COVID-19 pandemic impact among adolescents with eating disorders referred to Italian psychiatric unit.
COVID-19
eating disorders
mental health
pandemic lockdown
psychiatry
Journal
Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc
ISSN: 1744-6171
Titre abrégé: J Child Adolesc Psychiatr Nurs
Pays: England
ID NLM: 9431738
Informations de publication
Date de publication:
22 Sep 2023
22 Sep 2023
Historique:
revised:
25
08
2023
received:
09
02
2023
accepted:
14
09
2023
medline:
22
9
2023
pubmed:
22
9
2023
entrez:
22
9
2023
Statut:
aheadofprint
Résumé
The COVID-19 pandemic has triggered or exacerbated eating disorders (EDs), especially in adolescents. This study examined the prevalence of admissions of patients with EDs at the Child and Adolescent Psychiatry Unit from the pre-COVID-19 pandemic to March 2023 and explored the differences in dimensions of ED's symptomatology according to the year of access. We included 174 children and adolescents, 94.3% females and 5.7% males, with a diagnosis of ED (M EDs' hospitalization prevalence was higher in the years 2020 and 2021 compared to pre-COVID-19 and the year 2022. Considering the ED psychopathology (EDI-3), findings showed a higher score in the dimension of the push to thinness, body dissatisfaction, asceticism, and fear of maturity in the year 2021 compared to pre-pandemic. Regarding the discomfort related to the image of one's own body (BUT), results showed an increase in the global severity index in the year 2022 compared to pre-pandemic and in weight phobia in the year 2021 compared to the year 2020. Concerning the internalizing symptoms (YSR), a tendency was found for withdrawal/depression, with higher levels in the year 2022 compared to the year 2020. Our study highlighted the increase of different types of EDs symptomatology related to concerns about weight, especially 2 and 3 years after the outbreak of the pandemic, on which the literature is still scarce, especially in the Italian context.
Types de publication
Journal Article
Langues
eng
Informations de copyright
© 2023 The Authors. Journal of Child and Adolescent Psychiatric Nursing published by Wiley Periodicals LLC.
Références
Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA School-Age Forms and Profiles. University of Vermont Research Center for Children, Youth, & Families.
Baenas, I., Etxandi, M., Munguía, L., Granero, R., Mestre-Bach, G., Sánchez, I., Ortega, E., Andreu, A., Moize, V. L., Fernández-Real, J. M., Tinahones, F. J., Diéguez, C., Frühbeck, G., Le Grange, D., Tchanturia, K., Karwautz, A., Zeiler, M., Imgart, H., Zanko, A., … Fernández-Aranda, F. (2021). Impact of COVID-19 lockdown in eating disorders: A multicentre collaborative international study. Nutrients, 14(1), 100. https://doi.org/10.3390/nu14010100
Barlow, D. H., (Ed.). (2021). Clinical handbook of psychological disorders: A step-by-step treatment manual. Guilford publications.
Carvalho Aguiar Melo, M., & de Sousa Soares, D. (2020). Impact of social distancing on mental health during the COVID-19 pandemic: An urgent discussion. International Journal of Social Psychiatry, 66(6), 625-626. https://doi.org/10.1177/0020764020927047
Colleluori, G., Goria, I., Zillanti, C., Marucci, S., & Dalla Ragione, L. (2021). Eating disorders during COVID-19 pandemic: The experience of Italian healthcare providers. Eating And Weight Disorders-Studies On Anorexia, Bulimia And Obesity, 26(8), 2787-2793. https://doi.org/10.1007/s40519-021-01116-5
Cooper, M., Reilly, E. E., Siegel, J. A., Coniglio, K., Sadeh-Sharvit, S., Pisetsky, E. M., & Anderson, L. M. (2022). Eating disorders during the COVID-19 pandemic and quarantine: An overview of risks and recommendations for treatment and early intervention. Eating Disorders, 30(1), 54-76. https://doi.org/10.1080/10640266.2020.1790271
Cuzzolaro, M., Vetrone, G., Marano, G., & Garfinkel, P. E. (2006). The Body Uneasiness Test (BUT): Development and validation of a new body image assessment scale. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 11(1), 1-13. https://doi.org/10.1007/BF03327738
