{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T11:17:15Z","timestamp":1769253435233,"version":"3.49.0"},"reference-count":75,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,6,19]],"date-time":"2023-06-19T00:00:00Z","timestamp":1687132800000},"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:p>The importance of detecting eating disorders (EDs) during pregnancy cannot be overemphasized, because of the major negative effects this pathology has on both maternal and fetal health. Based on a rapid review including primary and secondary reports, PN may still be considered an elusive diagnosis entity, that partially overlaps with other EDs, either well-defined, like anorexia nervosa, or still in search of their own diagnosis criteria, like orthorexia nervosa. Neurochemical and hormonal factors, psychological and social mechanisms, along with lifestyle changes create a very complex framework for clinicians interested in defining the typical features of pregorexia nervosa (PN). The personal history of EDs is considered one of the most important risk factors for PN. The core diagnostic criteria for this entity are, so far, lack of gaining weight during pregnancy, an excessive focus on counting calories and\/or intense physical exercising with a secondary decrease of interest in the fetus\u2019s health, lack of acceptance of the change in body shape during pregnancy, and pathological attention for own body image. Regarding the treatment of PN, nutritional and psychosocial interventions are recommended but no specific therapeutic strategies for this disorder have been detected in the literature. Psychotherapy is considered the main intervention for pregnant women with associated EDs and mood disorders, as the pharmacological agents could have teratogenic effects or insufficient data to support their safety in this population. In conclusion, taking into consideration the methodological limitations of a rapid review, data supporting the existence of PN were found, mainly regarding tentative diagnostic criteria, risk factors, and pathophysiological aspects. These data, corroborated with the importance of preserving optimal mental health in a vulnerable population, e.g., pregnant women, justify the need for further research focused on finding specific diagnostic criteria and targeted therapeutic approaches.<\/jats:p>","DOI":"10.3389\/fpsyg.2023.1168696","type":"journal-article","created":{"date-parts":[[2023,6,19]],"date-time":"2023-06-19T07:59:08Z","timestamp":1687161548000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["The complex interplay between psychosocial and biological factors in pregorexia nervosa \u2014 a rapid review"],"prefix":"10.3389","volume":"14","author":[{"given":"Octavian","family":"Vasiliu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,6,19]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"486","DOI":"10.1007\/s40429-022-00435-6","article-title":"Estimation of behavioral addiction prevalence during COVID-19 pandemic: a systematic review and meta-analysis","volume":"9","author":"Alimoradi","year":"2022","journal-title":"Curr. Addict. Rep."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"386","DOI":"10.1016\/j.biopsych.2004.06.002","article-title":"Changes in cerebrospinal fluid neurochemistry during pregnancy","volume":"56","author":"Altemus","year":"2004","journal-title":"Biol. Psychiatry"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1097\/01.aog.0000425668.87506.4c","article-title":"ACOG Committee opinion no. 548: weight gain during pregnancy","volume":"121","year":"2013","journal-title":"Obstet. Gynecol."},{"key":"ref4","volume-title":"Diagnostic and statistical manual of mental disorders","year":"2013"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1016\/j.neuropharm.2011.11.010","article-title":"Dysregulation of brain reward systems in eating disorders: neurochemical information from animal models of binge eating, bulimia nervosa, and anorexia nervosa","volume":"63","author":"Avena","year":"2012","journal-title":"Neuropharmacology"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"133","DOI":"10.2478\/v10222-012-0078-0","article-title":"Eating disorders: problems of contemporary civilization: a review","volume":"63","author":"Babicz-Zielinska","year":"2013","journal-title":"Polish J. Food Nutr. Sci."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1691","DOI":"10.3945\/ajcn.2009.28792","article-title":"Maternal caffeine intake from coffee and tea, fetal growth, and the risks of adverse birth outcomes: the generation R study","volume":"91","author":"Bakker","year":"2010","journal-title":"Am. J. Clin. Nutr."