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

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. Department of Psychobiology and Methodology, School of Psychology, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain. Facultad de Ciencias de la Salud, Universidad Internacional de La Rioja, 26006 La Rioja, Spain. Endocrinology and Nutrition Division, Hospital Clinic and Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), 08036 Barcelona, Spain. Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), 28029 Madrid, Spain. Unit of Diabetes, Endocrinology and Nutrition, Hospital de Girona Dr. Josep Trueta-Institut d'Investigació Biomèdica de Girona (IDIBGI), 17007 Girona, Spain. Department of Medical Sciences, School of Medicine, University of Girona, 17004 Girona, Spain. Department of Endocrinology and Nutrition, Virgen de la Victoria University Hospital-Instituto de Investigación Biomédica de Málaga (IBIMA), 29010 Málaga, Spain. Department of Physiology, CIMUS, University of Santiago de Compostela-Instituto de Investigación Sanitaria, 15782 Santiago de Compostela, Spain. Metabolic Research Laboratory, Clínica Universidad de Navarra, University of Navarra-IdiSNA, 31008 Pamplona, Spain. Eating Disorders Program, Department of Psychiatry, University of California, San Francisco, CA 94143, USA. Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London WC2R 2LS, UK. Eating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, Austria. Parkland Klinik, 34537 Bad Wildungen, Germany. Department of Neuroscience, University of Padua and Neuroscience Center (PNC), 35122 Padua, Italy. Clinical Psychology, Faculty of Psychology and Educational Sciences, KU Leuven, 3000 Leuven, Belgium. Clinical Psychology, Faculty of Medicine and Health Sciences, University Antwerp, 2000 Antwerp, Belgium. D. Uznadze Institute of Psychology, Ilia State University, 0162 Tbilisi, Georgia. Child and Adolescent Psychiatry and Psychology Department, Hospital Sant Joan de Déu- Institut de Recerca Sant Joan de Déu, 08950 Esplugues de Llobregat, Spain. Department of Psychiatry, Germans Trias i Pujol University Hospital-IGTP, 08916 Barcelona, Spain. Department of Psychiatry and Legal Medicine, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain. Department of Psychiatry, Hospital de la Santa Creu i Sant Pau-Institut d'Investigació Biomèdica Sant Pau (IIB-Sant Pau)-Universitat Autònoma de Barcelona (UAB), 08041 Barcelona, Spain. Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), ISCIII, 28029 Madrid, Spain. Centro de Diagnóstico de Enfermedades Moleculares, Universidad Autónoma de Madrid, 28049 Madrid, Spain. FITA Foundation, 08006 Barcelona, Spain. Infectious Diseases Department, Hospital Universitari Bellvitge-Institut de Investigació Biomedica de Bellvitge (IDIBELL)-Institut Català d'Oncologia-Hospitalet, 08908 Barcelona, Spain. REIPI (Spanish Network for Research in Infectious Disease), Instituto de Salud Carlos III, 28029 Madrid, Spain. Department of Clinical Sciences, School of Medicine and Health Sciences, University of Barcelona, 08907 Barcelona, Spain. CIBER de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, 28029 Madrid, Spain. Institute of Neuroscience, Hospital Clínic de Barcelona, 08036 Barcelona, Spain. Department of Child and Adolescent Psychiatry and Psychology, 2017SGR881, Institute of Neurosciences, Hospital Clinic de Barcelona, 08036 Barcelona, Spain. Child and Adolescent Psychiatry and Psychology Service, Child Hospital Niño Jesus, 28009 Madrid, Spain. Psychiatry Service, University of Salamanca Healthcare Complex (USHC)-Institute of Biomedicine of Salamanca (IBSAL)-University of Salamanca, 37008 Salamanca, Spain. Unidad de Trastornos de la Conducta Alimentaria, Hospital Universitario "Marqués de Valdecilla", Avda, Valdecilla s/n, 39011 Santander, Spain. Instituto de Investigación Valdecilla (IDIVAL), 39011 Santander, Spain. Facultad de Psicología, Universidad Autónoma de Madrid, 28049 Madrid, Spain. Psychotherapy and Psychopathology Research Unit-Psychology Research Center, School of Psychology, University of Minho, 4710-057 Braga, Portugal. Department of Clinical Sciences Lund, Psychiatry, Faculty of Medicine, Lund University, 221 00 Lund, Sweden. Gambling Disorder Unit, Malmö Addiction Center, 205 02 Malmö, Sweden. Institute of Behavioral Sciences, Semmelweis University, 1085 Budapest, Hungary. 1st Department of Paediatrics, Semmelweis University, 1085 Budapest, Hungary. Safra Children's Hospital, Chaim Sheba Medical Center, Tel Hashomer 52 621, Israel. Department of Psychiatry, 1st Medical Faculty of Charles University, 11000 Prague, Czech Republic. Eating Disorders Center, Vilnius University Vilnius, 01513 Vilnius, Lithuania. Institute of Physiology of Komi Science Centre of the Ural Branch of the Russian Academy of Sciences, 167982 Syktyvkar, Russia. Laboratory for Chronobiology and Chronomedicine, Department of Biology, Tyumen State Medical University, 625023 Tyumen, Russia. Tyumen Cardiology Research Institute, Tomsk Research Medical Center, 634009 Tyumen, Russia. Department of Biological & Medical Physics UNESCO, Tyumen State Medical University, 625023 Tyumen, Russia. Department of Therapy and Endocrinology, Tyumen State Medical University, 625023 Tyumen, Russia. Institute of Internal and Preventive Medicine-Branch of the Institute of Cytology and Genetics, Siberian Branch of Russian Academy of Sciences, 630090 Novosibirsk, Russia. Department of Psychiatry, Seoul Paik Hospital-Inje University, Seoul 01757, Korea. Department of Psychiatry, School of Medicine, International University of Health and Welfare, Narita 286-8686, Japan. CESP, Université Paris-Saclay, UVSQ, INSERM U 1178, 94805 Villejuif, France. Department of Psychiatry, Institut Mutualiste Montsouris, School of Medicine, Université Paris Descartes, 75006 Paris, France. UFR des Sciences de la Santé Simone Veil (UVSQ), Praticienne Hospitalière, Fondation Santé des Etudiants de France, 78180 Paris, France. Department of Political Science, Vytautas Magnus University, 44248 Kaunas, Lithuania. Institute of Psychiatry of Taras Shevchenko, National University of Kyiv, 01033 Kyiv, Ukraine. Department of Clinical Psychology, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, 280, Shanghai 200030, China. Schön Klinik Roseneck, 83209 Prien am Chiemsee, Germany. Dipartimento di Salute Mentale e Fisica e Medicina Preventiva, Universitá degli Studi della Campania "Luigi Vanvitelli", 80138 Naples, Italy.

Nutrients. 2021;(1)
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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.

Methodological quality

Publication Type : Multicenter Study ; Observational Study

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