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Disordered eating instruments in the pregnancy cohort: a systematic review update
Juliette Stephens1, Aleshia Ellis2, Susan Roberts2
1Faculty of Health Sciences & Medicine, Bond University, Gold Coast, QLD, Australia.
Eating Disorders
|August 2, 2024
Summary
Screening for disordered eating during pregnancy is vital for maternal and infant health. This review found promising new tools, but more validation is needed for a gold standard.
Area of Science:
- Reproductive Health
- Mental Health
- Psychometrics
Background:
- Disordered eating in pregnancy poses significant risks to both mother and child.
- The COVID-19 pandemic heightened concerns regarding pregnant women's mental health, including disordered eating.
- Existing research necessitates updated psychometric evidence for screening instruments.
Purpose of the Study:
- To systematically review psychometric evidence for new pregnancy-specific disordered eating instruments.
- To evaluate measures developed for non-pregnant populations for use in pregnant individuals.
- To update a previous review on this topic.
Main Methods:
- Systematic literature searches conducted across multiple databases (PubMed, PsycInfo, CINAHL, etc.) from April 2019 to February 2024.
- Inclusion criteria applied to 20 selected citations, assessing study quality.
- Identification and analysis of 14 psychometric instruments, including two novel pregnancy-specific tools.
Main Results:
- Preliminary psychometric evidence for the Pregnancy Eating Behaviors Scale (PEBS), Disordered Eating in Pregnancy Scale (DEAPS), and Eating Disorder Examination-Prevalence Version (EDE-PV) is promising.
- Two new pregnancy-specific screening instruments were identified.
- Most included studies demonstrated reasonable quality.
Conclusions:
- Further validation of identified instruments across diverse samples, designs, settings, and administration methods is required.
- No single instrument currently stands as a gold standard for screening disordered eating in pregnancy.
- Continued research is essential to refine and validate effective screening tools for disordered eating in pregnant populations.
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