ABSTRACT

Background

While research on Fear Of Childbirth (FOC) during pregnancy is on the rise, research regarding pretraumatic stress reactions is lacking. Moreover, less is known regarding negative anticipation of childbirth and Eating Disorders (ED). This study aims at identifying typologies of women in the prepartum period based on FOC and pretraumatic stress symptoms and investigating whether or not the identified profiles differ on levels of bulimic symptoms and Drive for Thinness (DT).

Participants and methods

a sample of 213 pregnant women completed questionnaires assessing FOC, pretraumatic stress, DT and bulimic symptoms.

Results

four clusters based on pretraumatic stress and FOC symptoms were identified: one characterised by traumatic symptoms, one showing moderated FOC symptoms, one with high symptomatology and one with low symptoms. Higher ED symptoms were found in women with both FOC and pretraumatic stress symptoms, and in the cluster showing elevated pretraumatic stress symptomatology.

Conclusions

To our knowledge, this is the first study focusing on anticipated traumatic reactions and ED in pregnant women. While some women evidenced FOC and pretraumatic stress symptoms, two different clusters, one with FOC and one with pretraumatic stress, were found. These findings suggest that, while sharing similarities, these constructs are different.

中文翻译：

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怀孕期间分娩的创伤性预期和饮食失调。

摘要

背景

尽管怀孕期间对分娩的恐惧感（FOC）的研究在增加，但有关创伤前应激反应的研究却缺乏。此外，关于分娩和饮食失调（ED）的负面预期知之甚少。这项研究的目的是根据FOC和创伤前压力症状来识别产前妇女的类型，并调查所识别出的特征是否因脓毒症症状和瘦身（DT）水平而异。

参加者和方法

213名孕妇的样本完成了问卷调查，评估了FOC，创伤前压力，DT和脓毒症症状。

结果

根据创伤前压力和FOC症状确定了四类：一种为外伤性症状，一种为中度FOC症状，一种为高症状，另一种为低症状。患有FOC和创伤前应激症状的女性发现较高的ED症状，并且在集群中表现出创伤前应激症状的升高。

结论

据我们所知，这是第一项针对预期孕妇的创伤反应和ED的研究。虽然一些妇女表现出FOC和创伤前应激症状，但发现了两个不同的簇，一个伴有FOC，一个伴有创伤前应激。这些发现表明，尽管具有相似性，但这些结构是不同的。