Sistema de Salut de Catalunya
Institut Català de la Salut
[Baenas I, Munguía L, Sánchez I] Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain. CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain. Psychoneurobiology of Eating and Addictive Behaviors Group, Neurosciences Programme, Bellvitge Biomedical Research Institute (IDIBELL), 08908 Barcelona, Spain. [Etxandi M] Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain. [Granero R] CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain. Psychoneurobiology of Eating and Addictive Behaviors Group, Neurosciences Programme, Bellvitge Biomedical Research Institute (IDIBELL), 08908 Barcelona, Spain. Department of Psychobiology and Methodology, School of Psychology, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain. [Mestre-Bach G] Facultad de Ciencias de la Salud, Universidad Internacional de La Rioja, 26006 La Rioja, Spain. [Fernández-Real JM] CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain. Departament de Diabetis, Endocrinologia i Nutrició, Hospital Universitari de Girona Dr. Josep Trueta, Institut Català de la Salut (ICS), Girona, Spain. Institut d'Investigació Biomèdica de Girona (IDIBGi), Salt, Spain. Departament de Ciències Mèdiques, Universitat de Girona, Girona, Spain
Hospital Universitari de Girona Dr Josep Trueta
2022-01-24T12:43:31Z
2022-01-24T12:43:31Z
2021-12-27
Trastorns de l'alimentació; Impacte psicològic; Coronavirus SARS-CoV-2; COVID-19; 2019-nCoV; Confinament
Trastornos de la alimentación; Impacto psicológico; Coronavirus SARS-CoV-2; COVID-19; 2019-nCoV; Confinamiento
Eating Disorders; Psychological impact; Coronavirus SARS-CoV-2; COVID-19; 2019-nCoV; Confinement
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.
Article
Published version
English
COVID-19 (Malaltia); Trastorns de la conducta alimentària; Confinament; PSYCHIATRY AND PSYCHOLOGY::Mental Disorders::Feeding and Eating Disorders; HEALTH CARE::Environment and Public Health::Public Health::Public Health Practice::Communicable Disease Control::Infection Control::Quarantine; DISEASES::Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections; PUBLICATION CHARACTERISTICS::Study Characteristics::Multicenter Study; PSIQUIATRÍA Y PSICOLOGÍA::trastornos mentales::trastornos alimentarios y de la ingestión de alimentos; ATENCIÓN DE SALUD::ambiente y salud pública::salud pública::práctica de la salud pública::control de enfermedades transmisibles::control de infecciones::cuarentena; CARACTERÍSTICAS DE PUBLICACIONES::características del estudio::estudio multicéntrico; ENFERMEDADES::virosis::infecciones por virus ARN::infecciones por Nidovirales::infecciones por Coronaviridae::infecciones por Coronavirus
MDPI
Nutrients;14(1)
https://doi.org/10.3390/nu14010100
Fondo Investigación Sanitario-FIS, Grant/Award Numbers: FIS, INT19/00046, PI17/01167; Ministerio de Economía y Competitividad, Grant/Award Number: PSI2015-68701-R; Portuguese Foundation for Science and Technology grant, Grant/Award Number: POCI-01-0145-FEDER-028145; Consejo Nacional de Ciencia y Tecnología; Generalitat de Catalunya; European Regional Development Fund.
Attribution 4.0 International
https://creativecommons.org/licenses/by/4.0/
