Children and adolescents with eating disorders during COVID-19 confinement: Difficulties and future challenges.
Adolescent
Ambulatory Care
/ organization & administration
COVID-19
/ epidemiology
Child
Day Care, Medical
/ organization & administration
Feeding and Eating Disorders
/ epidemiology
Female
Hospitalization
Humans
Male
Mental Health Services
/ organization & administration
Quarantine
Retrospective Studies
COVID-19
adolescents
children
confinement
eating disorders
Journal
European eating disorders review : the journal of the Eating Disorders Association
ISSN: 1099-0968
Titre abrégé: Eur Eat Disord Rev
Pays: England
ID NLM: 9436977
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
16
06
2020
revised:
22
06
2020
accepted:
22
06
2020
pubmed:
31
7
2020
medline:
17
12
2020
entrez:
31
7
2020
Statut:
ppublish
Résumé
To present the adaptations to treatment protocols made in a child and adolescent eating disorders (ED) unit during the eight-week confinement period mandated in response to the COVID-19 pandemic and examine clinical and treatment variables in the outpatient, day hospital, and inpatient care programs. Description of the implementation of a combined teletherapy program for outpatient and day-hospital patients and the adaptations made to the inpatient protocol. Retrospective review of medical records and analysis of general and specific variables related to the pandemic and confinement. We held 1,329 (73.10%) telehealth consultations and 489 (26.9%) face-to-face outpatient visits with 365 patients undergoing treatment in the outpatient clinic or day hospital. Twenty-eight (7.67%) were initial evaluations. Twenty-two patients were newly admitted and 68 ED-related emergencies were attended. Almost half of the children and adolescents studied experienced reactivation of ED symptoms despite treatment, and severe patients (25%) presented self-harm and suicide risk. The implementation of a combined teletherapy program has enabled continuity of care during confinement for children and adolescents with ED. Delivery of treatment to adolescents in the day hospital program posed the biggest challenge due to their greater degrees of severity and higher hospitalization rates. An adapted inpatient program should be maintained throughout confinement, as the need for hospitalization of children and adolescents with ED does not decrease with lockdown.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
864-870Informations de copyright
© 2020 John Wiley & Sons, Ltd and Eating Disorders Association.
Références
Ahmed, M. Z., Ahmed, O., Aibao, Z., Hanbin, S., Siyu, L., & Ahmad, A. (2020). Epidemic of COVID-19 in China and associated psychological problems. Asian Journal of Psychiatry, 51, 102092. https://doi.org/10.1016/j.ajp.2020.102092
Anastasiadou, D., Folkvord, F., Brugnera, A., Cañas Vinader, L., SerranoTroncoso, E., Carretero Jardí, C., … Lupiañez-Villanueva, F. (2020). An mHealth intervention for the treatment of patients with an eating disorder: A multicenter randomized controlled trial. International Journal of Eating Disorders, 53(7), 1120-1131. https://doi.org/10.1002/eat.23286
Anastasiadou, D., Folkvord, F., & Lupiañez-Villanueva, F. (2018). A systematic review of mHealth interventions for the support of eating disorders. European Eating Disorders Review: The Journal of the Eating Disorders Association, 26(5), 394-416. https://doi.org/10.1002/erv.2609
Backhaus, A., Agha, Z., Maglione, M. L., Repp, A., Ross, B., Zuest, D., … Thorp, S. R. (2012). Videoconferencing psychotherapy: A systematic review. Psychological Services, 9(2), 111-131. https://doi.org/10.1037/a0027924