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"262","DOI":"10.1186\/s12884-018-1849-3","article-title":"Signs and symptoms of disordered eating in pregnancy: a Delphi consensus study","volume":"18","author":"Bannatyne","year":"2018","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"197","DOI":"10.2174\/1874473711104030197","article-title":"Does anorexia nervosa resemble an addiction?","volume":"4","author":"Barbarich-Marsteller","year":"2011","journal-title":"Curr. Drug Abuse Rev."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"428","DOI":"10.1002\/eat.20931","article-title":"Psychometric evaluation of the eating disorder examination and eating disorder examination questionnaire: a systematic review of the literature","volume":"45","author":"Berg","year":"2012","journal-title":"Int. J. Eat. Disord."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"110320","DOI":"10.1016\/j.mce.2018.10.018","article-title":"Neuroendocrinology of reward in anorexia nervosa and bulimia nervosa: beyond leptin and ghrelin","volume":"497","author":"Berner","year":"2018","journal-title":"Mol. Cell Endocrinol."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"815","DOI":"10.1016\/j.jand.2019.09.020","article-title":"Women\u2019s experience and understanding of food cravings in pregnancy: a qualitative study in women receiving prenatal care at the University of North Carolina-Chapel","volume":"120","author":"Blau","year":"2020","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1016\/s0031-9384(02)00759-x","article-title":"Augmentation of drug reward by chronic food restriction: behavioral evidence and underlying mechanisms","volume":"76","author":"Carr","year":"2002","journal-title":"Physiol. Behav."},{"key":"ref14","article-title":"\u201cPregorexia\u201d inspired by thin celebs?","year":"2008"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"1711","DOI":"10.1136\/archdischild-2014-307384.1291","article-title":"Disordered eating attitudes during pregnancy in mothers of newborns requiring neonatal intensive care unit admission: a case control study","volume":"28","author":"Czech-Szczapa","year":"2015","journal-title":"J. Mat. Fetal Neonat. Med."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"787","DOI":"10.1016\/0022-3999(94)90067-1","article-title":"Body image and dieting in pregnancy","volume":"38","author":"Davies","year":"1994","journal-title":"J. Psychosom. Res."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"e36510","DOI":"10.1590\/0102.3772e36510","article-title":"Repercussions of social networks on their users\u2019 body image: integrative review","volume":"36","author":"de Sousa Silva","year":"2020","journal-title":"Psicologia: Teoria e Pesquisa"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1186\/s12884-016-1012-y","article-title":"Maternal nutrition, inadequate gestational weight gain and birth weight: results from a prospective birth cohort","volume":"16","author":"Diemert","year":"2016","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"3695","DOI":"10.1007\/s40519-022-01512-5","article-title":"A consensus document on definition and diagnostic criteria for orthorexia nervosa","volume":"27","author":"Donini","year":"2022","journal-title":"Eat. Weight Disord."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"340","DOI":"10.1002\/erv.2229","article-title":"Recognising the symptoms: how common are eating disorders in pregnancy?","volume":"21","author":"Easter","year":"2013","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref21","article-title":"Pregorexic: are some pregnant women putting their fetuses at risk?","year":"2015"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"629","DOI":"10.1016\/j.chc.2019.05.007","article-title":"The neurobiology of eating disorders","volume":"28","author":"Frank","year":"2019","journal-title":"Child Adolesc. Psych. Clin. North Am."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1111\/cob.12088","article-title":"Women\u2019s attitude towards a pre-conception healthy lifestyle programme","volume":"5","author":"Funk","year":"2015","journal-title":"Clin. Obes."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"871","DOI":"10.1017\/s0033291700049163","article-title":"The eating attitudes test: psychometric features and clinical correlates","volume":"12","author":"Garner","year":"1982","journal-title":"Psychol. Med."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"767467","DOI":"10.3389\/fgwh.2021.767467","article-title":"The prolactin family of hormones as regulators of maternal mood and behavior","volume":"2","author":"Georgescu","year":"2021","journal-title":"Front. Glob. Women Health"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"5275","DOI":"10.3390\/nu14245275","article-title":"Effectors of pregorexia and emesis among pregnant women: a pilot study","volume":"14","author":"Gerontidis","year":"2022","journal-title":"Nutrients"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1097\/00005053-200005000-00004","article-title":"\u2018Coping in dieting and eating disorders: a population-based study\u2018","volume":"188","author":"Ghaderi","year":"2000","journal-title":"J. Nerv. Ment. Dis."