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The experience of pregnancy during anorexia nervosa

An interpretative phenomenological analysis

Bibliographic Data

ID12733372
AuthorsAlessandro Chinello (University of Milano-Bicocca, corresponding author), Valentina Dolci (Casa di Cura Villa Bianca), Sara Faggioli Covili (Casa di Cura Villa Bianca), E Tugnoli (Assocomaplast), Sara Bertelli (0000-0002-8662-7482, Assocomaplast), Nadia Micali (0000-0001-5571-2273, Icahn School of Medicine at Mount Sinai), Luigi Enrico Zappa (Casa di Cura Villa Bianca)
Year2018
Volume16
Issue4
Pages591-601
Publication date2018-02-27
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueQualitative Research in Psychology (JOURNAL)
Journal identifiersISSN: 1478-0887 • E-ISSN: 1478-0895
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/14780887.2018.1443362
OpenAlexW2792398589
LanguageEN
References cited29

The objective of this study was to explore themes and meanings associated with pregnancy in women with a history of anorexia nervosa (AN). Five women with a diagnosis of AN during pregnancy were selected for individual semi-structured interviews. The data (transcripts) were analyzed according to interpretative phenomenological analysis (IPA). The main themes and meanings associated with pregnancy during anorexia nervosa were collected. After IPA, two superordinate themes emerged: “Dynamics during pregnancy” and “Post-partum,” and five subthemes of “A new goal,” “Honeymoon,” “Daughter-mother positioning,” “Fears and AN relapse,” and “Redemption and pride.” The study concluded that during pregnancy, AN women create a new reconnection with their body, together with a temporary remission of AN behaviors. Pregnancy becomes a “life project” to excel in, with the persistence and perfectionism typically found in AN patients, but now with a new goal: the wellbeing of the fetus. Our data show an opposite image of the “old self” (with AN): the “new pregnant self” which offers a transient opportunity to create a more fulfilling identity. However, the new identity is progressively abandoned during the postpartum period with the subsequent symptomatic relapse. The findings are discussed in the light of the scientific literature

Anorexia nervosa · Developmental psychology · Eating disorders · Identity (music · Interpretative phenomenological analysis · Pregnancy · Pride · Psychotherapist · Qualitative research · Sociology · Superordinate goals · Child Nutrition and Feeding Issues · Clinical Psychology · Eating Disorders and Behaviors · Psychology · Social Psychology

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Citation velocityhistorical
Highly citedNo

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