Brazendale, K., Beets, M. W., Weaver, R. G., Pate, R. R., Turner-McGrievy, G. M., Kaczynski, A. T., … von Hippel, P. T. (2017). Understanding differences between summer vs. school obesogenic behaviors of children: The structured days hypothesis. International Journal of Behavioral Nutrition and Physical Activity, 14(1), 100. https://doi.org/10.1186/s12966-017-0555-2
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. The Lancet, 395(10227), 912-920. https://doi.org/10.1016/S0140-6736(20)30460-8
Brown, M., Robinson, L., Campione, G. C., Wuensch, K., Hildebrandt, T., & Micali, N. (2017). Intolerance of uncertainty in eating disorders: A systematic review and meta-analysis. European Eating Disorders Review, 25, 329-343. https://doi.org/10.1002/erv.2523
Fernández-Aranda, F., Casas, M., Claes, L., Bryan, D. C., Favaro, A., Granero, R., … Treasure, J. (2020). COVID-19 and implications for eating disorders. European Eating Disorders Review: The Journal of the Eating Disorders Association, 28(3), 239-245. https://doi.org/10.1002/erv.2738
Koutek, J., Kocourkova, J., & Dudova, I. (2016). Suicidal behavior and self-harm in girls with eating disorders. Neuropsychiatric Disease and Treatment, 12, 787-793. https://doi.org/10.2147/NDT.S103015
Loth, K., van den Berg, P., Eisenberg, M. E., & Neumark-Sztainer, D. (2008). Stressful life events and disordered eating behaviors: Findings from Project EAT. Journal of Adolescent Health, 43(5), 514-516. https://doi.org/10.1016/j.jadohealth.2008.03.007
Matthews, A., Peterson, C. M., Peugh, J., & Mitan, L. (2019). An intensive family-based treatment guided intervention for medically hospitalized youth with anorexia nervosa: Parental self-efficacy and weight-related outcomes. European Eating Disorders Review: The Journal of the Eating Disorders Association, 27(1), 67-75. https://doi.org/10.1002/erv.2632
Orgilés, M., Morales, A., Delvecchio, E., Mazzeschi, C., & Espada, J. (2020). Immediate psychological effects of the COVID-19 quarantine in youth from Italy and Spain. Retrieved from https://doi.org/10.31234/osf.io/qaz9w
Reger, M. A., Stanley, I. H., & Joiner, T. E. (2020). Suicide mortality and coronavirus disease 2019-A perfect storm? JAMA Psychiatry. https://doi.org/10.1001/jamapsychiatry.2020.1060. [Epub ahead of print].
Ruuska, J., Kaltiala-Heino, R., Rantanen, P., & Koivisto, A. M. (2005). Psychopathological distress predicts suicidal ideation and self-harm in Adolescent Eating Disorder outpatients. European Child & Adolescent Psychiatry, 14, 276-281. https://doi.org/10.1007/s00787-005-0473-8
Temorshuizen, J. D., Watson, H. J., Thornton, L. M., Borg, S., Flatt, R. E., MacDermod, C. M., … Bulik, C. M. (2020). Early impact of COVID-19 on individuals with eating disorders: A survey of ~1000 individuals in the United States and the Netherlands. Preprint. medRxiv. Retrieved from https://doi.org/10.1101/2020.05.28.20116301
Tiggemann, M., & Raven, M. (1998). Dimensions of control in bulimia and anorexia nervosa: Internal control, desire for control, or fear of losing self-control? Eating Disorders, 6(1), 65-71. https://doi.org/10.1080/10640269808249248
Touyz, S., Lacey, H., & Hay, P. (2020). Eating disorders in the time of COVID-19. Journal of Eating Disorders, 8, 19. https://doi.org/10.1186/s40337-020-00295-3
Walsh, O., & McNicholas, F. (2020). Assessment and management of anorexia nervosa during COVID-19. Irish Journal of Psychological Medicine, 1-8. https://doi.org/10.1017/ipm.2020.60. [Epub ahead of print].
Wang, G., Zhang, Y., Zhao, J., Zhang, J., & Jiang, F. (2020). Mitigate the effects of home confinement on children during the COVID-19 outbreak. The Lancet, 395(10228), 945-947. https://doi.org/10.1016/S0140-6736(20)30547-X