},{"key":"ref28","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1016\/j.jpsychores.2017.09.002","article-title":"Prenatal stress perception and coping strategies: insights from a longitudinal prospective pregnancy cohort","volume":"102","author":"Goletzke","year":"2017","journal-title":"J. Psychosom. Res."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1080\/17437199.2012.752659","article-title":"Coping during pregnancy: a systematic review and recommendations","volume":"8","author":"Guardino","year":"2014","journal-title":"Health Psychol. Rev."},{"key":"ref30","doi-asserted-by":"publisher","first-page":"424","DOI":"10.1038\/s42255-022-00557-1","article-title":"Food craving-like episodes during pregnancy are mediated by accumbal dopaminergic circuits","volume":"4","author":"Haddad-T\u00f3volli","year":"2022","journal-title":"Nat. Metab."},{"key":"ref31","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1080\/10640260490267751","article-title":"The impact of exposure to the thin-ideal media image on women","volume":"12","author":"Hawkins","year":"2004","journal-title":"Eat. Disord."},{"key":"ref32","doi-asserted-by":"publisher","first-page":"330","DOI":"10.1186\/1471-2393-14-330","article-title":"Women\u2019s experiences of their pregnancy and postpartum body image: a systematic review and meta-synthesis","volume":"14","author":"Hodgkinson","year":"2014","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"465","DOI":"10.3390\/nu12020465","article-title":"Effects of maternal dietary patterns during pregnancy on early childhood growth trajectories and obesity risk: the CANDLE study","volume":"12","author":"Hu","year":"2020","journal-title":"Nutrients"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"777529","DOI":"10.3389\/fpsyt.2021.777529","article-title":"Systematic review of literature on eating disorders during pregnancy-risk and consequences for mother and child","volume":"12","author":"Janas-Kozik","year":"2021","journal-title":"Front. Psych."},{"key":"ref35","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1007\/s00737-016-0644-2","article-title":"Oxytocin course over pregnancy and postpartum period and the association with postpartum depressive symptoms","volume":"19","author":"Jobst","year":"2016","journal-title":"Arch. Womens Ment. Health"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"1262","DOI":"10.1055\/a-0713-1058","article-title":"Diet and lifestyle before and during pregnancy-practical recommendations of the Germany-wide healthy start-young family network","volume":"78","author":"Koletzko","year":"2018","journal-title":"Geburtshilfe Frauenhelkd"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1002\/erv.1144","article-title":"The eating disorder diagnostic scale: psychometric features within a clinical population and a cut-off point to differentiate clinical patients from healthy controls","volume":"20","author":"Krabbenborg","year":"2012","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1186\/s40337-022-00589-8","article-title":"Eating disorders in pregnancy-pregorexia","volume":"2","author":"Kubaszewska","year":"2012","journal-title":"Gynecol. Obstetr. Med. Proj."},{"key":"ref39","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1002\/erv.497","article-title":"Experiences of pregnancy-related body shape changes and of breast-feeding in women with a history of eating disorders","volume":"11","author":"Larsson","year":"2003","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref40","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1080\/16506073.2018.1427785","article-title":"Meta-analysis of the effects of cognitive-behavioral therapy on the core eating disorder maintaining mechanisms: implications for mechanisms of therapeutic change","volume":"47","author":"Linardon","year":"2018","journal-title":"Cogn. Behav. Ther."},{"key":"ref41","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1159\/000457136","article-title":"The interplay between maternal nutrition and stress during pregnancy: issues and considerations","volume":"70","author":"Lindsay","year":"2017","journal-title":"Ann. Nutr. Metab."