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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
PubMed

Insights

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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