A Systematic Review and Meta-Analysis: Child and Adolescent Healthcare Utilization for Eating Disorders During the COVID-19 Pandemic

Journal of the American Academy of Child & Adolescent Psychiatry, Journal Year: 2024, Volume and Issue: unknown

Published: Feb. 1, 2024

ObjectiveConduct a meta-analysis documenting healthcare service utilization rates for pediatric (<19 years) eating disorders (EDs) during compared to before the COVID-19 pandemic.MethodPsycINFO, MEDLINE, Embase, and Web of Science Core Collection were search studies published up May 19, 2023. Studies with visits primary care, inpatient, outpatient, emergency department EDs pandemic included. This preregistered review (PROSPERO CRD42023413392) reported using PRISMA guidelines. Data analyzed random-effects meta-analyses.Results52 reporting >148,000 child adolescent disorder-related >300 health settings across 15 countries included (mean age 12.7 [SD 4.1] years; 87% girls). There was strong evidence an increase in (rate ratio [RR] 1.54, 95%CI 1.38–1.71). Moderator analysis revealed larger rate increases among girls (RR 1.48, 1.28–1.71) boys 1.24, 1.06–1.45) adolescents (≥12 19 1.53, 1.29–1.81) children 0.87, 0.53–1.43). demonstrated increased 1.70, 1.48–1.97), inpatient 1.56, 1.33–1.84), outpatient services 1.62, 1.35–1.95), as well anorexia nervosa 1.24–1.75).ConclusionHealthcare substantially pandemic, particularly adolescents. It is important continue monitor if changes associated acute mental distress are sustained beyond pandemic.

Language: Английский

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Interoceptive hunger, eating attitudes and beliefs

Frontiers in Psychology, Journal Year: 2023, Volume and Issue: 14

Published: April 21, 2023

Interoceptive individual differences have garnered interest because of their relationship with mental health. One type difference that has received little attention is variability in the sensation/s are understood to mean a particular interoceptive state, something may be especially relevant for hunger. We examined if hunger multidimensional and idiosyncratic, it reliable, linked dysfunctional eating beliefs about causes Participants completed survey just before main meal, most retested around 1 month later. found 11 dimensions, while people differ considerably combinations hungers, these represent only 4% all possible permutations. Hunger reports were reliable. relationships between interoception eating, uncontrolled eating. also some cases strongly related aspects interoception. The implications findings discussed.

Language: Английский

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Effects of the COVID-19 pandemic on youth mental health: a cross-sectional study on eating disorder patients and their unaffected siblings

Child and Adolescent Psychiatry and Mental Health, Journal Year: 2024, Volume and Issue: 18(1)

Published: Jan. 6, 2024

Abstract Background Adolescence has emerged as a particularly vulnerable phase during the COVID-19 pandemic, with eating disorders (EDs) representing prominent psychopathological challenge linked to restrictions imposed by pandemic. Emerging evidence suggests that not only individuals EDs but also their healthy siblings (HS) may experience unique psychological effects in this context. However, existing literature on topic remains limited. This study seeks examine and compare of pandemic adolescents adults, specific focus impact containment measures, disruptions daily routines, alterations life trajectories, for both HS. Methods We enrolled 273 individuals, including those diagnosed Among participants, 120 were under age 19. Multiple self-report questionnaires administered assess 1 year These assessments covered range constructs, posttraumatic symptoms, general psychopathology, eating-related concerns. Results Notably, adolescent patients demonstrated highest scores within our sample. They sole subgroup surpass clinical cutoffs, exhibiting more pronounced issues concerning concerns well-being. Our findings shed light experiences HS Conclusion highlight burden endured throughout emphasizing vulnerability demographic. Moreover, HS, often overlooked literature, warrant increased attention future health programs interventions.