Devoe, D., Han, A., Anderson, A., Katzman, D. K., Patten, S. B., Soumbasis, A., & Dimitropoulos, G. (2022). The impact of the COVID-19 pandemic on eating disorders: A systematic review. International Journal of Eating Disorders, 56(1), 5-25. https://doi.org/10.1002/eat.23704
Feldman, M. A., King, C. K., Vitale, S., Denhardt, B., Stroup, S., Reese, J., & Stromberg, S. (2023). The impact of COVID-19 on adolescents with eating disorders: Increased need for medical stabilization and decreased access to care. The International Journal of Eating Disorders, 56, 257-262. https://doi.org/10.1002/eat.23788
Fernández-Aranda, F., Casas, M., Claes, L., Bryan, D. C., Favaro, A., Granero, R., Gudiol, C., Jiménez-Murcia, S., Karwautz, A., Le Grange, D., Menchón, J. M., Tchanturia, K., & Treasure, J. (2020). COVID-19 and implications for eating disorders. European Eating Disorders Review, 28(3), 239-245. https://doi.org/10.1002/erv.2738
Fiorillo, A., Sampogna, G., Giallonardo, V., Del Vecchio, V., Luciano, M., Albert, U., Carmassi, C., Carrà, G., Cirulli, F., Dell'Osso, B., Nanni, M. G., Pompili, M., Sani, G., Tortorella, A., & Volpe, U. (2020). Effects of the lockdown on the mental health of the general population during the COVID-19 pandemic in Italy: Results from the COMET collaborative network. European Psychiatry, 63(1), e87. https://doi.org/10.1192/j.eurpsy.2020.89
Fisher, A. D., Ristori, J., Castellini, G., Sensi, C., Cassioli, E., Prunas, A., Mosconi, M., Vitelli, R., Dèttore, D., Ricca, V., & Maggi, M. (2017). Psychological characteristics of Italian gender dysphoric adolescents: A case-control study. Journal of Endocrinological Investigation, 40(9), 953-965. https://doi.org/10.1007/s40618-017-0647-5
Flaudias, V., Iceta, S., Zerhouni, O., Rodgers, R. F., Billieux, J., Llorca, P. M., Boudesseul, J., de Chazeron, I., Romo, L., Maurage, P., Samalin, L., Bègue, L., Naassila, M., Brousse, G., & Guillaume, S. (2020). COVID-19 pandemic lockdown and problematic eating behaviors in a student population. Journal of Behavioral Addictions, 9(3), 826-835. https://doi.org/10.1556/2006.2020.00053
Garner, D. M. (2004). Eating disorder inventory-3 (EDI-3), Professional manual. Psychological Assessment Resources.
Giacomini, G., Elhadidy, H. S. M. A., Paladini, G., Onorati, R., Sciurpa, E., Gianino, M. M., & Borraccino, A. (2022). Eating disorders in hospitalized school-aged children and adolescents during the COVID-19 pandemic: A cross-sectional study of discharge records in developmental ages in Italy. International Journal of Environmental Research and Public Health, 19(20), 12988. https://doi.org/10.3390/ijerph192012988
Giel, K. E., Schurr, M., Zipfel, S., Junne, F., & Schag, K. (2021). Eating behaviour and symptom trajectories in patients with a history of binge eating disorder during COVID-19 pandemic. European Eating Disorders Review, 29(4), 657-662. https://doi.org/10.1002/erv.2837
Haghshomar, M., Shobeiri, P., Brand, S., Rossell, S. L., Akhavan Malayeri, A., & Rezaei, N. (2022). Changes of symptoms of eating disorders (ED) and their related psychological health issues during the COVID-19 pandemic: A systematic review and meta-analysis. Journal of Eating Disorders, 10(1), 51. https://doi.org/10.1186/s40337-022-00550-9
Holmes, E. A., O'Connor, R. C., Perry, V. H., Tracey, I., Wessely, S., Arseneault, L., Ballard, C., Christensen, H., Cohen Silver, R., Everall, I., Ford, T., John, A., Kabir, T., King, K., Madan, I., Michie, S., Przybylski, A. K., Shafran, R., Sweeney, A., … Bullmore, E. (2020). Multidisciplinary research priorities for the COVID-19 pandemic: A call for action for mental health science. The Lancet Psychiatry, 7(6), 547-560. https://doi.org/10.1016/S2215-0366(20)30168-1
Hoyt, L. T., Cohen, A. K., Dull, B., Maker Castro, E., & Yazdani, N. (2021). “Constant stress has become the new normal”: Stress and anxiety inequalities among US college students in the time of COVID-19. Journal of Adolescent Health, 68(2), 270-276. https://doi.org/10.1016/j.jadohealth.2020.10.030
