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 current clinical approach to feeding and eating disorders aimed to increase personalization of management

World Psychiatry, Journal Year: 2025, Volume and Issue: 24(1), P. 4 - 31

Published: Jan. 15, 2025

Feeding and eating disorders (FEDs) are a heterogeneous grouping of at the mind-body interface, with typical onset from childhood into emerging adulthood. They occur along spectrum disordered compensatory weight management behaviors, low to high body weight. Psychiatric comorbidities norm. In contrast other major psychiatric disorders, first-line treatments for FEDs mainly psychological and/or nutrition-focused, medications playing minor adjunctive role. Patients, carers clinicians all have identified personalization treatment as priority. Yet, FEDs, evidence base supporting this is limited. Importantly, related behaviors can serious physical consequences may put patient's life risk. these cases, immediate safety risk considerations least period need be prioritized over efforts care. This paper systematically reviews several key domains that relevant characterization individual patient FED aimed management. These include symptom profile, clinical subtypes, severity, staging, complications consequences, antecedent concomitant conditions, social functioning quality life, neurocognition, cognition emotion, dysfunctional cognitive schemata, personality traits, family history, early environmental exposures, recent stigma, protective factors. Where possible, validated assessment measures use in practice identified. The limitations current pointed out, possible directions future research highlighted. also novel approaches providing more fine-grained sophisticated ways personalize such those utilize neurobiological markers. We additionally outline remote measurement technologies designed delineate patients' illness recovery trajectories facilitate development intervention approaches.

Language: Английский

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Anorexia nervosa and the COVID-19 pandemic among young people: a scoping review

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

Published: July 20, 2023

The extent to which the recent global COVID-19 Pandemic has impacted young people with restrictive eating disorders [i.e., anorexia nervosa (AN) and atypical (AAN)] is unclear. We conducted a scoping review of literature identify how pandemic this population gaps in current inform future research efforts.

Language: Английский

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COVID-19-Related distress, body image, and eating behaviors: a cross-sectional explanatory model

BMC Psychology, Journal Year: 2024, Volume and Issue: 12(1)

Published: March 2, 2024

Abstract Background The COVID-19 pandemic has been associated with increased body dissatisfaction and disordered eating behaviors in adolescents. To better understand these associations, this study tested an explanatory model which appearance-focused social media use, internalization of pressure, mindfulness abilities mediated the relationship between COVID-related distress dissatisfaction, turn was dietary restraint binge episodes. Methods Adolescents ( N = 493, M age 16.7; 47.5% girls) recruited within high schools completed online measures. We conducted testing through path analysis MPlus, using modification indices to derive a well-fitting model. Results initially hypothesized poor fit for data. final well-adjusted confirmed several significant paths supported parallel mediational roles (specifically, use pressure) along mindfulness, on COVID-19-related satisfaction. Model adjustments involved adding three paths, resulting two additional indirect effects, suppressing one path. Conclusions Findings suggest that pressure are potential key processes explaining disorders among adolescents who experienced higher levels distress.

Language: Английский

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Review of the unprecedented impact of the COVID-19 pandemic on the occurrence of eating disorders

Current Opinion in Psychiatry, Journal Year: 2022, Volume and Issue: 35(6), P. 353 - 361

Published: July 29, 2022

Purpose of review To the recent literature on impact coronavirus disease-2019 (COVID-19) pandemic incidence and severity symptoms eating disorders (EDs). Recent findings A worrying increase EDs in- outpatients has been reported since COVID-19 began in 2019/2020. Restrictions implemented during to protect populations against increased risk for onset worsening by disrupting exercise routines, social isolation, lack support, limited access healthcare. Substantial increases start have overall (15%), hospital admissions (48%) emergency department visits (11%) EDs, with even higher among women children or adolescents an ED. During pandemic, ED patients ED-specific anxiety, depression suicidal ideations -attempts. Treatments shifted largely toward online methods continuity care, despite concerns about quality care provided difficulties self-monitoring. Our provides preliminary evidence a similar effectiveness treatment prepandemic face-to-face treatment. In-person assessment remains essential detecting those requiring medical admission. Summary Although ongoing COVID-2019 affected mental health globally, research shows that it particularly individuals diagnosis at ED, especially women, adolescents, anorexia nervosa.

Language: Английский

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Increased General, Eating, and Body-Related Psychopathology in Inpatients in a Specialized Eating Disorders Unit after the Beginning of the COVID-19 Pandemic: A Retrospective Comparison with the Pre-Pandemic Period

Journal of Clinical Medicine, Journal Year: 2023, Volume and Issue: 12(2), P. 573 - 573

Published: Jan. 10, 2023

The study of the effects COVID-19 pandemic on individuals who attended mental health services is needed to identify specific vulnerabilities associated this challenging period. Despite several analyses reporting worsening eating disorders symptomatology after beginning pandemic, characterizations adult inpatients with are still lacking. We conducted a retrospective analysis assess whether underwent hospitalization in specialized unit two years differed clinical presentation, psychopathological measures, and treatment outcomes from hospitalized before. In comparison between groups, began start presented more physical hyperactivity severe scores most areas investigated, differences symptoms evident at discharge. Notably, body-related (i.e., body shape concerns, checking, avoidance) were also for extreme anorexia nervosa. This does not allow us separate impact other potentially relevant co-occurring factors; however, these findings help understanding how could have affected that intensive treatment.