},{"key":"ref42","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1016\/s1526-9523(00)00031-3","article-title":"Critical issues in the care of pregnant women with eating disorders and the impact on their children","volume":"45","author":"Little","year":"2000","journal-title":"J. Midwifery Womens Health"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"352","DOI":"10.3390\/medicina56070352","article-title":"Eating disorders in pregnant and breastfeeding women: a systematic review","volume":"56","author":"Mart\u00ednez-Olcina","year":"2020","journal-title":"Medicina (Kaunas)"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"976","DOI":"10.1016\/j.jada.2009.04.021","article-title":"What is pregorexia?","volume":"109","author":"Mathieu","year":"2009","journal-title":"J. Am. Diet. Assoc."},{"key":"ref45","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1016\/j.appet.2019.05.005","article-title":"Orthorexia nervosa: a review of psychosocial risk factors","volume":"140","author":"McComb","year":"2019","journal-title":"Appetite"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"297","DOI":"10.3390\/nu15020297","article-title":"The 26-item eating attitude test (EAT-26): psychometric properties and factor structure in vegetarians and vegans","volume":"15","author":"McLean","year":"2023","journal-title":"Nutrients"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1016\/j.jpeds.2008.07.003","article-title":"Infant feeding and weight in the first year of life in babies of women with eating disorders","volume":"154","author":"Micali","year":"2009","journal-title":"J. Pediatr."},{"key":"ref48","doi-asserted-by":"publisher","first-page":"150","DOI":"10.1016\/j.jad.2010.09.034","article-title":"Pregnancy and post-partum depression and anxiety in a longitudinal general populational cohort: the effect of eating disorders and past depression","volume":"131","author":"Micali","year":"2011","journal-title":"J. Affect. Disord."},{"key":"ref49","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1016\/j.jpsychores.2007.05.003","article-title":"Eating disorders symptoms in pregnancy: a longitudinal study of women with recent and past eating disorders and obesity","volume":"63","author":"Micali","year":"2007","journal-title":"J. Psychosom. Res."},{"key":"ref50","doi-asserted-by":"publisher","first-page":"487","DOI":"10.1097\/01.psy.0000221265.43407.89","article-title":"Risk of postnatal depression, miscarriage and preterm birth in bulimia nervosa: retrospective controlled study","volume":"68","author":"Morgan","year":"2006","journal-title":"Psychosom. Med."},{"key":"ref51","doi-asserted-by":"publisher","first-page":"244","DOI":"10.1186\/s12884-020-02913-z","article-title":"Improving pregnant women\u2019s diet and physical activity behaviours: the emergent role of health identity","volume":"20","author":"Morris","year":"2020","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"683","DOI":"10.1037\/a0016763","article-title":"Social comparison as a predictor of body dissatisfaction: a meta-analytic review","volume":"118","author":"Myers","year":"2009","journal-title":"J. Abnorm. Psychol."},{"key":"ref53","article-title":"Eating disorders: recognition and treatment. NICE guideline (NG69)","year":"2020"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"977","DOI":"10.1038\/sj.ijo.0803238","article-title":"The EAT-26 as screening instrument for clinical nutrition unit attenders","volume":"30","author":"Orbitello","year":"2006","journal-title":"Int. J. Obes. (London)"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1186\/s40337-022-00580-3","article-title":"Psychometric properties of the 26-item eating attitudes test (EAT-26): an application of Rasch analysis","volume":"10","author":"Papini","year":"2022","journal-title":"J. Eat. Disord."},{"key":"ref56","doi-asserted-by":"publisher","first-page":"S455","DOI":"10.1016\/S0924-977X(14)70729-1","article-title":"SSRI dose escalation versus duloxetine in treatment of major depressive disorder not responding to initial SSRI","volume":"24","author":"Petrescu","year":"2014","journal-title":"Eur. Neuropsychopharmacol."},{"key":"ref57","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1016\/j.jpsychores.2005.03.002","article-title":"Effects of pregnancy on eating attitudes and disorders: a prospective study","volume":"59","author":"Rocco","year":"2005","journal-title":"J. Psychosom. Res."},{"key":"ref58","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1186\/s40337-022-00589-8","article-title":"A rare phenomenon of pregorexia in Pakistani women: need to understand the related behaviors","volume":"10","author":"Saleem","year":"2022","journal-title":"J. Eat. Disord."},{"key":"ref59","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1097\/00006254-200301000-00002","article-title":"Correlation between plasma neurotransmitters and memory loss in pregnancy","volume":"47","author":"Shetty","year":"2002","journal-title":"J. Reprod. Med."},{"key":"ref60","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1016\/j.biopsycho.2017.05.001","article-title":"Role of addiction and stress neurobiology on food intake and obesity","volume":"131","author":"Sinha","year":"2018","journal-title":"Biol. Psychol."