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Signs and symptoms of disordered eating in pregnancy: A Delphi consensus study

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Bannatyne, AJ, Hughes, R, Stapleton, P, Watt, B and MacKenzie-Shalders, K 2018 , 'Signs and symptoms of disordered eating in pregnancy: A Delphi consensus study' , BMC Pregnancy and Childbirth, vol. 18, no. 1 , pp. 1-16 , doi: 10.1186/s12884-018-1849-3.

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Abstract

Background: This study aimed to establish consensus on the expression and distinction of disordered eating inpregnancy to improve awareness across various health professions and inform the development of a pregnancyspecific assessment instrument.Methods: A three-round modified Delphi method was used with two independent panels. International cliniciansand researchers with extensive knowledge on and/or clinical experience with eating disorders formed the firstpanel and were recruited using structured selection criteria. Women who identified with a lived experience ofdisordered eating in pregnancy formed the second panel and were recruited via expressions of interest from studyadvertising on pregnancy forums and social media platforms. A systematic search of academic and grey literatureproduced 200 sources which were used to pre-populate the Round I questionnaire. Additional items were includedin Round II based on panel feedback in Round I. Consensus was defined as 75% agreement on an item.Results: Of the 102 items presented to the 26 professional panel members and 15 consumer panel members, 75reached consensus across both panels. Both panels clearly identified signs and symptoms of disordered eating inpregnancy and endorsed a number of clinical features practitioners should consider when delineating disorderedeating symptomatically from normative pregnancy experiences.Conclusion: A list of signs and symptoms in consensus was identified. The areas of collective agreement may beused to guide clinicians in clinical practice, aid the development of psychometric tools to detect/assess pregnancyspecific disordered eating, in addition to serving as starting point for the development of a core outcome set tomeasure disordered eating in pregnancy.

Item Type: Article
Authors/Creators:Bannatyne, AJ and Hughes, R and Stapleton, P and Watt, B and MacKenzie-Shalders, K
Keywords: disordered eating, eating disorders, pregnancy, antenatal, definition, distinction, Delphi
Journal or Publication Title: BMC Pregnancy and Childbirth
Publisher: BioMed Central
ISSN: 1471-2393
DOI / ID Number: 10.1186/s12884-018-1849-3
Copyright Information:

Copyright 2018 The Authors. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/

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