Psychosocial factors associated with bulimia nervosa during pregnancy: An internal validation study

Objective The aim of this paper was to internally validate previously reported relations (Knoph Berg et al., Aust N Z J Psychiatry, 42, 396–404, 2008) between psychosocial factors and bulimia nervosa (BN) outcomes during pregnancy. Method This study is based on the Norwegian Mother and Child Cohort...

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Main Authors: Watson, Hunna, Von Holle, A., Knoph, C., Hamer, R., Torgersen, L., Reichborn-Kjennerud, T., Stoltenberg, C., Magnus, P., Bulik, C.
Format: Journal Article
Published: 2015
Online Access:http://hdl.handle.net/20.500.11937/3316
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author Watson, Hunna
Von Holle, A.
Knoph, C.
Hamer, R.
Torgersen, L.
Reichborn-Kjennerud, T.
Stoltenberg, C.
Magnus, P.
Bulik, C.
author_facet Watson, Hunna
Von Holle, A.
Knoph, C.
Hamer, R.
Torgersen, L.
Reichborn-Kjennerud, T.
Stoltenberg, C.
Magnus, P.
Bulik, C.
author_sort Watson, Hunna
building Curtin Institutional Repository
collection Online Access
description Objective The aim of this paper was to internally validate previously reported relations (Knoph Berg et al., Aust N Z J Psychiatry, 42, 396–404, 2008) between psychosocial factors and bulimia nervosa (BN) outcomes during pregnancy. Method This study is based on the Norwegian Mother and Child Cohort Study (MoBa) conducted by the Norwegian Institute of Public Health. Participants were women enrolled during pregnancy (N?=?69,030). Internal validity was evaluated by way of bootstrapped parameter estimates using the overall sample and a split sample calibration approach. Results Bootstrap bias estimates were below the problematic threshold, and extend earlier findings (Knoph Berg et al., Aust N Z J Psychiatry, 42, 396–404, 2008) by providing support for the validity of the models at the population level of all pregnant women in Norway. Bootstrap risk ratios indicated that prevalence, incidence, and remission of BN during pregnancy were significantly associated with psychosocial factors. The split sample procedure showed that the models developed on the training sample did not predict risks in the validation sample. Discussion This study characterizes associations between psychosocial exposures and BN outcomes among pregnant women in Norway. Women with lifetime and current self-reported psychosocial adversities were at a much higher risk for BN during pregnancy. Psychosocial factors were associated with BN remission during pregnancy, inviting the prospect of enhancing therapeutic interventions. We consider the findings in the context of reproducibility in science. © 2014 Wiley Periodicals, Inc. (Int J Eat Disord 2015; 48:654–662)
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spelling curtin-20.500.11937-33162018-03-29T09:05:22Z Psychosocial factors associated with bulimia nervosa during pregnancy: An internal validation study Watson, Hunna Von Holle, A. Knoph, C. Hamer, R. Torgersen, L. Reichborn-Kjennerud, T. Stoltenberg, C. Magnus, P. Bulik, C. Objective The aim of this paper was to internally validate previously reported relations (Knoph Berg et al., Aust N Z J Psychiatry, 42, 396–404, 2008) between psychosocial factors and bulimia nervosa (BN) outcomes during pregnancy. Method This study is based on the Norwegian Mother and Child Cohort Study (MoBa) conducted by the Norwegian Institute of Public Health. Participants were women enrolled during pregnancy (N?=?69,030). Internal validity was evaluated by way of bootstrapped parameter estimates using the overall sample and a split sample calibration approach. Results Bootstrap bias estimates were below the problematic threshold, and extend earlier findings (Knoph Berg et al., Aust N Z J Psychiatry, 42, 396–404, 2008) by providing support for the validity of the models at the population level of all pregnant women in Norway. Bootstrap risk ratios indicated that prevalence, incidence, and remission of BN during pregnancy were significantly associated with psychosocial factors. The split sample procedure showed that the models developed on the training sample did not predict risks in the validation sample. Discussion This study characterizes associations between psychosocial exposures and BN outcomes among pregnant women in Norway. Women with lifetime and current self-reported psychosocial adversities were at a much higher risk for BN during pregnancy. Psychosocial factors were associated with BN remission during pregnancy, inviting the prospect of enhancing therapeutic interventions. We consider the findings in the context of reproducibility in science. © 2014 Wiley Periodicals, Inc. (Int J Eat Disord 2015; 48:654–662) 2015 Journal Article http://hdl.handle.net/20.500.11937/3316 10.1002/eat.22361 restricted
spellingShingle Watson, Hunna
Von Holle, A.
Knoph, C.
Hamer, R.
Torgersen, L.
Reichborn-Kjennerud, T.
Stoltenberg, C.
Magnus, P.
Bulik, C.
Psychosocial factors associated with bulimia nervosa during pregnancy: An internal validation study
title Psychosocial factors associated with bulimia nervosa during pregnancy: An internal validation study
title_full Psychosocial factors associated with bulimia nervosa during pregnancy: An internal validation study
title_fullStr Psychosocial factors associated with bulimia nervosa during pregnancy: An internal validation study
title_full_unstemmed Psychosocial factors associated with bulimia nervosa during pregnancy: An internal validation study
title_short Psychosocial factors associated with bulimia nervosa during pregnancy: An internal validation study
title_sort psychosocial factors associated with bulimia nervosa during pregnancy: an internal validation study
url http://hdl.handle.net/20.500.11937/3316