},{"key":"ref61","doi-asserted-by":"publisher","first-page":"262","DOI":"10.1192\/bjp.2021.105","article-title":"Incidence and outcomes of eating disorders during the COVID-19 pandemic","volume":"220","author":"Taquet","year":"2021","journal-title":"Br. J. Psychiatry"},{"key":"ref62","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1002\/(SICI)1099-0968(199809)6:3<178::AID-ERV231>3.0.CO;2-Y","article-title":"Eating disorders precipitated by pregnancy","volume":"6","author":"Tiller","year":"1998","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref63","doi-asserted-by":"publisher","first-page":"899","DOI":"10.1016\/S0140-6736(20)30059-3","article-title":"Eating disorders","volume":"395","author":"Treasure","year":"2020","journal-title":"Lancet"},{"key":"ref64","doi-asserted-by":"publisher","first-page":"186","DOI":"10.33808\/clinexphealthsci.673306","article-title":"The importance of pregorexia awareness","volume":"10","author":"Tuncer","year":"2020","journal-title":"Clin. Exp. Health Sci."},{"key":"ref65","doi-asserted-by":"publisher","first-page":"7","DOI":"10.55453\/rjmm.2019.122.2.1","article-title":"Effects of the selective serotonin reuptake inhibitors over coagulation in patients with depressive disorders-a systematic review and retrospective analysis","author":"Vasiliu","year":"2019","journal-title":"Roman. J. Milit. Med."},{"key":"ref66","doi-asserted-by":"publisher","first-page":"824936","DOI":"10.3389\/fpsyt.2021.824936","article-title":"Current status of evidence for a new diagnosis: food addiction-a literature review","volume":"12","author":"Vasiliu","year":"","journal-title":"Front. Psychol."},{"key":"ref67","first-page":"1047280","article-title":"Therapeutic management of buying\/shopping disorder: a systematic literature review and evidence-based recommendations","volume-title":"Front. Psychol.","author":"Vasiliu","year":""},{"key":"ref68","doi-asserted-by":"publisher","first-page":"10","DOI":"10.55453\/rjmm.2021.124.1.2","article-title":"Quality of life impairments and stress coping strategies during the Covid-19 pandemic isolation and quarantine-a web-based survey","author":"Vasiliu","year":"2021","journal-title":"Roman. J. Milit. Med."},{"key":"ref69","doi-asserted-by":"publisher","first-page":"e363","DOI":"10.1016\/j.wombi.2019.09.003","article-title":"\u201cIt\u2019s not easy\u201d- a qualitative study of lifestyle change during pregnancy","volume":"33","author":"Walker","year":"2020","journal-title":"Women Birth"},{"key":"ref70","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1136\/bmj.39393.689595.BE","article-title":"Eating disorders in pregnancy","volume":"336","author":"Ward","year":"2008","journal-title":"Br. Med. J."},{"key":"ref71","doi-asserted-by":"publisher","first-page":"552","DOI":"10.1037\/abn0000241","article-title":"Maternal eating disorders and perinatal outcomes: a three-generation study in the Norwegian mother and child cohort study","volume":"126","author":"Watson","year":"2017","journal-title":"J. Abnorm. Psychol."},{"key":"ref72","doi-asserted-by":"publisher","first-page":"296","DOI":"10.1016\/j.bbi.2004.09.006","article-title":"The potential influence of maternal stress hormones on development and mental health of the offspring","volume":"19","author":"Weinstock","year":"2005","journal-title":"Brain Behav. Immun."},{"key":"ref73","article-title":"ICD-11 clinical descriptions and diagnostic guidelines for mental and behavioral disorders","year":"2023"},{"key":"ref74","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1016\/j.ijgo.2008.12.001","article-title":"Hormonal changes and somatopsychologic manifestations in the first trimester of pregnancy and post-partum","volume":"105","author":"Zhou","year":"2009","journal-title":"Int. J. Gynaecol. Obstet."},{"key":"ref75","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1016\/S2215-0366(21)00435-1","article-title":"The hidden burden of eating disorders during the COVID-19 pandemic","volume":"9","author":"Zipfel","year":"2022","journal-title":"Lancet Psych."}],"container-title":["Frontiers in Psychology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2023.1168696\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,19]],"date-time":"2023-06-19T07:59:13Z","timestamp":1687161553000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2023.1168696\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,19]]},"references-count":75,"alternative-id":["10.3389\/fpsyg.2023.1168696"],"URL":"https:\/\/doi.org\/10.3389\/fpsyg.2023.1168696","relation":{},"ISSN":["1664-1078"],"issn-type":[{"value":"1664-1078","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,19]]},"article-number":"1168696"}}