A systematic scoping review of research on COVID‐19 impacts on eating disorders: A critical appraisal of the evidence and recommendations for the field

International Journal of Eating Disorders, Journal Year: 2021, Volume and Issue: 55(1), P. 3 - 38

Published: Nov. 13, 2021

Research investigating the effects of COVID-19 on eating disorders is growing rapidly. A comprehensive evaluation this literature needed to identify key findings and evidence gaps better inform policy decisions related management during after crisis. We conducted a systematic scoping review synthesizing appraising literature.Empirical research impacts disorder severity, prevalence, demand for treatment was searched. No sample restrictions were applied. Findings (n = 70 studies) synthesized across six themes: (a) suspected cases COVID-19; (b) perceived pandemic symptoms; (c) symptom severity pre versus pandemic; (d) pandemic-related correlates severity; (e) carers/parents; (f) experiences COVID-19.Pandemic rates probable disorders, deterioration, general mental health varied substantially. Symptom escalation worsening during-and due to-the commonly reported, those most susceptible included confirmed cases, at-risk populations (young women, athletes, parent/carers), individuals highly anxious or fearful COVID-19. Evidence emerged increased specialist services pandemic. The forced transition online challenging many, yet telehealth alternatives seemed feasible effective.Evidence mostly limited participant self-report retrospective recall, cross-sectional descriptive studies, samples convenience. Several novel pathways future that aim understand, monitor, support negatively affected by are formulated.La investigación que se hace sobre los efectos de en trastornos la conducta alimentaria está creciendo rápidamente. Se necesita una evaluación exhaustiva esta literatura para identificar hallazgos clave y evidenciar las brechas informar mejor decisiones políticas públicas relacionadas con el manejo durante después realizó revisión sistemática del alcance sintetizó valoró literatura. MÉTODO: buscó empírica impactos gravedad, prevalencia demanda tratamiento alimentaria. aplicaron restricciones muestra. Los estudios) sintetizaron seis temas: (1) casos sospechosos (2) impacto percibido síntomas; (3) gravedad síntomas antes pandemia; (4) correlatos relacionados pandemia (5) cuidadores/padres; (6) experiencias COVID-19.El tasas probables alimentaria, deterioro salud variaron sustancialmente. La escala empeoramiento debido fueron reportados comúnmente, más susceptibles incluyeron confirmados poblaciones riesgo (mujeres jóvenes, atletas, padres / cuidadores) e individuos altos niveles ansiedad o miedo Surgió alguna evidencia mayor servicios especializados pandemia. transición forzada al línea fue un desafío muchos, sin embargo, alternativas telesalud parecían factibles efectivas. Conclusiones. limita principalmente autoinforme participantes recuerdo retrospectivo, estudios transversales descriptivos, muestras conveniencia. formulan varias vías novedosas futuras investigaciones tienen como objetivo comprender, monitorear apoyar aquellos afectados negativamente por

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Temporal trends in eating disorder and self-harm incidence rates among adolescents and young adults in the UK in the 2 years since onset of the COVID-19 pandemic: a population-based study

The Lancet Child & Adolescent Health, Journal Year: 2023, Volume and Issue: 7(8), P. 544 - 554

Published: June 20, 2023

Self-harm and eating disorders share multiple risk factors, with onset typically during adolescence or early adulthood. We aimed to examine the incidence rates of these psychopathologies among young people in UK 2 years following COVID-19 pandemic.We conducted a population-based study using primary care electronic health records patients aged 10-24 Clinical Practice Research Datalink (CPRD). The observation period was from Jan 1, 2010, March 31, 2022. calculated monthly self-harm according first record each outcome. On basis antecedent trends between January, February, 2020, negative binomial regression models were fitted predict after pandemic began March, 2020. Percentage differences observed expected indicate changes since pandemic, stratification by sex, age, deprivation quintile.The 9 184 712 (4 836 226 [52·7%] female 4 348 486 [47·3%] male patients; n=1881 general practices) included for analysis. girls higher than 42·4% (95% CI 25·7-61·3) 13-16 years, 32·0% (13·3-53·8) 17-19 whereas other age groups showed little difference incidence. Similarly, increase driven whom 38·4% (20·7-58·5) expected. By contrast, boys all groups, lower than, close to, rates. Among boys, 22·8% (9·2-34·4) expected, 11·5% (3·6-18·7) estimated increases disorder largely attributable within less deprived communities.Although causes are uncertain, increased diagnoses teenage highlight an urgent need intervention. Early identification mental difficulties clinicians is necessary. Timely access treatments sufficient support practitioners services needs be available manage presenting problems prevent exacerbations conditions.National Institute Health Care Research.

