{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T03:23:54Z","timestamp":1776482634326,"version":"3.51.2"},"reference-count":43,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T00:00:00Z","timestamp":1664323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Being pregnant is a vulnerable period for women with a history of eating disorders. A central issue in eating disorders is searching control of one\u2019s body and food preferences. Pregnancy implies being increasingly out of control of this. Treatment and targeted prevention start with the patient\u2019s experience. Little is known about how women with a history of eating disorder experience being pregnant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We interviewed 24 women with a history of eating disorder at the time of pregnancy, recruited from five public pregnancy controls at local family health centers in Norway. Interviews were analyzed by means of ideal type analysis, with a particular focus on how the participants experienced pregnancy and perceived triggers in possible experiences of relapse or worsening during pregnancy. All participants completed the Eating Disorder Examination Questionnaire (EDE-Q) and were diagnosed (DSM-5) by using the Eating Disorder Examination (EDE).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>On becoming pregnant, 23 of the 24 participants experienced worsening or relapse of their disorder. This occurred both at first time and after several pregnancies, and either interviewed early or late in pregnancy. Ideal type analyses indicated seven different personal features associated with worsening or relapse: the \u201cchaotic\u201d \u201crigid\u201d \u201cperfect\u201d \u201cworried\u201d \u201cshameful\u201d \u201cmotherhood fearing\u201d and \u201cthe mother with lost identity\u201d Perceived triggers of worsening or relapse were: \u201closs of control\u201d \u201cunpredictability\u201d \u201ccompetition\u201d \u201cchange of appearance\u201d \u201cshame and nausea\u201d and \u201closs of identity.\u201d<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Pregnancy is a vulnerable period for women with a history of eating disorders. A great variation in personal psychological dynamics seems to interact with perceived triggers in worsening or relapse of eating disorder. Our findings have important implications in understanding mechanisms of relapse in pregnancy, preventing relapse and help tailoring adequate intervention.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyg.2022.986217","type":"journal-article","created":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T07:15:21Z","timestamp":1664349321000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":17,"title":["Bodies out of control: Relapse and worsening of eating disorders in pregnancy"],"prefix":"10.3389","volume":"13","author":[{"given":"Bente","family":"Sommerfeldt","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Finn","family":"Sk\u00e5rderud","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingela Lundin","family":"Kvalem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kjersti S.","family":"Gulliksen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arne","family":"Holte","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,9,28]]},"reference":[{"key":"ref1","article-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"1994"},{"key":"ref2","article-title":"Diagnostic and statistical manual of mental disorders. 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