COVID ‐19 and eating disorders during confinement: Analysis of factors associated with resilience and aggravation of symptoms

Isabel Baenas, Elena Caravaca‐Sanz, Roser Granero, Isabel Sánchez, Nadine Riesco, Giulia Testa, Cristina Vintró‐Alcaraz, Janet Treasure, Susana Jiménez‐Murcia, Fernando Fernández‐Aranda

Research output: Contribution to journalArticleResearchpeer-review

53 Citations (Scopus)


Objectives: To assess the level of deterioration in functioning of ED patients during confinement, due to COVID-19, and examine potential contributing factors (coping strategies, anxiety-depressive symptomatology and personality traits). Methods: A total of 74 ED patients in treatment before the COVID-19 outbreak, contributed to this study. Baseline pre-treatment evaluation included the SCL-90R, TCI-R, EDI-2 and Y-FAS 2.0 questionnaires for general psychopathology, personality and ED severity indexes. ED symptoms, coping strategies, socio-demographic data and COVID-19 concerns were collected by clinicians through a semi-structured telephone survey during lockdown. Results: A deterioration in ED symptoms and general psychopathology (anxiety and depression), during lockdown, was associated with low self-directedness. Higher ED symptomatology during confinement was associated with less-adaptive coping strategies to deal with lockdown situation leading to an increase in weight. Conclusions: These specific vulnerability factors to further confinement or stressful situations may help design personalized preventive and therapeutic approaches.

Original languageEnglish
Pages (from-to)855-863
Number of pages9
JournalEuropean Eating Disorders Review
Issue number6
Publication statusPublished - 20 Aug 2020


  • COVID-19
  • confinement
  • eating disorders
  • mental health
  • personality
  • Humans
  • Risk Factors
  • Quarantine/psychology
  • Male
  • Factor Analysis, Statistical
  • COVID-19/epidemiology
  • Adult
  • Feeding and Eating Disorders/epidemiology
  • Female
  • Resilience, Psychological
  • Spain/epidemiology
  • Adaptation, Psychological


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