Language: Английский

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The impact of the COVID-19 pandemic on children and adolescents eating disorders: A systematic review

Children and Youth Services Review, Journal Year: 2025, Volume and Issue: unknown, P. 108190 - 108190

Published: Feb. 1, 2025

Language: Английский

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The Psychological and Medical Landscape of Anorexia Nervosa over a Decade: A Retrospective Study of Possible Physical and Psychological Shifts

Journal of Clinical Medicine, Journal Year: 2023, Volume and Issue: 12(23), P. 7294 - 7294

Published: Nov. 24, 2023

In recent years, the definition, clinical characteristics, and psychological aspects of anorexia nervosa (AN) have undergone notable changes, influenced by various factors such as biology, psychology, environment. The COVID-19 pandemic is one external factor that has been preliminarily identified affecting presentation AN. This study specifically aims to assess alterations in medical features observed individuals with AN during pandemic. a retrospective case review 252 people diagnosed from two different cohorts: 2010-2012 2021. A comparison data was conducted identify specific differences initial evaluation. Additionally, effects on age cohorts were assessed, focus distinctions between adolescents adults. Results revealed cohort had higher number new cases, patients being younger experiencing more severe symptoms. Hospitalization rates upon first access also elevated, but no significant values observed. Adolescents showed increased episodes binge eating, decreased obsessive-compulsive symptoms, greater difficulty interoceptive awareness. reveals distinct symptomatology among patients, particular characteristics impulsive behaviors These behavioral changes could potential considerations treatment pathway. Further investigations are warranted gain deeper understanding evolving after

Language: Английский

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Child and youth mental health referrals and care planning needs during the pandemic waves

Developments in environmental science, Journal Year: 2024, Volume and Issue: unknown, P. 337 - 361

Published: Jan. 1, 2024

Language: Английский

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A never-ending story: The COVID-19 pandemic and the increase of hospital admissions for typical and atypical anorexia nervosa in children, adolescents and young adults in the post-pandemic era in Germany

European Psychiatry, Journal Year: 2024, Volume and Issue: 67(1)

Published: Jan. 1, 2024

Abstract Background A large increase in the rate of hospitalizations for adolescents and children with anorexia nervosa (AN) was observed during coronavirus disease (COVID-19) pandemic. It is still not clear whether this a temporary effect or increased admission rates persist. Methods Data were retrieved from largest health insurance Germany comprising 2.5 million between 9 19 y. All patients age group discharge diagnosis typical atypical AN (AAN) according to International Classification Diseases, Tenth Revision (ICD-10), included. Admission per 10,000 person-years computed separately by sex, type entire years 2019 2022 first half 2023 relation number insured persons same sex year. Results Two after final lockdown significantly higher adolescent childhood than pre-COVID-19 time. While declined 2023, those remained high, an girls more 40% compared before pandemic (1.42 (CI 1.26, 1.60); p < 0.0001). The highest risk AAN relative period (1.6; CI 1.34; 1.90; Conclusions Children appear be especially vulnerable pandemic-associated disruptions. Clinicians should try determine ongoing effects support early detection treatment prevent its often lifelong consequences.

Language: Английский

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Hospitalization patterns for adolescents with eating disorders during COVID-19

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

Published: Aug. 16, 2023

The purpose of this study was to examine differences in clinical characteristics and hospital length stay (LOS) for adolescents with eating disorders (EDs) requiring medical stabilization during the pre-COVID-19 COVID-19 time periods.Medical record data were abstracted patients EDs hospitalized between 1/1/2019-2/29/2020 (pre-COVID-19) 3/1/2020-12/31/2021 (during COVID-19). Patient demographics, LOS compared eras. Patients categorized as boarding if they remained ≥ 1 day after stabilization. Multivariate negative binomial linear regression models performed determine incidence rate ratios (IRR) 95% confidence intervals (95% CI) factors related increased LOS.Of 467 admissions study, 120 347 COVID-19. Monthly higher versus (15.8 vs. 8.6, p = 0.001). On multivariate analysis, associated included admission (IRR 1.27, CI 1.15-1.40), 0.001), 1.77, 1.63-1.93, public insurance 1.12, 1.01-1.23, 0.032), nasogastric tube usage 1.62, 1.48-1.76, heart < 40 beats per minute 1.21, 1.11-1.33, 0.001) abnormal electrocardiogram 1.25, 1.14-1.37, 0.001).In addition factors, we found that COVID-19, boarding, among EDs. There is a need greater availability ED treatment centers care stabilization.The pandemic has had profound effect on mental health young people worldwide. This crisis led significant increase individuals seeking an disorder. In United States, significantly pandemic. examines demographic disorder one pediatric States. We well longer stays. Factors prolonged hospitalizations include those (Medicaid), delivery nutrition, low rate. no difference such age, gender, degree malnutrition severity two periods. shortage appropriate options upon discharge especially challenging