Language: Английский

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A meta‐analysis of disordered eating and its association with self‐criticism and self‐compassion

International Journal of Eating Disorders, Journal Year: 2024, Volume and Issue: 57(3), P. 473 - 536

Published: Feb. 17, 2024

Abstract Objective Future treatments for eating disorders (ED) need to be enhanced by targeting maintaining mechanisms. Literature suggests self‐criticism and self‐critical perfectionism act as key mechanisms exacerbating ED, self‐compassion protects against self‐criticism. This meta‐analysis examines associations between on disordered (DE), reviews how relate each other with respect DE. Method Searches across three databases yielded 135 studies 42,952 participants. Heterogeneity, publication bias, quality assessments were analyzed. Moderation analyses measures, clinical nonclinical samples, cross‐sectional experimental also conducted. Results Random‐effects models showed a medium positive link DE ( r = .37), 10 subgroups pertaining various measures of utilized in literature small large links .20–.52). Preliminary evidence negative relationships −.40 −.43) −.04 −.88). Discussion Greater levels is linked greater reduced self‐compassion, suggesting tackle nurture standard ED. Understanding these interactions better conjunction dismantling intervention can help develop more effective efficient interventions people Public Significance Statement Higher are higher lower self‐compassion. Self‐compassion could reducing ED symptoms if tackled early such treatments.

Language: Английский

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Remote mental health care interventions during the COVID-19 pandemic: An umbrella review

Behaviour Research and Therapy, Journal Year: 2022, Volume and Issue: 159, P. 104226 - 104226

Published: Nov. 11, 2022

Mitigating the COVID-19 related disruptions in mental health care services is crucial a time of increased disorders. Numerous reviews have been conducted on process implementing technology-based during pandemic. The research question this umbrella review was to examine what impact access and delivery how changed A systematic search for meta-analyses up August 12, 2022, 38 were identified. Main reduced outpatient admissions earlier discharge from inpatient care. In response, synchronous telemental tools such as videoconferencing used provide remote similar pre-COVID care, lesser extent asynchronous virtual apps. Implementation facilitated by time-efficiency flexibility pandemic but there lack accessibility specific vulnerable populations. barriers among practitioners patients use digital poor technological literacy, particularly when preexisting inequalities existed, beliefs about therapeutic alliance case severe Absence organizational support implementation interventions due inadequate IT infrastructure, funding, well privacy safety, challenged COVID-19. Reviews low moderate quality, covered heterogeneously designed primary studies lacked findings low- middle-income countries. These gaps evidence prevalent early This shows that pandemic, institutions mainly tools, degree enable continued patients. these identified, call further improvements. addition, more high quality into comparative effectiveness working mechanisms may improve scalability general future infectious disease outbreaks.

Language: Английский

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The impacts of COVID-19 on eating disorders and disordered eating: A mixed studies systematic review and implications

Frontiers in Psychology, Journal Year: 2022, Volume and Issue: 13

Published: Sept. 6, 2022

Purpose The unique constraints to everyday life brought about by the COVID-19 pandemic have been suggested negatively impact those with pre-existing mental health issues such as eating disorders. While individuals disorders or disordered behaviors likely represent a vulnerable group pandemic, of is yet be fully established. Methods We systematically examined on and behaviors. searched electronic databases MEDLINE, PsycINFO, CINAHL, EMBASE for literature published until October 2021. Eligible studies were required report without diagnosed disorder who exposed pandemic. Findings Seventy-two met eligibility criteria majority reporting an increase in associated Specifically, it appears children adolescents may present groups impacts Discussion This mixed systematic review provides timely insight into will assist understanding possible future long-term It that role stress development maintenance intensified cope uncertainty Future research needed among understudied minority examine implications Systematic registration https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=284749 , PROSPERO [CRD42021284749].

