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The experience of pregnancy and the development of maternal identity in women recovering from bulimia nervosa.

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  • Author(s): Delos-Santos, Debrah A.. Saybrook Graduate School And Research Center, US
  • Source:
    Dissertation Abstracts International: Section B: The Sciences and Engineering, Vol 65(9-B), 2005. pp. 4894.
  • Publisher:
    US : ProQuest Information & Learning
  • Language:
    English
  • Document Type:
    Dissertation
  • Publication Type:
    Dissertation Abstract
  • Additional Information
    • Physical Description:
      1
    • Other Journal Titles:
      Dissertation Abstracts International
    • ISSN:
      0419-4217 (Print)
    • Keywords:
      pregnancy experience, maternal identity development, women, bulimia nervosa
    • Abstract:
      Few studies have examined the impact of pregnancy and the development of maternal identity on women recovering from bulimia nervosa. This dissertation is a multiple case study of 5 women recovering from bulimia and their experiences as they face pregnancy and the transition to motherhood. The participants each had suffered with symptoms of bulimia for greater than 5 years and successfully completed inpatient treatment. Each participant experienced a planned first-time pregnancy during outpatient treatment. Data-gathering instruments were inpatient treatment summaries, daily journal entries, and weekly bulimic behavior logs submitted during outpatient treatment, three-month postpartum adjustment questionnaires, and semistructured recorded interviews at 1 year postpartum. Initial analysis of the data showed that the participants' experiences of the impact of pregnancy on the recovery from bulimia nervosa fell into three broad categories: (1) the change in bulimic symptoms and episodes of relapse during each trimester and during the first year postpartum, (2) the struggle of emerging maternal identity, and (3) the alteration of body image and its importance in self-concept in women recovering from bulimia. The study revealed that for some of these participants the transition to motherhood stimulated an inner exploration of maternal identity that caused their previous identity as recovering bulimics to diminish and become less important. In the majority of these participants, the establishment of maternal identity seemed to buffer against bulimic symptoms. This study demonstrated that for some of the participants behavioral symptoms of bulimia improved but did not necessarily disappear with each trimester of pregnancy. Virtually all the participants in this research study ceased bingeing in the third trimester but did not discontinue purging. The majority of these participants were motivated to cease bulimic behavior in recognition of the responsibilities of motherhood. In addition, 1 participant's acceptance of her role as mother became curative and forestalled the recurrence of bulimic symptoms even 1 year postpartum. Conversely, 1 participant did not seem to develop a positive maternal identity and thus continued as before. Discussion focuses on the implications of these findings for working with eating-disordered women who face the challenges of pregnancy and motherhood. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
    • Dissertation Details:
      UMI Order Number: AAI3148829
    • Subject Terms:
    • PsycINFO Classification:
      Social Psychology (3000)
      Health & Mental Health Treatment & Prevention (3300)
    • Population:
      Human
      Female
    • Methodology:
      Clinical Case Study; Empirical Study
    • Physical Description:
      Electronic
    • Publication Date:
      20050705
    • Accession Number:
      2005-99006-371
  • Citations
    • ABNT:
      DELOS-SANTOS, D. A. The experience of pregnancy and the development of maternal identity in women recovering from bulimia nervosa. 2005. ProQuest Information & Learning, [s. l.], 2005. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2005-99006-371. Acesso em: 19 set. 2020.
    • AMA:
      Delos-Santos DA. The experience of pregnancy and the development of maternal identity in women recovering from bulimia nervosa. Dissertation Abstracts International: Section B: The Sciences and Engineering. 2005;65(9-B):4894. Accessed September 19, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2005-99006-371
    • APA:
      Delos-Santos, D. A. (2005). The experience of pregnancy and the development of maternal identity in women recovering from bulimia nervosa [ProQuest Information & Learning]. In Dissertation Abstracts International: Section B: The Sciences and Engineering (Vol. 65, Issue 9–B, p. 4894).
    • Chicago/Turabian: Author-Date:
      Delos-Santos, Debrah A. 2005. “The Experience of Pregnancy and the Development of Maternal Identity in Women Recovering from Bulimia Nervosa.” Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2005-99006-371.
    • Harvard:
      Delos-Santos, D. A. (2005) The experience of pregnancy and the development of maternal identity in women recovering from bulimia nervosa, Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2005-99006-371 (Accessed: 19 September 2020).
    • Harvard: Australian:
      Delos-Santos, DA 2005, ‘The experience of pregnancy and the development of maternal identity in women recovering from bulimia nervosa’, ProQuest Information & Learning, Dissertation Abstracts International: Section B: The Sciences and Engineering, vol. 65, no. 9–B, p. 4894, viewed 19 September 2020, .
    • MLA:
      Delos-Santos, Debrah A. “The Experience of Pregnancy and the Development of Maternal Identity in Women Recovering from Bulimia Nervosa.” Dissertation Abstracts International: Section B: The Sciences and Engineering, vol. 65, no. 9–B, ProQuest Information & Learning, 2005, p. 4894. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2005-99006-371.
    • Chicago/Turabian: Humanities:
      Delos-Santos, Debrah A. “The Experience of Pregnancy and the Development of Maternal Identity in Women Recovering from Bulimia Nervosa.” Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning, 2005. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2005-99006-371.
    • Vancouver/ICMJE:
      Delos-Santos DA. The experience of pregnancy and the development of maternal identity in women recovering from bulimia nervosa [Internet]. Vol. 65, Dissertation Abstracts International: Section B: The Sciences and Engineering. ProQuest Information & Learning; 2005 [cited 2020 Sep 19]. p. 4894. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=psyh&AN=2005-99006-371