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COVID Isolation Eating Scale (CIES) : Analysis of the impact of confinement in eating disorders and obesity—A collaborative international study

Fernández-Aranda, Fernando ; Munguía, Lucero ; Mestre-Bach, Gemma ; Steward, Trevor ; Etxandi, Mikel ; Baenas, Isabel ; Granero, Roser ; Sánchez, Isabel ; Ortega, Emilio and Andreu, Alba , et al. (2020) In European Eating Disorders Review 28(6). p.871-883
Abstract

Confinement during the COVID-19 pandemic is expected to have a serious and complex impact on the mental health of patients with an eating disorder (ED) and of patients with obesity. The present manuscript has the following aims: (1) to analyse the psychometric properties of the COVID Isolation Eating Scale (CIES), (2) to explore changes that occurred due to confinement in eating symptomatology; and (3) to explore the general acceptation of the use of telemedicine during confinement. The sample comprised 121 participants (87 ED patients and 34 patients with obesity) recruited from six different centres. Confirmatory Factor Analyses (CFA) tested the rational-theoretical structure of the CIES. Adequate goodness-of-fit was obtained for the... (More)

Confinement during the COVID-19 pandemic is expected to have a serious and complex impact on the mental health of patients with an eating disorder (ED) and of patients with obesity. The present manuscript has the following aims: (1) to analyse the psychometric properties of the COVID Isolation Eating Scale (CIES), (2) to explore changes that occurred due to confinement in eating symptomatology; and (3) to explore the general acceptation of the use of telemedicine during confinement. The sample comprised 121 participants (87 ED patients and 34 patients with obesity) recruited from six different centres. Confirmatory Factor Analyses (CFA) tested the rational-theoretical structure of the CIES. Adequate goodness-of-fit was obtained for the confirmatory factor analysis, and Cronbach alpha values ranged from good to excellent. Regarding the effects of confinement, positive and negative impacts of the confinement depends of the eating disorder subtype. Patients with anorexia nervosa (AN) and with obesity endorsed a positive response to treatment during confinement, no significant changes were found in bulimia nervosa (BN) patients, whereas Other Specified Feeding or Eating Disorder (OSFED) patients endorsed an increase in eating symptomatology and in psychopathology. Furthermore, AN patients expressed the greatest dissatisfaction and accommodation difficulty with remote therapy when compared with the previously provided face-to-face therapy. The present study provides empirical evidence on the psychometric robustness of the CIES tool and shows that a negative confinement impact was associated with ED subtype, whereas OSFED patients showed the highest impairment in eating symptomatology and in psychopathology.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
COVID Isolation Eating Scale, COVID-19, eating disorders, obesity
in
European Eating Disorders Review
volume
28
issue
6
pages
13 pages
publisher
John Wiley and Sons
external identifiers
  • scopus:85091167759
  • pmid:32954595
ISSN
1072-4133
DOI
10.1002/erv.2784
language
English
LU publication?
yes
id
d26d6a0e-d6d9-4e62-927a-f5fab7971e3e
date added to LUP
2020-10-26 10:55:52
date last changed
2021-04-06 01:49:44
@article{d26d6a0e-d6d9-4e62-927a-f5fab7971e3e,
  abstract     = {<p>Confinement during the COVID-19 pandemic is expected to have a serious and complex impact on the mental health of patients with an eating disorder (ED) and of patients with obesity. The present manuscript has the following aims: (1) to analyse the psychometric properties of the COVID Isolation Eating Scale (CIES), (2) to explore changes that occurred due to confinement in eating symptomatology; and (3) to explore the general acceptation of the use of telemedicine during confinement. The sample comprised 121 participants (87 ED patients and 34 patients with obesity) recruited from six different centres. Confirmatory Factor Analyses (CFA) tested the rational-theoretical structure of the CIES. Adequate goodness-of-fit was obtained for the confirmatory factor analysis, and Cronbach alpha values ranged from good to excellent. Regarding the effects of confinement, positive and negative impacts of the confinement depends of the eating disorder subtype. Patients with anorexia nervosa (AN) and with obesity endorsed a positive response to treatment during confinement, no significant changes were found in bulimia nervosa (BN) patients, whereas Other Specified Feeding or Eating Disorder (OSFED) patients endorsed an increase in eating symptomatology and in psychopathology. Furthermore, AN patients expressed the greatest dissatisfaction and accommodation difficulty with remote therapy when compared with the previously provided face-to-face therapy. The present study provides empirical evidence on the psychometric robustness of the CIES tool and shows that a negative confinement impact was associated with ED subtype, whereas OSFED patients showed the highest impairment in eating symptomatology and in psychopathology.</p>},
  author       = {Fernández-Aranda, Fernando and Munguía, Lucero and Mestre-Bach, Gemma and Steward, Trevor and Etxandi, Mikel and Baenas, Isabel and Granero, Roser and Sánchez, Isabel and Ortega, Emilio and Andreu, Alba and Moize, Violeta L. and Fernández-Real, Jose M. and Tinahones, Francisco J. and Diegüez, Carlos and Frühbeck, Gema and Le Grange, Daniel and Tchanturia, Kate and Karwautz, Andreas and Zeiler, Michael and Favaro, Angela and Claes, Laurence and Luyckx, Koen and Shekriladze, Ia and Serrano-Troncoso, Eduardo and Rangil, Teresa and Meler, Maria Eulalia Loran and Soriano-Pacheco, Jose and Carceller-Sindreu, Mar and Bujalance-Arguijo, Sara and Lozano, Meritxell and Linares, Raquel and Gudiol, Carlota and Carratala, Jordi and Sanchez-Gonzalez, Jessica and Machado, Paulo P.P. and Håkansson, Anders and Túry, Ferenc and Pászthy, Bea and Stein, Daniel and Papezová, Hana and Bax, Brigita and Borisenkov, Mikhail F. and Popov, Sergey 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 Treasure, Janet and Jiménez-Murcia, Susana},
  issn         = {1072-4133},
  language     = {eng},
  number       = {6},
  pages        = {871--883},
  publisher    = {John Wiley and Sons},
  series       = {European Eating Disorders Review},
  title        = {COVID Isolation Eating Scale (CIES) : Analysis of the impact of confinement in eating disorders and obesity—A collaborative international study},
  url          = {http://dx.doi.org/10.1002/erv.2784},
  doi          = {10.1002/erv.2784},
  volume       = {28},
  year         = {2020},
}