Language: Английский

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A framework for conceptualising early intervention for eating disorders

European Eating Disorders Review, Journal Year: 2022, Volume and Issue: 31(2), P. 320 - 334

Published: Nov. 25, 2022

Abstract Objective This paper outlines the evidence base for early intervention eating disorders; provides a global overview of how disorders is provided in different regions and settings; proposes policy, service, clinician research recommendations to progress disorders. Method Results Currently, access disorder treatment often takes many years or does not occur at all. despite neurobiological, clinical socioeconomic showing that may improve outcomes facilitate full sustained recovery from an disorder. There also considerable variation worldwide care provided, with marked inequalities provision. Despite these barriers, there are existing evidence‐based approaches being made scaling these. Conclusions We propose action steps field will transform service provision detection, everyone affected by disorders, regardless age, status personal characteristics.

Language: Английский

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The impact of social media use on body image and disordered eating behaviors: Content matters more than duration of exposure

Eating Behaviors, Journal Year: 2023, Volume and Issue: 49, P. 101722 - 101722

Published: April 1, 2023

Language: Английский

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COVID-19-related changes in eating disorder pathology, emotional and binge eating and need for care: a systematic review with frequentist and Bayesian meta-analyses

Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity, Journal Year: 2023, Volume and Issue: 28(1)

Published: Feb. 20, 2023

Abstract Purpose The COVID-19 pandemic has been a leading cause of stress and feelings loss control, both which have related to eating disorder (ED) pathology onset deterioration. We aim estimate the magnitude changes in prevalence rates of, indicators for, ED psychopathology face pandemic. Method Pre-registered systematic review with frequentist Bayesian meta-analyses. Searches for eligible studies were performed PubMed, Web Science pre-print servers until January 15 2023. Results Our searches yielded 46 reporting on total 4,688,559 subjects. These data provide strong evidence indicating increased diagnosed self-reported ED’s concordant need care symptom severity scores patients not elevated during pandemic, except those anorexia nervosa. On average, people general population report relatively high levels emotional binge although evidential strength these associations is only anecdotal moderate. Moderators between-study heterogeneity detected. Conclusions Altogether, our results suggest that associated wide spread negative effect patient samples population. development online prevention intervention programs EDs stressful times like encouraged. A limitation reported here may be prone biases, amongst others, self-report bias. Level evidence: I, meta-analysis. Preregistration: Prospero [ https://www.crd.york.ac.uk/prospero ] ID: CRD42022316105.

Language: Английский

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The multisensory mind: a systematic review of multisensory integration processing in Anorexia and Bulimia Nervosa

Journal of Eating Disorders, Journal Year: 2023, Volume and Issue: 11(1)

Published: Nov. 16, 2023

Abstract Individuals with Anorexia Nervosa and Bulimia present alterations in the way they experience their bodies. Body results from a multisensory integration process which information different sensory domains spatial reference frames is combined into coherent percept. Given critical role of body onset maintenance both Nervosa, we conducted systematic review to examine abilities individuals affected by these two conditions investigate whether exhibit impairments crossmodal integration. We searched for studies evaluating current diagnosis as compared healthy behavioral neurobiological perspectives. A search PubMed, PsycINFO, Web Sciences databases was performed extract relevant articles. Of 2348 retrieved, 911 were unique After screening, 13 articles included. Studies revealed abnormalities patients Nervosa; only one included observed less severe controls. Overall, seemed support presence deficits especially when integrating interoceptive exteroceptive information. proposed Predictive Coding framework understanding our findings suggested future lines investigation.

Language: Английский

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Mental Health Impact of Early Stages of the COVID-19 Pandemic on Individuals with Pre-Existing Mental Disorders: A Systematic Review of Longitudinal Research

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(2), P. 948 - 948

Published: Jan. 4, 2023

In view of disease-related threats, containment measures, and disrupted healthcare, individuals with pre-existing mental illness might be vulnerable to adverse effects the COVID-19 pandemic. Previous reviews indicated increased distress, limited information on peri-pandemic changes. this systematic review, we aimed identify longitudinal research investigating pre- and/or changes health in patients, focusing early phase considering specific diagnoses. PsycINFO, Web Science, WHO Global literature coronavirus disease database, Cochrane Study Register weresearched through 31 May 2021. Studies were synthesized using vote counting based effect direction. We included 40 studies mostly from Western, high-income countries. Findings heterogeneous, improving deteriorating observed compared pre-pandemic data, partly depending underlying For changes, evidence was limited, some suggestion recovery distress. quality heterogeneous; only few investigated potential moderators (e.g., chronicity illness). Mental people conditions are heterogeneous within across diagnoses for comparisons. To improve services amid future global crises, forthcoming should understand medium- long-term effects, controlling measures.

Language: Английский

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