Michele D Levine, Riley J Jouppi, Rachel P Kolko Conlon, Christine C Call, Jennifer L Grace, Gina M Sweeny, Zijing Zhang
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Propensity scores were used to reduce bias associated with cross-sectional data.</p><p><strong>Results: </strong>Overall, 34.3% (<i>n</i> = 107) reported LOC. Individuals with prenatal LOC, relative to those without, endorsed more eating disorder symptoms (<i>p</i>s<.001) as well as more symptoms of depression (7.1<math><mrow><mo>±</mo></mrow></math>0.3 vs. 5.4<math><mrow><mo>±</mo></mrow></math>4.9) and anxiety (38.1 ± 11.7 vs. 33.4 ± 11.7) and greater perceived stress (25.0 ± 7.9 vs. 22.0<math><mrow><mo>±</mo></mrow></math>9.9, <i>p</i>s<.001). LOC frequency was associated with significantly more prenatal psychological distress, beyond the effect of other factors that increase the likelihood of LOC. <i>(ps</i><.005).</p><p><strong>Conclusions: </strong>Among individuals with elevated BMI, prenatal LOC is common and relates to eating disorder and other psychiatric symptoms. Prenatal LOC may represent a behavioral mechanism for improved psychological health.</p>","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"46 1","pages":"2483283"},"PeriodicalIF":2.1000,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039789/pdf/","citationCount":"0","resultStr":"{\"title\":\"Prenatal loss of control eating is associated with psychiatric symptoms and distress among individuals with elevated BMI.\",\"authors\":\"Michele D Levine, Riley J Jouppi, Rachel P Kolko Conlon, Christine C Call, Jennifer L Grace, Gina M Sweeny, Zijing Zhang\",\"doi\":\"10.1080/0167482X.2025.2483283\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Loss of control while eating (LOC) or feeling unable to control the amount or type of food consumed during an eating episode, is the core psychopathology in binge eating disorders. Yet, the impact of LOC on other psychiatric symptoms during pregnancy is not known. This study evaluated the contribution of prenatal LOC to psychological distress and disordered eating attitudes.</p><p><strong>Methods: </strong>Pregnant individuals with BMI ≥ 25 (<i>N</i> = 312) recruited for a perinatal health promotion trial self-reported past-month LOC; eating, shape, and weight concerns; prenatal depressive symptoms, anxiety, and stress. Propensity scores were used to reduce bias associated with cross-sectional data.</p><p><strong>Results: </strong>Overall, 34.3% (<i>n</i> = 107) reported LOC. Individuals with prenatal LOC, relative to those without, endorsed more eating disorder symptoms (<i>p</i>s<.001) as well as more symptoms of depression (7.1<math><mrow><mo>±</mo></mrow></math>0.3 vs. 5.4<math><mrow><mo>±</mo></mrow></math>4.9) and anxiety (38.1 ± 11.7 vs. 33.4 ± 11.7) and greater perceived stress (25.0 ± 7.9 vs. 22.0<math><mrow><mo>±</mo></mrow></math>9.9, <i>p</i>s<.001). LOC frequency was associated with significantly more prenatal psychological distress, beyond the effect of other factors that increase the likelihood of LOC. <i>(ps</i><.005).</p><p><strong>Conclusions: </strong>Among individuals with elevated BMI, prenatal LOC is common and relates to eating disorder and other psychiatric symptoms. Prenatal LOC may represent a behavioral mechanism for improved psychological health.</p>\",\"PeriodicalId\":50072,\"journal\":{\"name\":\"Journal of Psychosomatic Obstetrics & Gynecology\",\"volume\":\"46 1\",\"pages\":\"2483283\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039789/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Psychosomatic Obstetrics & Gynecology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/0167482X.2025.2483283\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/4/2 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Psychosomatic Obstetrics & Gynecology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/0167482X.2025.2483283","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/2 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
目的：进食时失去控制（LOC）或在进食过程中无法控制食物的数量或类型，是暴饮暴食症的核心精神病理。然而，LOC对怀孕期间其他精神症状的影响尚不清楚。本研究评估了产前LOC对心理困扰和饮食失调态度的影响。方法：围产期健康促进试验招募BMI≥25的孕妇（N = 312），自报过去一个月LOC；饮食、体型和体重问题；产前抑郁症状焦虑和压力倾向评分用于减少与横断面数据相关的偏差。结果：总体而言，34.3% （n = 107）报告LOC。产前LOC患者的饮食失调症状（ps±0.3 vs. 5.4±4.9）、焦虑（38.1±11.7 vs. 33.4±11.7）和感知压力(25.0±7.9 vs. 22.0±9.9,ps（ps2）结论：在BMI升高的个体中，产前LOC是常见的，与饮食失调和其他精神症状有关。产前LOC可能是改善心理健康的一种行为机制。
Prenatal loss of control eating is associated with psychiatric symptoms and distress among individuals with elevated BMI.
Purpose: Loss of control while eating (LOC) or feeling unable to control the amount or type of food consumed during an eating episode, is the core psychopathology in binge eating disorders. Yet, the impact of LOC on other psychiatric symptoms during pregnancy is not known. This study evaluated the contribution of prenatal LOC to psychological distress and disordered eating attitudes.
Methods: Pregnant individuals with BMI ≥ 25 (N = 312) recruited for a perinatal health promotion trial self-reported past-month LOC; eating, shape, and weight concerns; prenatal depressive symptoms, anxiety, and stress. Propensity scores were used to reduce bias associated with cross-sectional data.
Results: Overall, 34.3% (n = 107) reported LOC. Individuals with prenatal LOC, relative to those without, endorsed more eating disorder symptoms (ps<.001) as well as more symptoms of depression (7.10.3 vs. 5.44.9) and anxiety (38.1 ± 11.7 vs. 33.4 ± 11.7) and greater perceived stress (25.0 ± 7.9 vs. 22.09.9, ps<.001). LOC frequency was associated with significantly more prenatal psychological distress, beyond the effect of other factors that increase the likelihood of LOC. (ps<.005).
Conclusions: Among individuals with elevated BMI, prenatal LOC is common and relates to eating disorder and other psychiatric symptoms. Prenatal LOC may represent a behavioral mechanism for improved psychological health.
期刊介绍：
The Journal of Psychosomatic Obstetrics and Gynecology was founded in 1982 in order to provide a scientific forum for obstetricians, gynecologists, psychiatrists and psychologists, academic health professionals as well as for all those who are interested in the psychosocial and psychosomatic aspects of women’s health. Another of its aims is to stimulate obstetricians and gynecologists to pay more attention to this very important facet of their profession.
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