Iob, E., Frank, P., Steptoe, A., & Fancourt, D. (2020). Levels of severity of depressive symptoms among at-risk groups in the UK during the COVID-19 pandemic. JAMA Network Open, 3(10), e2026064. https://doi.org/10.1001/jamanetworkopen.2020.26064
Kasiak, P. S., Adamczyk, N., Jodczyk, A. M., Kaproń, A., Lisowska, A., Mamcarz, A., & Śliż, D. (2022). COVID-19 pandemic consequences among individuals with eating disorders on a clinical sample in Poland-A cross-sectional study. International Journal of Environmental Research and Public Health, 19(14), 8484. https://doi.org/10.3390/ijerph19148484
Lin, J. A., Hartman-Munick, S. M., Kells, M. R., Milliren, C. E., Slater, W. A., Woods, E. R., Forman, S. F., & Richmond, T. K. (2021). The impact of the COVID-19 pandemic on the number of adolescents/young adults seeking eating disorder-related care. Journal of Adolescent Health, 69(4), 660-663. https://doi.org/10.1016/j.jadohealth.2021.05.019
McCombie, C., Austin, A., Dalton, B., Lawrence, V., & Schmidt, U. (2020). “Now it's just old habits and Misery”-Understanding the impact of the Covid-19 pandemic on people with current or life-time eating disorders: A qualitative study. Frontiers in Psychiatry, 11, 589225. https://doi.org/10.3389/fpsyt.2020.589225
Meda, N., Pardini, S., Slongo, I., Bodini, L., Zordan, M. A., Rigobello, P., Visioli, F., & Novara, C. (2021). Students' mental health problems before, during, and after COVID-19 lockdown in Italy. Journal of Psychiatric Research, 134, 69-77. https://doi.org/10.1016/j.jpsychires.2020.12.045
Meier, K., van Hoeken, D., & Hoek, H. W. (2022). Review of the unprecedented impact of the COVID-19 pandemic on the occurrence of eating disorders. Current Opinion in Psychiatry, 35(6), 353-361. https://doi.org/10.1097/YCO.0000000000000815
Miniati, M., Marzetti, F., Palagini, L., Marazziti, D., Orrù, G., Conversano, C., & Gemignani, A. (2021). Eating disorders spectrum during the COVID pandemic: A systematic review. Frontiers in Psychology, 12, 663376. https://doi.org/10.3389/fpsyg.2021.663376
Monteleone, A. M., Cascino, G., Marciello, F., Abbate-Daga, G., Baiano, M., Balestrieri, M., Barone, E., Bertelli, S., Carpiniello, B., Castellini, G., Corrivetti, G., De Giorgi, S., Favaro, A., Gramaglia, C., Marzola, E., Meneguzzo, P., Monaco, F., Oriani, M. G., Pinna, F., … Monteleone, P. (2021). Risk and resilience factors for specific and general psychopathology worsening in people with eating disorders during COVID-19 pandemic: A retrospective Italian multicentre study. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 26(8), 2443-2452. https://doi.org/10.1007/s40519-020-01097-x
Nisticò, V., Bertelli, S., Tedesco, R., Anselmetti, S., Priori, A., Gambini, O., & Demartini, B. (2021). The psychological impact of COVID-19-related lockdown measures among a sample of Italian patients with eating disorders: A preliminary longitudinal study. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 26(8), 2771-2777. https://doi.org/10.1007/s40519-021-01137-0
Otto, A. K., Jary, J. M., Sturza, J., Miller, C. A., Prohaska, N., Bravender, T., & Van Huysse, J. (2021). Medical admissions among adolescents with eating disorders during the COVID-19 pandemic. Pediatrics, 148(4), e2021052201. https://doi.org/10.1542/peds.2021-052201
Pierce, M., Hope, H., Ford, T., Hatch, S., Hotopf, M., John, A., Kontopantelis, E., Webb, R., Wessely, S., McManus, S., & Abel, K. M. (2020). Mental health before and during the COVID-19 pandemic: A longitudinal probability sample survey of the UK population. The Lancet Psychiatry, 7(10), 883-892. https://doi.org/10.1016/S2215-0366(20)30308-4
Reed, J., & Ort, K. (2022). The rise of eating disorders during COVID-19 and the impact on treatment. Journal of the American Academy of Child & Adolescent Psychiatry, 61(3), 349-350. https://doi.org/10.1016/j.appet.2020.105062
