{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T04:46:12Z","timestamp":1773031572601,"version":"3.50.1"},"reference-count":23,"publisher":"Royal College of Psychiatrists","issue":"2","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":6910,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[1999,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Bulimia nervosa affects women at a peak age of reproductive functioning, but few studies have examined the impact of pregnancy on bulimia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To examine the impact of pregnancy on symptoms of bulimia nervosa and associated psychopathology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Women actively suffering from bulimia nervosa during pregnancy (<jats:italic>n<\/jats:italic>=94) were interviewed using the eating disorder examination (12th edn) and structured clinical interview for DSM\u2013III\u2013R, with additional structured questions. Behaviours were recorded at conception, each trimester and postnatally. Relative risks were calculated for prognostic factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Bulimic symptoms improved throughout pregnancy. After delivery, 57% had worse symptoms than pre-pregnancy, but 34% were no longer bulimic. Relapse was predicted by behavioural severity and persistence, previous anorexia nervosa (\u2018Type II\u2019 bulimia), gestational diabetes and \u2018unplanned\u2019 pregnancy. Unplanned pregnancies were the norm, usually resulting from mistaken beliefs about fertility. \u2018Postnatal depression\u2019 was suggested in one-third of the sample, and in two-thirds of those with \u2018Type II\u2019 bulimia, and was predicted by alcohol misuse, symptom severity and persistence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Postnatal treatment intervention should focus on women \u2018at risk\u2019 of relapse, but all women with bulimia should be assessed for postnatal depression.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.174.2.135","type":"journal-article","created":{"date-parts":[[2008,10,15]],"date-time":"2008-10-15T01:41:36Z","timestamp":1224034896000},"page":"135-140","source":"Crossref","is-referenced-by-count":105,"title":["Impact of pregnancy on bulimia nervosa"],"prefix":"10.1192","volume":"174","author":[{"given":"John Farnill","family":"Morgan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Hubert","family":"Lacey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip M.","family":"Sedgwick","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S0007125000152341_ref23","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199005)9:3<303::AID-EAT2260090308>3.0.CO;2-3"},{"key":"S0007125000152341_ref21","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700035649"},{"key":"S0007125000152341_ref19","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.299.6702.777"},{"key":"S0007125000152341_ref18","first-page":"188","volume-title":"Eating Disorders and Obesity","author":"Stein","year":"1995"},{"key":"S0007125000152341_ref16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2265.1995.tb02617.x"},{"key":"S0007125000152341_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(87)80293-4"},{"key":"S0007125000152341_ref9","volume-title":"The Psychodynamic Treatment of Anorexia Nervosa and Bulimia","author":"Johnson","year":"1991"},{"key":"S0007125000152341_ref10","volume-title":"Advanced Medicine","author":"Lacey","year":"1984"},{"key":"S0007125000152341_ref6","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-199211000-00006"},{"key":"S0007125000152341_ref17","volume-title":"User's Guide for the Structured Clinical Interview for DSM\u2013III\u2013R","author":"Spitzer","year":"1990"},{"key":"S0007125000152341_ref13","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199103)10:2<209::AID-EAT2260100210>3.0.CO;2-S"},{"key":"S0007125000152341_ref14","first-page":"3","volume-title":"Postpartum Depression and Child Development","author":"O'Hara","year":"1997"},{"key":"S0007125000152341_ref15","first-page":"275","article-title":"Bulimia precipitated by pregnancy","volume":"47","author":"Price","year":"1986","journal-title":"Journal of Clinical Psychiatry"},{"key":"S0007125000152341_ref3","doi-asserted-by":"publisher","DOI":"10.1210\/jcem.82.2.3731"},{"key":"S0007125000152341_ref5","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.303.6793.17"},{"key":"S0007125000152341_ref7","first-page":"317","volume-title":"Binge Eating: Nature, Assessment and Treatment","author":"Fairburn","year":"1993"},{"key":"S0007125000152341_ref4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.299.6706.1031"},{"key":"S0007125000152341_ref11","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.150.6.777"},{"key":"S0007125000152341_ref20","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-199607000-00004"},{"key":"S0007125000152341_ref12","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(198905)8:3<285::AID-EAT2260080304>3.0.CO;2-P"},{"key":"S0007125000152341_ref1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"1994"},{"key":"S0007125000152341_ref2","doi-asserted-by":"publisher","DOI":"10.2190\/H2R0-T0UC-BKNB-7XYR"},{"key":"S0007125000152341_ref8","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(198903)8:2<243::AID-EAT2260080216>3.0.CO;2-1"}],"container-title":["British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125000152341","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,10]],"date-time":"2019-05-10T15:13:10Z","timestamp":1557501190000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125000152341\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,2]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1999,2]]}},"alternative-id":["S0007125000152341"],"URL":"https:\/\/doi.org\/10.1192\/bjp.174.2.135","relation":{},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[1999,2]]}}}