Language: Английский

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The impact of the COVID-19 pandemic on administrative eating disorder prevalence in the outpatient sector and on severity of anorexia nervosa

European Child & Adolescent Psychiatry, Journal Year: 2024, Volume and Issue: unknown

Published: July 20, 2024

Abstract The COVID-19 pandemic appears to have had a considerable impact on the mental health of children and adolescents, particularly regarding eating disorders. However, it remains unclear whether affected only frequency or also severity We examined potential pandemic-related changes in administrative prevalence disorders outpatient sector compared with other using German statutory insurance data for age group 10 16 years. disorder anorexia nervosa from multicenter Registry Children Adolescents Anorexia Nervosa same group. Our results showed marked increase (based documented diagnoses) among girls but not boys. A similar pattern was found internalizing disorders, whereas prevalences externalizing decreased. Regarding inpatients, we no body mass index standard deviation score at admission, weight loss before psychiatric comorbidities psychopharmacological medication. Given sector, lack inpatient may be partly due shift healthcare utilization towards services during pandemic. Thus, higher number adolescents requiring specialized timely care major concern under conditions.

Language: Английский

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Changes in the psychosocial and clinical profiles of anorexia nervosa patients during the pandemic

Frontiers in Psychiatry, Journal Year: 2023, Volume and Issue: 14

Published: July 19, 2023

The COVID-19 pandemic and related control measures have increased the prevalence of anorexia nervosa (AN), recent studies demonstrated that approximately 70% individuals diagnosed with AN experienced deterioration in symptoms. This study aimed to examine psychosocial clinical impacts on patients during pandemic. cross-sectional involved 35 female adolescents who were being treated at Ege University Child Adolescent Psychiatry Department. To assess pre-pandemic symptom levels daily life routines, a retrospective form utilizing visual analog scale (VAS) was employed. Body mass index (BMI) Clinical Global Impression (CGI) data recorded by an interviewer for all gave consent participate study. Fifteen completed forms [VAS, Children's Depression Inventory (CDI), Screen Anxiety Related Disorders Scale (SCARED), Eating Attitudes Test, Quality-of-Life (QoLS), Autism Spectrum Screening Questionnaire, Turgay DSM-4 Based Evaluation Behavioral Children Adolescents] online 2022. diagnosis progress assessed retrospectively using Kiddie Schedule Affective Schizophrenia (K-SADS). duration follow-up period number psychiatric visits obtained from patient files. Retrospective routines collected VAS. mean age 16.67 ± 1.63 years. Comorbid diseases present 73.33% patients, major depressive disorder (MDD) most common (46.66%). Mean scores indicated moderate anxiety (SCARED score: 37.23 12.67) depression (CDI 17.23 10.85). QoLS negatively correlated eating attitudes (r = -0.601, p 0.039). Obsession level, exercise screen time pandemic, while social activity, quality education, perception learning decreased. BMI patients. Patients had higher compared those did not complete (p 0.033). clinic 26.27 20.33. results show adverse effects disrupted their routines. These high rates comorbidities. showed improvement scores, indicating positive impact treatment. findings emphasize need comprehensive care targeted interventions crises such as

Language: Английский

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