Robertson, M., Duffy, F., Newman, E., Prieto Bravo, C., Ates, H. H., & Sharpe, H. (2021). Exploring changes in body image, eating and exercise during the COVID-19 lockdown: A UK survey. Appetite, 159, 105062. https://doi.org/10.1016/j.appet.2020.105062
Rodgers, R. F., Lombardo, C., Cerolini, S., Franko, D. L., Omori, M., Fuller-Tyszkiewicz, M., Linardon, J., Courtet, P., & Guillaume, S. (2020). The impact of the COVID-19 pandemic on eating disorder risk and symptoms. International Journal of Eating Disorders, 53(7), 1166-1170. https://doi.org/10.1002/eat.23318
Rogers, A. A., Ha, T., & Ockey, S. (2021). Adolescents' perceived socio-emotional impact of COVID-19 and implications for mental health: Results from a US-based mixed-methods study. Journal of Adolescent Health, 68(1), 43-52. https://doi.org/10.1016/j.jadohealth.2020.09.039
Schleg, S., Maier, J., Meule, A., & Voderholzer, U. (2020). Eating disorders in times of the COVID-19 pandemic-Results from an online survey of patients with anorexia nervosa. International Journal of Eating Disorders, 53(11), 1791-1800. https://doi.org/10.1002/eat.23374
Spettigue, W., Obeid, N., Erbach, M., Feder, S., Finner, N., Harrison, M. E., Isserlin, L., Robinson, A., & Norris, M. L. (2021). The impact of COVID-19 on adolescents with eating disorders: A cohort study. Journal of Eating Disorders, 9(1), 65. https://doi.org/10.1186/s40337-021-00419-3
Spigel, R., Lin, J. A., Milliren, C. E., Freizinger, M., Vitagliano, J. A., Woods, E. R., Forman, S. F., & Richmond, T. K. (2021). Access to care and worsening eating disorder symptomatology in youth during the COVID-19 pandemic. Journal of Eating Disorders, 9(1), 69. https://doi.org/10.1186/s40337-021-00421-9
Thomas, K. S., Williams, M. O., & Vanderwert, R. E. (2021). Disordered eating and internalizing symptoms in preadolescence. Brain and Behavior, 11(1), e01904. https://doi.org/10.1002/brb3.1904
Torales, J., O'Higgins, M., Castaldelli-Maia, J. M., & Ventriglio, A. (2020). The outbreak of COVID-19 coronavirus and its impact on global mental health. International Journal of Social Psychiatry, 66(4), 317-320. https://doi.org/10.1177/0020764020915212
Toulany, A., Kurdyak, P., Guttmann, A., Stukel, T. A., Fu, L., Strauss, R., Fiksenbaum, L., & Saunders, N. R. (2022). Acute care visits for eating disorders among children and adolescents after the onset of the COVID-19 pandemic. Journal of Adolescent Health, 70(1), 42-47. https://doi.org/10.1016/j.jadohealth.2021.09.025
Touyz, S., Lacey, H., & Hay, P. (2020). Eating disorders in the time of COVID-19. Journal of Eating Disorders, 8(1), 19. https://doi.org/10.1002/eat.23279
Verhulst, F. C., Van der Ende, J., & Koot, H. M. (1996). Handleiding voor de CBCL/4-18: Dutch Version. [Manual for the CBCL/4-18: Dutch Version]. Rotterdam: Afdeling Kinder- en Jeugdpsychiatrie, Sophia Kinderziekenhuis/Erasmus Universiteit.
Weissman, R. S., Bauer, S., & Thomas, J. J. (2020). Access to evidence-based care for eating disorders during the COVID-19 crisis. International Journal of Eating Disorders, 53(5), 639-646. https://doi.org/10.1002/eat.23279
World Health Organization. (2019). WHO global report on traditional and complementary medicine 2019. World Health Organization.
Xiong, J., Lipsitz, O., Nasri, F., Lui, L. M. W., Gill, H., Phan, L., Chen-Li, D., Iacobucci, M., Ho, R., Majeed, A., & McIntyre, R. S. (2020). Impact of COVID-19 pandemic on mental health in the general population: A systematic review. Journal of Affective Disorders, 277, 55-64. https://doi.org/10.1016/j.jad.2020.08.001
Yaffa, S., Adi, E. L., Itai, P., Marit, J. M., Doron, G., & Daniel, S. (2021). Treatment of eating disorders in adolescents during the COVID-19 pandemic: A case series. Journal of Eating Disorders, 9(1), 17. https://doi.org/10.1186/s40337-021-00374-z
Zipfel, S., Schmidt, U., & Giel, K. E. (2022). The hidden burden of eating disorders during the COVID-19 pandemic. The Lancet Psychiatry, 9(1), 9-11. https://doi.org/10.1016/S2215-0366(21)00435-1