Evidence map›Paper›PMID 30497443›Full record

ArticleBMC pregnancy and childbirth2018

Waking up every day in a body that is not yours: a qualitative research inquiry into the intersection between eating disorders and pregnancy.

Elizabeth A Claydon, Danielle M Davidov, Keith J Zullig, Christa L Lilly, Lesley Cottrell, Stephanie C Zerwas

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Elizabeth A ClaydonDepartment of Social & Behavioral Sciences, West Virginia University School of Public Health, Robert C. Byrd Health Sciences Center, West Virginia University, One Medical Center Drive, P.O. Box 9190, Morgantown, WV, 26506-9190, USA. elizabeth.claydon@hsc.wvu.edu.ORCID http://orcid.org/0000-0002-8153-5132
Danielle M DavidovDepartment of Social & Behavioral Sciences, West Virginia University School of Public Health, Robert C. Byrd Health Sciences Center, West Virginia University, One Medical Center Drive, P.O. Box 9190, Morgantown, WV, 26506-9190, USA.
Keith J ZulligDepartment of Social & Behavioral Sciences, West Virginia University School of Public Health, Robert C. Byrd Health Sciences Center, West Virginia University, One Medical Center Drive, P.O. Box 9190, Morgantown, WV, 26506-9190, USA.
Christa L LillyDepartment of Biostatistics, West Virginia University School of Public Health, Morgantown, WV, USA.
Lesley CottrellDepartment of Social & Behavioral Sciences, West Virginia University School of Public Health, Robert C. Byrd Health Sciences Center, West Virginia University, One Medical Center Drive, P.O. Box 9190, Morgantown, WV, 26506-9190, USA.
Stephanie C ZerwasDepartment of Biostatistics, West Virginia University School of Public Health, Morgantown, WV, USA.
West Virginia University · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Sally Lynn Hodder · 2012 to 2026
$81.0M
West Virginia University Injury Control Research CenterR49CE002109 · CE · WEST VIRGINIA UNIVERSITY · PI BOSSARTE, ROBERT M · 2012 to 2018
$5.7M
ACL HHS R49CE002109NCIPC CDC HHS 5R49CE002109NCIPC CDC HHS R49 CE002109NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

backgroundWomen with eating disorders are more likely to negatively react to finding out they are pregnant, although this difference in attitudes between women with eating disorders and controls disappears at 18-weeks' gestation. Those with anorexia also are twice as likely to have an unplanned pregnancy and those with bulimia have a 30-fold increased chance compared with healthy controls. Therefore, due to these considerations, pregnancy and the transition to motherhood can be an extremely challenging time for these women both psychologically and physically. The purpose of this qualitative descriptive study was to understand the intersection between eating disorders and pregnancy from the lived experience of women who have been pregnant or want to or do not want to become pregnant.

methodsA total of 15 women with a current or past history of an eating disorder were recruited, including nine women who have had previous pregnancies as well as six nonparous women. Interviews were the primary unit of data collection, in addition to document analysis of diaries or blogs. Data analysis was based on verbatim transcripts from audio recordings. NVIVO 11© was used to manage the data from these interviews and thematic analysis was then conducted for emergence of major and sub themes.

resultsA total of six themes emerged from the iterative process of coding and categorizing. They were: Control, Disclosure to Others, Battle between Mothering & Eating Disorder, Fear of Intergenerational Transmission, Weight and Body Image Concerns, and Coping Strategies. One theme, Battle between Mothering & Eating Disorder also had three sub-themes: Decision to Have Child, Emotions Towards Pregnancy, and Focus on Child/Greater Good.

conclusionsIt is hoped that quotes and themes derived from this study will help inform both prenatal and postnatal care and interventions, as well as addressing intergenerational transmission concerns among mothers with eating disorders.

Indexed as

Attitude to HealthAdaptation, PsychologicalAdultAnorexia NervosaBody ImageBulimia NervosaCase-Control StudiesDecision MakingDisclosureEmotionsFeeding and Eating DisordersFemaleHumansMiddle AgedMothersPregnancy

Identifiers

PMID30497443
PMCPMC6267071
OpenAlexW2902682959

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.