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Impact of COVID19 Lockdown in Eating Disorders: A Multicenter Collaborative International Study

Published online by Cambridge University Press:  01 September 2022

M. Etxandi*
Affiliation:
Bellvitge University Hospital, Department Of Psychiatry, L’Hospitalet de Llobregat, Spain
I. Baenas
Affiliation:
Bellvitge University Hospital, Department Of Psychiatry, L’Hospitalet de Llobregat, Spain Instituto de Salud Carlos III, Ciber Fisiopatología De La Obesidad Y Nutrición, Madrid, Spain
L. Munguía
Affiliation:
Bellvitge University Hospital, Department Of Psychiatry, L’Hospitalet de Llobregat, Spain
R. Granero
Affiliation:
Instituto de Salud Carlos III, Ciber Fisiopatología De La Obesidad Y Nutrición, Madrid, Spain Autonomous University of Barcelona, 3department Of Psychobiology And Methodology, Bracelona, Spain
G. Mestre-Bach
Affiliation:
Bellvitge University Hospital, Department Of Psychiatry, L’Hospitalet de Llobregat, Spain Universidad Internacional de La Rioja, Department Of Psychiatry, Logroño, Spain
I. Sánchez
Affiliation:
Bellvitge University Hospital, Department Of Psychiatry, L’Hospitalet de Llobregat, Spain Instituto de Salud Carlos III, Ciber Fisiopatología De La Obesidad Y Nutrición, Madrid, Spain
S. Jimenez-Murcia
Affiliation:
Bellvitge University Hospital, Department Of Psychiatry, L’Hospitalet de Llobregat, Spain Instituto de Salud Carlos III, Ciber Fisiopatología De La Obesidad Y Nutrición, Madrid, Spain School of Medicine and Health Sciences, University of Barcelona, Department Of Clinical Sciences, Barcelona -Campus Bellvitge, Spain
F. Fernandez-Aranda
Affiliation:
Bellvitge University Hospital, Department Of Psychiatry, L’Hospitalet de Llobregat, Spain Instituto de Salud Carlos III, Ciber Fisiopatología De La Obesidad Y Nutrición, Madrid, Spain School of Medicine and Health Sciences, University of Barcelona, Department Of Clinical Sciences, Barcelona -Campus Bellvitge, Spain
*
*Corresponding author.

Abstract

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Introduction

COVID19 lockdown is having a significant impact on mental health, patients with eating disorders (ED) are particularly vulnerable.

Objectives

1) To explore changes in eating and other psychological features due to confinement in patients with ED from various European and Asian countries; and 2) to assess differences related to diagnostic 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 COVID19 Isolation Scale (CIES).

Results

On one hand, patients with Binge Eating Disorder experienced the highest impact on weight and ED symptoms due to confinement. Together with subjects diagnosed with Other Specified Feeding and Eating Disorders (OFSED), they also experienced a deterioration in general psychological state. On the other hand, there was less symptomatic impact on people with Bulimia Nervosa or Anorexia Nervosa and asian and younger individuals appeared to be more resilient in this situation.

Conclusions

The impact of COVID varied by cultural context and individual variation in age and form of illness. Services may need to target preventive measures and adapting therapeutic approaches for the most vulnerable patients.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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