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

Isabel Baenas; Mikel Etxandi; Lucero Munguía; Roser Granero; Gemma Mestre-Bac; Isabel Sánchez; Emilio Ortega; Alba Andreu; Violeta L. Moize; Jose Manuel Fernández-Real; Francisco J. Tinahones; Carlos Diéguez; Gema Frühbeck; Daniel Le Grange; Kate Tchanturia; Andreas Karwautz; Michael Zeiler; Hartmut Imgart; Annika Zanko; Angela Favaro; Laurence Claes; Ia Shekriladze; Eduardo Serrano-Troncoso; Raquel Cecilia-Costa; Teresa Rangil; Maria Eulalia Loran-Meler; José Soriano-Pacheco; Rosa Navarrete; Meritxell Lozano; Raquel Linares; Carlota Gudiol; Jordi Carratala; Maria T. Plana; Montserrat Graell; David González-Parra; José A. Gómez-Del Barrio; Ana R. Sepúlveda; Jéssica Sánchez-González; Paulo P.P. Machado; Anders Håkansson; Ferenc Túry; Bea Pászthy; Daniel Stein; Hana Papezová; Jana Gricova; Brigita Bax; Mikhail F. Borisenkov; Sergey V. Popov; Denis G. Gubin; Miguel Carceller Sindreu

doi:https://doi.org/10.3390/nu14010100

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

Isabel Baenas, Mikel Etxandi, Lucero Munguía, Roser Granero, Gemma Mestre-Bac, Isabel Sánchez, Emilio Ortega, Alba Andreu, Violeta L. Moize, Jose Manuel Fernández-Real, Francisco J. Tinahones, Carlos Diéguez, Gema Frühbeck, Daniel Le Grange, Kate Tchanturia, Andreas Karwautz, Michael Zeiler, Hartmut Imgart, Annika Zanko, Angela FavaroLaurence Claes, Ia Shekriladze, Eduardo Serrano-Troncoso, Raquel Cecilia-Costa, Teresa Rangil, Maria Eulalia Loran-Meler, José Soriano-Pacheco, Rosa Navarrete, Meritxell Lozano, Raquel Linares, Carlota Gudiol, Jordi Carratala, Maria T. Plana, Montserrat Graell, David González-Parra, José A. Gómez-Del Barrio, Ana R. Sepúlveda, Jéssica Sánchez-González, Paulo P.P. Machado, Anders Håkansson, Ferenc Túry, Bea Pászthy, Daniel Stein, Hana Papezová, Jana Gricova, Brigita Bax, Mikhail F. Borisenkov, Sergey V. Popov, Denis G. Gubin, Miguel Carceller Sindreu

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Abstract

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.

Original language	English
Article number	100
Number of pages	14
Journal	Nutrients
Volume	14
Issue number	1
DOIs	https://doi.org/10.3390/nu14010100
Publication status	Published - 1 Jan 2022

Keywords

COVID-19 Isolation Eating Scale (CIES)
COVID-19 lockdown
Eating disorders
Eating symptoms
Psychological impact

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Baenas, I., Etxandi, M., Munguía, L., Granero, R., Mestre-Bac, G., Sánchez, I., Ortega, E., Andreu, A., Moize, V. L., Fernández-Real, J. M., Tinahones, F. J., Diéguez, C., Frühbeck, G., Grange, D. L., Tchanturia, K., Karwautz, A., Zeiler, M., Imgart, H., Zanko, A., ... Carceller Sindreu, M. (2022). Impact of COVID-19 Lockdown in Eating Disorders: A Multicentre Collaborative International Study. Nutrients, 14(1), [100]. https://doi.org/10.3390/nu14010100

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title = "Impact of COVID-19 Lockdown in Eating Disorders: A Multicentre Collaborative International Study",

abstract = "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.",

keywords = "COVID-19 Isolation Eating Scale (CIES), COVID-19 lockdown, Eating disorders, Eating symptoms, Psychological impact",

author = "Isabel Baenas and Mikel Etxandi and Lucero Mungu{\'i}a and Roser Granero and Gemma Mestre-Bac and Isabel S{\'a}nchez and Emilio Ortega and Alba Andreu and Moize, {Violeta L.} and Fern{\'a}ndez-Real, {Jose Manuel} and Tinahones, {Francisco J.} and Carlos Di{\'e}guez and Gema Fr{\"u}hbeck and Grange, {Daniel Le} and Kate Tchanturia and Andreas Karwautz and Michael Zeiler and Hartmut Imgart and Annika Zanko and Angela Favaro and Laurence Claes and Ia Shekriladze and Eduardo Serrano-Troncoso and Raquel Cecilia-Costa and Teresa Rangil and Loran-Meler, {Maria Eulalia} and Jos{\'e} Soriano-Pacheco and Rosa Navarrete and Meritxell Lozano and Raquel Linares and Carlota Gudiol and Jordi Carratala and Plana, {Maria T.} and Montserrat Graell and David Gonz{\'a}lez-Parra and {G{\'o}mez-Del Barrio}, {Jos{\'e} A.} and Sep{\'u}lveda, {Ana R.} and J{\'e}ssica S{\'a}nchez-Gonz{\'a}lez and Machado, {Paulo P.P.} and Anders H{\aa}kansson and Ferenc T{\'u}ry and Bea P{\'a}szthy and Daniel Stein and Hana Papezov{\'a} and Jana Gricova and Brigita Bax and Borisenkov, {Mikhail F.} and Popov, {Sergey V.} and Gubin, {Denis G.} and {Carceller Sindreu}, Miguel",

