Eating Disorders and Subthreshold Symptoms in Pregnancy and the Postpartum Period: an Overview of Recent Research and Future Directions for Researchers and Clinicians
摘要
Eating disorders and subthreshold symptoms during pregnancy and postpartum pose significant risks for maternal and child health. This review synthesizes recent findings (2020–2025) on epidemiology, assessment, and intervention to inform clinical care and research.
Recent FindingsEating disorders affect approximately 4% of pregnant individuals and over 9% of postpartum individuals. Subthreshold symptoms, particularly loss of control eating, are highly prevalent across both periods. Risk factors include maladaptive attitudes and worries related to pregnancy and motherhood and body comparison. Assessment tools adapted for pregnancy show promise, but no validated postpartum measures exist. Intervention research is sparse; two ongoing trials—an acceptance-based food craving intervention to reduce loss of control eating and an adapted Body Project to improve body image and prevent disordered eating—illustrate efforts to tailor evidence-based approaches for pregnancy.
SummaryPregnancy and postpartum present opportunities for prevention and treatment of eating disorders, but additional research is needed.