Nutrients (Dec 2021)
Impact of COVID-19 Lockdown in Eating Disorders: A Multicentre Collaborative International Study
- Isabel Baenas,
- Mikel Etxandi,
- Lucero Munguía,
- Roser Granero,
- Gemma Mestre-Bach,
- Isabel Sánchez,
- Emilio Ortega,
- Alba Andreu,
- Violeta L. Moize,
- Jose-Manuel Fernández-Real,
- Francisco J. Tinahones,
- Carlos Diéguez,
- Gema Frühbeck,
- Daniel Le Grange,
- Kate Tchanturia,
- Andreas Karwautz,
- Michael Zeiler,
- Hartmut Imgart,
- Annika Zanko,
- Angela Favaro,
- Laurence Claes,
- Ia Shekriladze,
- Eduardo Serrano-Troncoso,
- Raquel Cecilia-Costa,
- Teresa Rangil,
- Maria Eulalia Loran-Meler,
- José Soriano-Pacheco,
- Mar Carceller-Sindreu,
- Rosa Navarrete,
- Meritxell Lozano,
- Raquel Linares,
- Carlota Gudiol,
- Jordi Carratala,
- Maria T. Plana,
- Montserrat Graell,
- David González-Parra,
- José A. Gómez-del Barrio,
- Ana R. Sepúlveda,
- Jéssica Sánchez-González,
- Paulo P. P. Machado,
- Anders Håkansson,
- Ferenc Túry,
- Bea Pászthy,
- Daniel Stein,
- Hana Papezová,
- Jana Gricova,
- Brigita Bax,
- Mikhail F. Borisenkov,
- Sergey V. Popov,
- Denis G. Gubin,
- Ivan M. Petrov,
- Dilara Isakova,
- Svetlana V. Mustafina,
- Youl-Ri Kim,
- Michiko Nakazato,
- Nathalie Godart,
- Robert van Voren,
- Tetiana Ilnytska,
- Jue Chen,
- Katie Rowlands,
- Ulrich Voderholzer,
- Alessio M. Monteleone,
- Janet Treasure,
- Susana Jiménez-Murcia,
- Fernando Fernández-Aranda
Affiliations
- Isabel Baenas
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain
- Mikel Etxandi
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain
- Lucero Munguía
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain
- Roser Granero
- CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain
- Gemma Mestre-Bach
- Facultad de Ciencias de la Salud, Universidad Internacional de La Rioja, 26006 La Rioja, Spain
- Isabel Sánchez
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain
- Emilio Ortega
- Endocrinology and Nutrition Division, Hospital Clinic and Institut d’Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), 08036 Barcelona, Spain
- Alba Andreu
- Endocrinology and Nutrition Division, Hospital Clinic and Institut d’Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), 08036 Barcelona, Spain
- Violeta L. Moize
- Endocrinology and Nutrition Division, Hospital Clinic and Institut d’Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), 08036 Barcelona, Spain
- Jose-Manuel Fernández-Real
- CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain
- Francisco J. Tinahones
- CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain
- Carlos Diéguez
- CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain
- Gema Frühbeck
- CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain
- Daniel Le Grange
- Eating Disorders Program, Department of Psychiatry, University of California, San Francisco, CA 94143, USA
- Kate Tchanturia
- Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London WC2R 2LS, UK
- Andreas Karwautz
- Eating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, Austria
- Michael Zeiler
- Eating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, Austria
- Hartmut Imgart
- Parkland Klinik, 34537 Bad Wildungen, Germany
- Annika Zanko
- Parkland Klinik, 34537 Bad Wildungen, Germany
- Angela Favaro
- Department of Neuroscience, University of Padua and Neuroscience Center (PNC), 35122 Padua, Italy
- Laurence Claes
- Clinical Psychology, Faculty of Psychology and Educational Sciences, KU Leuven, 3000 Leuven, Belgium
- Ia Shekriladze
- D. Uznadze Institute of Psychology, Ilia State University, 0162 Tbilisi, Georgia
- Eduardo Serrano-Troncoso
- Child and Adolescent Psychiatry and Psychology Department, Hospital Sant Joan de Déu- Institut de Recerca Sant Joan de Déu, 08950 Esplugues de Llobregat, Spain
- Raquel Cecilia-Costa