note = "Publisher Copyright: {\textcopyright} 2021 by the authors. Licensee MDPI, Basel, Switzerland.",

year = "2022",

month = jan,

day = "1",

doi = "https://doi.org/10.3390/nu14010100",

language = "English",

volume = "14",

journal = "Nutrients",

issn = "2072-6643",

publisher = "Multidisciplinary Digital Publishing Institute (MDPI)",

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Baenas, I, Etxandi, M, Munguía, L, Granero, R, Mestre-Bac, G, Sánchez, I, Ortega, E, Andreu, A, Moize, VL, Fernández-Real, JM, Tinahones, FJ, Diéguez, C, Frühbeck, G, Grange, DL, Tchanturia, K, Karwautz, A, Zeiler, M, Imgart, H, Zanko, A, Favaro, A, Claes, L, Shekriladze, I, Serrano-Troncoso, E, Cecilia-Costa, R, Rangil, T, Loran-Meler, ME , Soriano-Pacheco, J, Navarrete, R, Lozano, M, Linares, R, Gudiol, C, Carratala, J, Plana, MT, Graell, M, González-Parra, D, Gómez-Del Barrio, JA, Sepúlveda, AR, Sánchez-González, J, Machado, PPP, Håkansson, A, Túry, F, Pászthy, B, Stein, D, Papezová, H, Gricova, J, Bax, B, Borisenkov, MF, Popov, SV, Gubin, DG & Carceller Sindreu, M 2022, 'Impact of COVID-19 Lockdown in Eating Disorders: A Multicentre Collaborative International Study', Nutrients, vol. 14, no. 1, 100. https://doi.org/10.3390/nu14010100

TY - JOUR

T1 - Impact of COVID-19 Lockdown in Eating Disorders

T2 - A Multicentre Collaborative International Study

AU - Baenas, Isabel

AU - Etxandi, Mikel

AU - Munguía, Lucero

AU - Granero, Roser

AU - Mestre-Bac, Gemma

AU - Sánchez, Isabel

AU - Ortega, Emilio

AU - Andreu, Alba

AU - Moize, Violeta L.

AU - Fernández-Real, Jose Manuel

AU - Tinahones, Francisco J.

AU - Diéguez, Carlos

AU - Frühbeck, Gema

AU - Grange, Daniel Le

AU - Tchanturia, Kate

AU - Karwautz, Andreas

AU - Zeiler, Michael

AU - Imgart, Hartmut

AU - Zanko, Annika

AU - Favaro, Angela

AU - Claes, Laurence

AU - Shekriladze, Ia

AU - Serrano-Troncoso, Eduardo

AU - Cecilia-Costa, Raquel

AU - Rangil, Teresa

AU - Loran-Meler, Maria Eulalia

AU - Soriano-Pacheco, José

AU - Navarrete, Rosa

AU - Lozano, Meritxell

AU - Linares, Raquel

AU - Gudiol, Carlota

AU - Carratala, Jordi

AU - Plana, Maria T.

AU - Graell, Montserrat

AU - González-Parra, David

AU - Gómez-Del Barrio, José A.

AU - Sepúlveda, Ana R.

AU - Sánchez-González, Jéssica

AU - Machado, Paulo P.P.

AU - Håkansson, Anders

AU - Túry, Ferenc

AU - Pászthy, Bea

AU - Stein, Daniel

AU - Papezová, Hana

AU - Gricova, Jana

AU - Bax, Brigita

AU - Borisenkov, Mikhail F.

AU - Popov, Sergey V.

AU - Gubin, Denis G.

AU - Carceller Sindreu, Miguel

PY - 2022/1/1

Y1 - 2022/1/1

N2 - 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.

AB - 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.

KW - COVID-19 Isolation Eating Scale (CIES)

KW - COVID-19 lockdown

KW - Eating disorders

KW - Eating symptoms

KW - Psychological impact

UR - http://www.scopus.com/inward/record.url?scp=85122319474&partnerID=8YFLogxK

U2 - https://doi.org/10.3390/nu14010100

DO - https://doi.org/10.3390/nu14010100

M3 - Article

C2 - 35010974

AN - SCOPUS:85122319474

SN - 2072-6643

VL - 14

JO - Nutrients

JF - Nutrients

IS - 1

M1 - 100

ER -

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

Abstract

Keywords

UN SDGs

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