Journal Article

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

Ulrich Voderholzer, Lucero Munguía, Jana Gricova, Isabel Sánchez, Ia Shekriladze, Paulo P. P. Machado, Ivan M. Petrov, Angela Favaro, Montserrat Graell, Anders Håkansson, Sergey V. Popov, Denis G. Gubin, Violeta L. Moize, Alba Andreu, Gema Frühbeck, Eduardo Serrano-Troncoso, Rosa Navarrete, Ana R. Sepúlveda, Michiko Nakazato, Daniel Le Grange, Hana Papezová, Kate Tchanturia, Andreas Karwautz, Emilio Ortega, Dilara Isakova, Brigita Bax, Youl-Ri Kim, Janet Treasure, Annika Zanko, Mikhail F. Borisenkov, Raquel Cecilia-Costa, Laurence Claes, Teresa Rangil, Fernando Fernández-Aranda, Mar Carceller-Sindreu, Meritxell Lozano, Mikel Etxandi, Robert van Voren, Isabel Baenas, José A. Gómez-del Barrio, Daniel Stein, Francisco J. Tinahones, Carlos Diéguez, Jose-Manuel Fernández-Real, Maria T. Plana, Katie Rowlands, José Soriano-Pacheco, Susana Jiménez-Murcia, Gemma Mestre-Bach, Michael Zeiler, Raquel Linares, Roser Granero, Nathalie Godart, Hartmut Imgart, Carlota Gudiol, Jordi Carratala, Svetlana V. Mustafina, Maria Eulalia Loran-Meler, Jéssica Sánchez-González, Alessio M. Monteleone, Jue Chen, Tetiana Ilnytska, Feren

2021

Overview

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.

• Publisher: MDPI AG,MDPI
• Subject: [SDV.AEN]Life Sciences [q-bio]/Food and Nutrition / Addictive behaviors / Adolescent / Adult / Age / Alcohol use / ambiente y salud pública::salud pública::práctica de la salud pública::control de enfermedades transmisibles::control de infecciones::cuarentena [ATENCIÓN DE SALUD] / Anxiety / Asia / Behavioral and Social Science / Body mass index / Brain Disorders / características del estudio::estudio multicéntrico [CARACTERÍSTICAS DE PUBLICACIONES] / Child / Ciências Sociais::Psicologia / Clinical Medicine / Clinical Research / Confinament / Coronaviruses / COVID-19 / COVID-19 (Malaltia) / COVID-19 - prevention & control / COVID-19 - psychology / COVID-19 infection / COVID-19 Isolation Eating Scale / COVID-19 Isolation Eating Scale (CIES) / COVID-19 Isolation Eating Scale (CIES); COVID-19 lockdown; eating disorders; eating symptoms; psychological impact; Adolescent; Adult; Asia; COVID-19; Child; Europe; Feeding and Eating Disorders; Female; Humans; Internationality; Longitudinal Studies; Male; Quarantine; SARS-CoV-2; Social Isolation; Young Adult / COVID-19 lockdown / COVID-19 Pandemic, 2020 / Disease transmission / Eating behavior / Eating Disorders / eating disorders; COVID-19 lockdown; COVID-19 Isolation Eating Scale (CIES); eating symptoms; psychological impact / Eating symptoms / Emotional regulation / Emotions / Environment and Public Health::Public Health::Public Health Practice::Communicable Disease Control::Infection Control::Quarantine [HEALTH CARE] / Europe / Feeding and Eating Disorders / Feeding and Eating Disorders - psychology / Female / Food and Nutrition / Food Sciences / geography / Good Health and Well Being / Health Services / Human medicine / Humans / Internationality / Klinisk medicin / Life Sciences / Life Sciences & Biomedicine / Longitudinal Studies / Male / Medical and Health Sciences / Medicin och hälsovetenskap / Medicina / Mental depression / Mental disorders / MENTAL-HEALTH / Mental Disorders::Feeding and Eating Disorders [PSYCHIATRY AND PSYCHOLOGY] / Nutrition / Nutrition & Dietetics / Nutrition and Dietetics / OBESITY / Pandemics / Pandèmia de COVID-19, 2020 / Prevention / Psychiatry / Psychological impact / Psykiatri / Quarantine / Quarantine - psychology / Questionnaires / SARS-CoV-2 / Science & Technology / Shelter in place / Social Isolation / Social Isolation - psychology / Sociodemographics / Statistical analysis / Study Characteristics::Multicenter Study [PUBLICATION CHARACTERISTICS] / therapeutics / trastornos mentales::trastornos alimentarios y de la ingestión de alimentos [PSIQUIATRÍA Y PSICOLOGÍA] / Trastorns de la conducta alimentària / Variance analysis / virosis::infecciones por virus ARN::infecciones por Nidovirales::infecciones por Coronaviridae::infecciones por Coronavirus [ENFERMEDADES] / Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections [DISEASES] / Young Adult