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Impact of COVID-19 Lockdown in Eating Disorders : A Multicentre Collaborative International Study

Baenas, Isabel ; Etxandi, Mikel ; Munguía, Lucero ; Granero, Roser ; Mestre-Bac, Gemma ; Sánchez, Isabel ; Ortega, Emilio ; Andreu, Alba ; Moize, Violeta L. and Fernández-Real, Jose Manuel , et al. (2022) In Nutrients 14(1).
Abstract

Background. The COVID-19 lockdown has had a significant impact on mental health. Patients with eating disorders (ED) have been particularly vulnerable. Aims. (1) To explore changes in eating-related symptoms and general psychopathology during lockdown in patients with an ED from various European and Asian countries; and (2) to assess differences related to diagnostic ED subtypes, age, and geography. Methods. The sample comprised 829 participants, diagnosed with an ED according to DSM-5 criteria from specialized ED units in Europe and Asia. Participants were assessed using the COVID-19 Isolation Scale (CIES). Results. Patients with binge eating disorder (BED) experienced the highest impact on weight and ED symptoms in comparison with... (More)

Background. The COVID-19 lockdown has had a significant impact on mental health. Patients with eating disorders (ED) have been particularly vulnerable. Aims. (1) To explore changes in eating-related symptoms and general psychopathology during lockdown in patients with an ED from various European and Asian countries; and (2) to assess differences related to diagnostic ED subtypes, age, and geography. Methods. The sample comprised 829 participants, diagnosed with an ED according to DSM-5 criteria from specialized ED units in Europe and Asia. Participants were assessed using the COVID-19 Isolation Scale (CIES). Results. Patients with binge eating disorder (BED) experienced the highest impact on weight and ED symptoms in comparison with other ED subtypes during lockdown, whereas individuals with other specified feeding and eating disorders (OFSED) had greater deterioration in general psychological functioning than subjects with other ED subtypes. Finally, Asian and younger individuals appeared to be more resilient. Conclusions. The psychopathological changes in ED patients during the COVID-19 lockdown varied by cultural context and individual variation in age and ED diagnosis. Clinical services may need to target preventive measures and adapt therapeutic approaches for the most vulnerable patients.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
COVID-19 Isolation Eating Scale (CIES), COVID-19 lockdown, Eating disorders, Eating symptoms, Psychological impact
in
Nutrients
volume
14
issue
1
article number
100
publisher
MDPI AG
external identifiers
  • pmid:35010974
  • scopus:85122319474
ISSN
2072-6643
DOI
10.3390/nu14010100
language
English
LU publication?
yes
id
c5569af3-bd2b-4903-8143-bf2d92a88396
date added to LUP
2022-02-28 13:59:25
date last changed
2024-04-13 08:44:50
@article{c5569af3-bd2b-4903-8143-bf2d92a88396,
  abstract     = {{<p>Background. The COVID-19 lockdown has had a significant impact on mental health. Patients with eating disorders (ED) have been particularly vulnerable. Aims. (1) To explore changes in eating-related symptoms and general psychopathology during lockdown in patients with an ED from various European and Asian countries; and (2) to assess differences related to diagnostic ED subtypes, age, and geography. Methods. The sample comprised 829 participants, diagnosed with an ED according to DSM-5 criteria from specialized ED units in Europe and Asia. Participants were assessed using the COVID-19 Isolation Scale (CIES). Results. Patients with binge eating disorder (BED) experienced the highest impact on weight and ED symptoms in comparison with other ED subtypes during lockdown, whereas individuals with other specified feeding and eating disorders (OFSED) had greater deterioration in general psychological functioning than subjects with other ED subtypes. Finally, Asian and younger individuals appeared to be more resilient. Conclusions. The psychopathological changes in ED patients during the COVID-19 lockdown varied by cultural context and individual variation in age and ED diagnosis. Clinical services may need to target preventive measures and adapt therapeutic approaches for the most vulnerable patients.</p>}},
  author       = {{Baenas, Isabel and Etxandi, Mikel and Munguía, Lucero and Granero, Roser and Mestre-Bac, Gemma and Sánchez, Isabel and Ortega, Emilio and Andreu, Alba and Moize, Violeta L. and Fernández-Real, Jose Manuel and Tinahones, Francisco J. and Diéguez, Carlos and Frühbeck, Gema and Grange, Daniel Le and Tchanturia, Kate and Karwautz, Andreas and Zeiler, Michael and Imgart, Hartmut and Zanko, Annika and Favaro, Angela and Claes, Laurence and Shekriladze, Ia and Serrano-Troncoso, Eduardo and Cecilia-Costa, Raquel and Rangil, Teresa and Loran-Meler, Maria Eulalia and Soriano-Pacheco, José and Carceller-Sindreu, Mar and Navarrete, Rosa and Lozano, Meritxell and Linares, Raquel and Gudiol, Carlota and Carratala, Jordi and Plana, Maria T. and Graell, Montserrat and González-Parra, David and Gómez-Del Barrio, José A. and Sepúlveda, Ana R. and Sánchez-González, Jéssica and Machado, Paulo P.P. and Håkansson, Anders and Túry, Ferenc and Pászthy, Bea and Stein, Daniel and Papezová, Hana and Gricova, Jana and Bax, Brigita and Borisenkov, Mikhail F. and Popov, Sergey V. and Gubin, Denis G. and Petrov, Ivan M. and Isakova, Dilara and Mustafina, Svetlana V. and Kim, Youl Ri and Nakazato, Michiko and Godart, Nathalie and Van Voren, Robert and Ilnytska, Tetiana and Chen, Jue and Rowlands, Katie and Voderholzer, Ulrich and Monteleone, Alessio M. and Treasure, Janet and Jiménez-Murcia, Susana and Fernández-Aranda, Fernando}},
  issn         = {{2072-6643}},
  keywords     = {{COVID-19 Isolation Eating Scale (CIES); COVID-19 lockdown; Eating disorders; Eating symptoms; Psychological impact}},
  language     = {{eng}},
  month        = {{01}},
  number       = {{1}},
  publisher    = {{MDPI AG}},
  series       = {{Nutrients}},
  title        = {{Impact of COVID-19 Lockdown in Eating Disorders : A Multicentre Collaborative International Study}},
  url          = {{http://dx.doi.org/10.3390/nu14010100}},
  doi          = {{10.3390/nu14010100}},
  volume       = {{14}},
  year         = {{2022}},
}