Relationship between social anxiety symptoms and eating disorder symptoms in referred nulliparous women

Document Type : Original Article

Authors

1 Assistant professor, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Lecture of Midwifery, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

3 Professor, Department of Community Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

4 Assistant Professor, Department of Psychiatry, Psychiatry and Behavioral Sciences Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

5 M.Sc. Student of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Introduction: Social anxiety and eating disorder symptoms are common disorders which may occur simultaneously. Since different prevalence of these symptoms in different countries and cultures, this study was evaluated the relationship between social anxiety symptoms and eating disorder symptoms in Nulliparous women.
Materials and methods: this cross-sectional study was conducted on 190 Nulliparous women refered to Mashhad health care centers in 2013. Personal/prenatal characteristics, Eating Disorder Examination Questionnaire (EDE-Q)(26Q) and social anxiety disorder questionnaire(17Q) were completed by the participants. Data  were analyzed by the statistical tests of Pearson correlation coefficient, Student’s t-test, one-way analysis of variance (ANOVA), and linear regression tests through SPSS)version 14(. P Value less than 0.05 were considered significant.
Results: 28 women(14.7%) had social anxiety disorder and  16 women(8%) had  eating disorder symptoms. Based on the Pearson correlation coefficient test, there was a positive and and significant correlation between the social anxiety disorder and eating disorder symptoms (P<0.001, r=-0.42).
Conclusions: Education of all health workers, particularly midwives about nutritional problems during pregnancy, can be helpful for diagnosis and early detection of anxiety abnormalities.

Keywords

References

  1. 1 Golden NH. Eating disorders in adolescence and their sequelae. Best Pract Res Clin Obstet Gynaecol 2003 Feb;17(1):57-73.
  2. Luce KH, Crowther JH, Pole M. Eating Disorder Examination Questionnaire (EDE-Q): norms for undergraduate women. Int J Eat Disord 2008 Apr;41(3):273-6.
  3. Celikel FC, Cumurcu BE, Koc M, Etikan I, Yucel B. Psychologic correlates of eating attitudes in Turkish female college students. Compr Psychiatry 2008 Mar-Apr;49(2):188-94.
  4. Pourghassem Gargari B, Hamed Behzad M, Seied Sajadi N, Kooshavar D, Kerami S. [Relation of body mass index to eating Attitude in Tabrizian High School Girls] [Article in Persian]. Med J Tabriz Univ Med Sci 2010;32(3):24-9.
  5. Micali N, Treasure J, Simonoff E. Eating disorders symptoms in pregnancy: a longitudinal study of women with recent and past eating disorders and obesity. J Psychosom Res 2007 Sep;63(3):297-303.
  6. Baker CW, Carter AS, Cohen LR, Brownell KD. Eating attitudes and behaviors in pregnancy and postpartum: global stability versus specific transitions. Ann Behav Med 1999 Spring;21(2):143-8.
  7. Mitchell-Gieleghem A, Mittelstaedt ME, Bulik CM. Eating disorders and childbearing: concealment and consequences. Birth 2002 Sep;29(3):182-91.
  8. Becker CB, DeViva JC, Zayfert C. Eating disorder symptoms among female anxiety disorder patients in clinical practice: the importance of anxiety comorbidity assessment. J Anxiety Disord 2004;18(3):255-74.
  9. Fitzsimmons EE, Bardone-Cone AM. Coping and social support as potential moderators of the relation between anxiety and eating disorder symptomatology. Eat Behav 2011 Jan;12(1):21-8.
  10. Wonderlich-Tierney AL, Vander Wal JS. The effects of social support and coping on the relationship between social anxiety and eating disorders. Eat Behav 2010 Apr;11(2):85-91.
  11. Thompson AM, Chad KE. The relationship of social physique anxiety to risk for developing an eating disorder in young females. J Adolesc Health 2002 Aug;31(2):183-9.
  12. Hinrichsen H, Wright F, Waller G, Meyer C. Social anxiety and coping strategies in the eating disorders. Eat Behav 2003 Aug;4(2):117-26.
  13. Micali N, Simonoff E, Treasure J. Pregnancy and post-partum depression and anxiety in a longitudinal general population cohort: the effect of eating disorders and past depression. J Affect Disord 2011 Jun;131(1-3):150-7.
  14. Carter AS, Baker CW, Brownell KD. Body mass index, eating attitudes, and symptoms of depression and anxiety in pregnancy and the postpartum period. Psychosom Med 2000 Mar-Apr;62(2):264-70.
  15. Mazzeo SE, Slof-Op't Landt MC, Jones I, Mitchell K, Kendler KS, Neale MC, et al. Associations among postpartum depression, eating disorders, and perfectionism in a population-based sample of adult women. Int J Eat Disord 2006 Apr;39(3):202-11.
  16. Ogden J. The psychology of eating: from healthy to disordered behavior. 2nd ed. Chichester:WileyBlackwell;2011.
  17. Mohamadirizi S, Bahadoran P. Fahami F. [Comparsion between the impacts of e-learning and booklet education on primigravida women’s satisfaction about postpartum care] [Article in Persian]. Iran J Obstewt Gynecol Infertil 2013;16(61):1-8.
  18. Andersson L, Sundström-Poromaa I, Wulff M, Aström M, Bixo M. Depression and anxiety during pregnancy and six months postpartum: a follow-up study. Acta Obstet Gynecol Scand 2001;85(8):937-44.
  19. Ross LE, McLean LM. Anxiety disorders during pregnancy and the postpartum period: a systematic review. J Clin Psychiatry 2006 Aug;67(8):1285-98.
  20. Crow SJ, Agras WS, Crosby R, Halmi K, Mitchell JE. Eating disorder symptoms in pregnancy: a prospective study. Int J Eat Disord 2008 Apr;41)3 (:277-9.
  21. Mohamadirizi S, Kordi M, Shakeri MT, Salehi Fadardi J, Hafizi L. [Relationship between job stress with menstrual bleeding pattern among midwives][Article in Persian]. Hayat 2012;18(5):1-11.

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