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Screening instruments for eating disorders in pregnancy: Current evidence, challenges, and future directions.

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Title: Screening instruments for eating disorders in pregnancy: Current evidence, challenges, and future directions.
Authors: Dörsam, Annica Franziska, Bye, Amanda, Graf, Johanna, Howard, Louise M., Throm, Jana Katharina, Müller, Mitho, Wallwiener, Stephanie, Zipfel, Stephan, Micali, Nadia, Giel, Katrin Elisabeth
Source: International Journal of Eating Disorders. Sep2022, Vol. 55 Issue 9, p1208-1218. 11p. 1 Diagram, 4 Charts.
Subjects: Diagnosis of eating disorders, Confidence intervals, Mental health, Medical screening, Medical protocols, Psychological tests, Questionnaires, Research funding, Sensitivity & specificity (Statistics), Pregnancy
Abstract: Pregnancy is a vulnerable period for eating disorder (ED) occurrence and maternal EDs are associated with heightened risk of adverse pregnancy and infant outcomes. This highlights the need to identify pregnant women with past or current EDs in order to offer appropriate support. However, there is a knowledge and practice gap on screening pregnant women for EDs. Clinical guidance is lacking in international treatment guidelines, which is unsurprising given that no validated ED screening tool specifically designed for use in antenatal populations exists. Moreover, data on the effectiveness of general population screening tools for identifying EDs in pregnant women are scarce. This article provides a synthesis of current evidence, treatment guidelines, and data on the diagnostic accuracy for screening for EDs in antenatal samples from three studies with different screening approaches. We outline recommendations for future steps to tackle the knowledge and practice gap on screening for EDs in pregnant women, including next steps for the development of a pregnancy‐specific ED screener and the use of general mental health screeners to detect EDs during pregnancy. Up‐to‐date, the jury is still out as how to best identify current or past EDs in pregnancy. More research is needed to assess the efficacy of using general mental health screeners versus ED‐specific screening instruments to detect ED in pregnancy. Additionally, clinicians have to be trained on how to assess and manage EDs during pregnancy. Public Significance: Identifying pregnant women with eating disorders (EDs) is a public health concern which can be addressed using multiple approaches, including implementation of general and specific assessments within routine antenatal care, and training of healthcare professionals. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Screening instruments for eating disorders in pregnancy: Current evidence, challenges, and future directions.
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  Data: <searchLink fieldCode="AR" term="%22Dörsam%2C+Annica+Franziska%22">Dörsam, Annica Franziska</searchLink><br /><searchLink fieldCode="AR" term="%22Bye%2C+Amanda%22">Bye, Amanda</searchLink><br /><searchLink fieldCode="AR" term="%22Graf%2C+Johanna%22">Graf, Johanna</searchLink><br /><searchLink fieldCode="AR" term="%22Howard%2C+Louise+M%2E%22">Howard, Louise M.</searchLink><br /><searchLink fieldCode="AR" term="%22Throm%2C+Jana+Katharina%22">Throm, Jana Katharina</searchLink><br /><searchLink fieldCode="AR" term="%22Müller%2C+Mitho%22">Müller, Mitho</searchLink><br /><searchLink fieldCode="AR" term="%22Wallwiener%2C+Stephanie%22">Wallwiener, Stephanie</searchLink><br /><searchLink fieldCode="AR" term="%22Zipfel%2C+Stephan%22">Zipfel, Stephan</searchLink><br /><searchLink fieldCode="AR" term="%22Micali%2C+Nadia%22">Micali, Nadia</searchLink><br /><searchLink fieldCode="AR" term="%22Giel%2C+Katrin+Elisabeth%22">Giel, Katrin Elisabeth</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. Sep2022, Vol. 55 Issue 9, p1208-1218. 11p. 1 Diagram, 4 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Diagnosis+of+eating+disorders%22">Diagnosis of eating disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+screening%22">Medical screening</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+protocols%22">Medical protocols</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+tests%22">Psychological tests</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Sensitivity+%26+specificity+%28Statistics%29%22">Sensitivity & specificity (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Pregnancy%22">Pregnancy</searchLink>
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  Data: Pregnancy is a vulnerable period for eating disorder (ED) occurrence and maternal EDs are associated with heightened risk of adverse pregnancy and infant outcomes. This highlights the need to identify pregnant women with past or current EDs in order to offer appropriate support. However, there is a knowledge and practice gap on screening pregnant women for EDs. Clinical guidance is lacking in international treatment guidelines, which is unsurprising given that no validated ED screening tool specifically designed for use in antenatal populations exists. Moreover, data on the effectiveness of general population screening tools for identifying EDs in pregnant women are scarce. This article provides a synthesis of current evidence, treatment guidelines, and data on the diagnostic accuracy for screening for EDs in antenatal samples from three studies with different screening approaches. We outline recommendations for future steps to tackle the knowledge and practice gap on screening for EDs in pregnant women, including next steps for the development of a pregnancy‐specific ED screener and the use of general mental health screeners to detect EDs during pregnancy. Up‐to‐date, the jury is still out as how to best identify current or past EDs in pregnancy. More research is needed to assess the efficacy of using general mental health screeners versus ED‐specific screening instruments to detect ED in pregnancy. Additionally, clinicians have to be trained on how to assess and manage EDs during pregnancy. Public Significance: Identifying pregnant women with eating disorders (EDs) is a public health concern which can be addressed using multiple approaches, including implementation of general and specific assessments within routine antenatal care, and training of healthcare professionals. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=158880996
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        Value: 10.1002/eat.23780
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        Text: English
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        PageCount: 11
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    Subjects:
      – SubjectFull: Diagnosis of eating disorders
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Mental health
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      – SubjectFull: Medical screening
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      – SubjectFull: Research funding
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      – SubjectFull: Sensitivity & specificity (Statistics)
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      – SubjectFull: Pregnancy
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              Text: Sep2022
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