartum PCA symptoms still show symptoms today.
The eating disorders (PCA) has been consensually described as a serious problem that affects mainly adolescents and young women, so it may be common in women of reproductive age (Micali, Simonoff & Treasure, 2007). However, despite the existence of some European level studies of great accuracy (Bulik et al., 2009b), focused on the possible relationship between reproductive history and PCA, in Portugal this topic has been underexplored. AIMS: This study aims to understand: i) the relationship between PCA and symptoms during pregnancy and postpartum; ii) analyze the possible relationship between PCA, with conception difficulty and obstetric complications; iii) verify the possible presence of health and development problems in sons of women with PCA (from birth to 1st child). METHOD: In this study, 30 women with current or past PCA diagnosis prior to conception participated. These were distributed by two clinical groups: consisting of one, with an initial diagnosis of anorexia nervosa (AN) 21 women and the other consisting of 9 women diagnosed with bulimia nervosa (BN). Were given two clinical interviews - Eating Disorders Examination (Fairburn & Cooper, 2000) and a Risk Factors for Eating Disorders section: Interview Schedule (Fairburn & Welch, 1990) and an autonomous quiz. RESULTS: The clinical sample of BN appears to be associated with PCA symptoms (diets and self-inflicted vomiting), from conception to postpartum. In AN, there was the presence of PCA symptoms in pregnancy. It was found that there are more health problems during pregnancy in the case of BN and a greater number of premature in the case of AN. There were no significant baby and the 1st childhood problems. Individuals with postpartum PCA symptoms still show symptoms today.