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Disordered eating measures validated in pregnancy samples: a systematic review.

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No current tools effectively measure disordered eating in pregnancy. The Eating Disorder Examination Questionnaire (EDE-Q) shows preliminary promise, but more research is needed to validate its use in pregnant populations.

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Area of Science:

  • Reproductive Health
  • Psychiatry
  • Clinical Psychology

Background:

  • Disordered eating during pregnancy poses risks.
  • No validated instruments specifically identify or measure these symptoms in pregnant individuals.

Purpose of the Study:

  • To systematically review the literature on the performance of general disordered eating measures in pregnancy samples.
  • To identify psychometrically sound instruments for assessing disordered eating in pregnancy.

Main Methods:

  • Systematic literature search (Scopus, Medline, PsycINFO, Embase, etc.) from inception to April 2019.
  • Inclusion of eight publications meeting criteria from 1724 citations.
  • Evaluation of psychometric properties (reliability, validity, screening accuracy) of general disordered eating measures.

Main Results:

  • Three self-report inventories (EDE-Q, EDI-2, DEBS) and one interview (EDE) had some psychometric data.
  • Most studies reported reliability, but only two reported validity; none assessed screening accuracy.
  • The Eating Disorder Examination Questionnaire (EDE-Q) demonstrated preliminary utility, but other measures lacked evidence for use in pregnancy.

Conclusions:

  • Limited evidence supports the use of general disordered eating measures in pregnancy.
  • The EDE-Q shows potential, but further research is crucial to establish its validity in pregnant populations.
  • A significant need exists for developing and validating specific instruments for disordered eating assessment during pregnancy.