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

Abstract Background This study aimed to establish consensus on the expression and distinction of disordered eating in pregnancy to improve awareness across various health professions and inform the development of a pregnancy-specific assessment instrument. Methods A three-round modified Delphi metho...

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Main Authors: Amy Jean Bannatyne, Roger Hughes, Peta Stapleton, Bruce Watt, Kristen MacKenzie-Shalders
Format: Article
Language:English
Published: BMC 2018-06-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12884-018-1849-3
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author Amy Jean Bannatyne
Roger Hughes
Peta Stapleton
Bruce Watt
Kristen MacKenzie-Shalders
author_facet Amy Jean Bannatyne
Roger Hughes
Peta Stapleton
Bruce Watt
Kristen MacKenzie-Shalders
author_sort Amy Jean Bannatyne
collection DOAJ
description Abstract Background This study aimed to establish consensus on the expression and distinction of disordered eating in pregnancy to improve awareness across various health professions and inform the development of a pregnancy-specific assessment instrument. Methods A three-round modified Delphi method was used with two independent panels. International clinicians and researchers with extensive knowledge on and/or clinical experience with eating disorders formed the first panel and were recruited using structured selection criteria. Women who identified with a lived experience of disordered eating in pregnancy formed the second panel and were recruited via expressions of interest from study advertising on pregnancy forums and social media platforms. A systematic search of academic and grey literature produced 200 sources which were used to pre-populate the Round I questionnaire. Additional items were included in 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, 75 reached consensus across both panels. Both panels clearly identified signs and symptoms of disordered eating in pregnancy and endorsed a number of clinical features practitioners should consider when delineating disordered eating symptomatically from normative pregnancy experiences. Conclusion A list of signs and symptoms in consensus was identified. The areas of collective agreement may be used to guide clinicians in clinical practice, aid the development of psychometric tools to detect/assess pregnancy-specific disordered eating, in addition to serving as starting point for the development of a core outcome set to measure disordered eating in pregnancy.
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spelling doaj.art-b2ad28d3d5594646ae82f0c088453c032022-12-21T19:17:37ZengBMCBMC Pregnancy and Childbirth1471-23932018-06-0118111610.1186/s12884-018-1849-3Signs and symptoms of disordered eating in pregnancy: a Delphi consensus studyAmy Jean Bannatyne0Roger Hughes1Peta Stapleton2Bruce Watt3Kristen MacKenzie-Shalders4School of Psychology, Bond UniversitySchool of Medicine, University of TasmaniaSchool of Psychology, Bond UniversitySchool of Psychology, Bond UniversityFaculty of Health Sciences and Medicine, Bond UniversityAbstract Background This study aimed to establish consensus on the expression and distinction of disordered eating in pregnancy to improve awareness across various health professions and inform the development of a pregnancy-specific assessment instrument. Methods A three-round modified Delphi method was used with two independent panels. International clinicians and researchers with extensive knowledge on and/or clinical experience with eating disorders formed the first panel and were recruited using structured selection criteria. Women who identified with a lived experience of disordered eating in pregnancy formed the second panel and were recruited via expressions of interest from study advertising on pregnancy forums and social media platforms. A systematic search of academic and grey literature produced 200 sources which were used to pre-populate the Round I questionnaire. Additional items were included in 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, 75 reached consensus across both panels. Both panels clearly identified signs and symptoms of disordered eating in pregnancy and endorsed a number of clinical features practitioners should consider when delineating disordered eating symptomatically from normative pregnancy experiences. Conclusion A list of signs and symptoms in consensus was identified. The areas of collective agreement may be used to guide clinicians in clinical practice, aid the development of psychometric tools to detect/assess pregnancy-specific disordered eating, in addition to serving as starting point for the development of a core outcome set to measure disordered eating in pregnancy.http://link.springer.com/article/10.1186/s12884-018-1849-3Disordered eatingEating disordersPregnancyAntenatalDefinitionDistinction
spellingShingle Amy Jean Bannatyne
Roger Hughes
Peta Stapleton
Bruce Watt
Kristen MacKenzie-Shalders
Signs and symptoms of disordered eating in pregnancy: a Delphi consensus study
BMC Pregnancy and Childbirth
Disordered eating
Eating disorders
Pregnancy
Antenatal
Definition
Distinction
title Signs and symptoms of disordered eating in pregnancy: a Delphi consensus study
title_full Signs and symptoms of disordered eating in pregnancy: a Delphi consensus study
title_fullStr Signs and symptoms of disordered eating in pregnancy: a Delphi consensus study
title_full_unstemmed Signs and symptoms of disordered eating in pregnancy: a Delphi consensus study
title_short Signs and symptoms of disordered eating in pregnancy: a Delphi consensus study
title_sort signs and symptoms of disordered eating in pregnancy a delphi consensus study
topic Disordered eating
Eating disorders
Pregnancy
Antenatal
Definition
Distinction
url http://link.springer.com/article/10.1186/s12884-018-1849-3
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