Language: Английский

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“What Made My Eating Disorder Worse?” The Impact of the COVID-19 Pandemic from the Perspective of Adolescents with Anorexia Nervosa

Nutrients, Journal Year: 2023, Volume and Issue: 15(5), P. 1242 - 1242

Published: March 1, 2023

(1) Background: the COVID-19 pandemic and subsequent confinements have led to a dramatic increase in anorexia nervosa (AN) adolescent patients, whereas effect on symptom severity influencing factors are not yet clear, especially from adolescents' perspective. (2) Methods: February October 2021, 38 patients with AN completed an adjusted version of COVID Isolation Eating Scale (CIES), self-report questionnaire asking for ED symptomatology before during their experiences remote treatment. (3) Results: reported significant negative impact confinement symptoms, depression, anxiety, emotional regulation. During pandemic, engagement weight body image was related social media, mirror checking increased. The were more preoccupied cooking recipes had eating-related conflicts parents. However, differences amount media actively glorifying did remain after correction multiple comparisons. minority who received treatment found it be only limitedly helpful. (4) Conclusions: patients' perspective, pandemic-associated detrimental symptoms AN.

Language: Английский

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The Impact of the COVID-19 Pandemic on Binge Eating Disorder: A Systematic Review

Nutrients, Journal Year: 2023, Volume and Issue: 15(17), P. 3777 - 3777

Published: Aug. 29, 2023

The aim of this systematic review was to synthesise the impact COVID-19 pandemic on binge eating disorder (BED) new onset and course. Inclusion criteria: original articles BED diagnosis; main outcomes: relationships between onset/clinical changes in BED, specific results for BED. Exclusion mixed/inaccurate diagnoses not written English. We searched four databases one registry until 5 May 2023. quality appraisal conducted using Effective Public Health Practice Project (EPHPP) tool. Twelve studies with 4326 participants were included. All observational nine cross-sectional three longitudinal. Four included investigated new-onset while eight examined clinical course patients a previous diagnosis. With exception study, available literature indicates both an increase worsening during COVID-19. Major limitations include study (weak-to-moderate) high heterogeneity terms phase, population, geographical areas, psychometric tools. Our findings indicate that are particularly vulnerable events characterised by social distancing over-worry, should be, therefore, carefully monitored. Further needed corroborate our findings, implement preventive strategies, promote personalised treatments. PROSPERO registration number: CRD42023434106.

Language: Английский

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Decreasing prevalence or increase in unregistered cases of bulimia nervosa in children and adolescents in Germany? A comparison using representative claims data pre- vs. intra-COVID-19 pandemic

Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity, Journal Year: 2025, Volume and Issue: 30(1)

Published: March 21, 2025

Abstract Purpose The aim of this study was to analyze data children and adolescents in Germany insured according legal requirements (statutorily insured) regarding epidemiology, comorbidities, care bulimia nervosa (BN) pre- vs. intra-COVID-19 pandemic. Methods is based on anonymized claims 10–17.9 years old statutorily from the InGef Berlin GmbH research database. database combines more than 50 statutory health insurances representative German population. Prevalence, (quarterly) incidence, comorbidities in- outpatient treatment BN (ICD-10: F50.2/F50.3) pre-COVID (01/2018-03/2020; N = 282,711) intra-COVID (04/2020-12/2021; 282,738) compared using descriptives χ 2 tests, Welch-tests interrupted time series analysis. analysis stratified by age groups (children: 10–13 years; adolescents: 14–17 years). Results Prevalence 0.09% 0.07% (OR 0.78 [0.65, 0.93]). After pandemic onset, a positive trend quarterly incidence among observed ( p .016). Outpatient visits general practitioners decreased 0.59 [0.35, 0.98]). Conclusion decline diagnosed treated cases could be attributed an increase unregistered due overburdened situation that emerged with onset COVID-19 Researchers healthcare providers need aware potential for backlash deterioration/chronification symptoms adolescents. Level evidence No level evidence.

Language: Английский

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The lifestyle of international students in Poland during the COVID-19 pandemic

Central European Management Journal, Journal Year: 2025, Volume and Issue: unknown

Published: April 9, 2025

Purpose This study aimed to evaluate the lifestyle of international students residing in Poland during COVID-19 pandemic. Focusing on from universities Warsaw, research explored behavioral patterns and adjustments made response Design/methodology/approach The was conducted between June September 2020, employing Computer-Assisted Web Interview (CAWI) method. It surveyed over 3,000 students, achieving 719 responses collected via Google Forms MS Teams. Healthy Lifestyle Personal Control Questionnaire (HLPCQ) used measure factors personal control behaviors among participants. Findings results indicated that young people various cultural backgrounds demonstrated similar throughout homogeneity suggests common adaptations by challenges posed global health crisis. Originality/value provides valuable insights into how pandemic impacted lifestyles Poland. offers information beneficial researchers public professionals focused improving well-being future crises.

Language: Английский

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