- Child and Adolescent Psychiatry and Psychology Department, Hospital Sant Joan de Déu- Institut de Recerca Sant Joan de Déu, 08950 Esplugues de Llobregat, Spain
- Teresa Rangil
- Department of Psychiatry, Germans Trias i Pujol University Hospital-IGTP, 08916 Barcelona, Spain
- Maria Eulalia Loran-Meler
- Department of Psychiatry, Germans Trias i Pujol University Hospital-IGTP, 08916 Barcelona, Spain
- José Soriano-Pacheco
- Department of Psychiatry, Hospital de la Santa Creu i Sant Pau-Institut d’Investigació Biomèdica Sant Pau (IIB-Sant Pau)-Universitat Autònoma de Barcelona (UAB), 08041 Barcelona, Spain
- Mar Carceller-Sindreu
- Department of Psychiatry, Hospital de la Santa Creu i Sant Pau-Institut d’Investigació Biomèdica Sant Pau (IIB-Sant Pau)-Universitat Autònoma de Barcelona (UAB), 08041 Barcelona, Spain
- Rosa Navarrete
- Centro de Diagnóstico de Enfermedades Moleculares, Universidad Autónoma de Madrid, 28049 Madrid, Spain
- Meritxell Lozano
- FITA Foundation, 08006 Barcelona, Spain
- Raquel Linares
- FITA Foundation, 08006 Barcelona, Spain
- Carlota Gudiol
- Infectious Diseases Department, Hospital Universitari Bellvitge-Institut de Investigació Biomedica de Bellvitge (IDIBELL)-Institut Català d’Oncologia-Hospitalet, 08908 Barcelona, Spain
- Jordi Carratala
- Infectious Diseases Department, Hospital Universitari Bellvitge-Institut de Investigació Biomedica de Bellvitge (IDIBELL)-Institut Català d’Oncologia-Hospitalet, 08908 Barcelona, Spain
- Maria T. Plana
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), ISCIII, 28029 Madrid, Spain
- Montserrat Graell
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), ISCIII, 28029 Madrid, Spain
- David González-Parra
- Psychiatry Service, University of Salamanca Healthcare Complex (USHC)-Institute of Biomedicine of Salamanca (IBSAL)-University of Salamanca, 37008 Salamanca, Spain
- José A. Gómez-del Barrio
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), ISCIII, 28029 Madrid, Spain
- Ana R. Sepúlveda
- Facultad de Psicología, Universidad Autónoma de Madrid, 28049 Madrid, Spain
- Jéssica Sánchez-González
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain
- Paulo P. P. Machado
- Psychotherapy and Psychopathology Research Unit—Psychology Research Center, School of Psychology, University of Minho, 4710-057 Braga, Portugal
- Anders Håkansson
- Department of Clinical Sciences Lund, Psychiatry, Faculty of Medicine, Lund University, 221 00 Lund, Sweden
- Ferenc Túry
- Institute of Behavioral Sciences, Semmelweis University, 1085 Budapest, Hungary
- Bea Pászthy
- 1st Department of Paediatrics, Semmelweis University, 1085 Budapest, Hungary
- Daniel Stein
- Safra Children’s Hospital, Chaim Sheba Medical Center, Tel Hashomer 52 621, Israel
- Hana Papezová
- Department of Psychiatry, 1st Medical Faculty of Charles University, 11000 Prague, Czech Republic
- Jana Gricova
- Department of Psychiatry, 1st Medical Faculty of Charles University, 11000 Prague, Czech Republic
- Brigita Bax
- Eating Disorders Center, Vilnius University Vilnius, 01513 Vilnius, Lithuania
- Mikhail F. Borisenkov
- Institute of Physiology of Komi Science Centre of the Ural Branch of the Russian Academy of Sciences, 167982 Syktyvkar, Russia
- Sergey V. Popov
- Institute of Physiology of Komi Science Centre of the Ural Branch of the Russian Academy of Sciences, 167982 Syktyvkar, Russia
- Denis G. Gubin
- Laboratory for Chronobiology and Chronomedicine, Department of Biology, Tyumen State Medical University, 625023 Tyumen, Russia
- Ivan M. Petrov
- Department of Biological & Medical Physics UNESCO, Tyumen State Medical University, 625023 Tyumen, Russia
- Dilara Isakova
- Department of Therapy and Endocrinology, Tyumen State Medical University, 625023 Tyumen, Russia
- Svetlana V. Mustafina
- Institute of Internal and Preventive Medicine–Branch of the Institute of Cytology and Genetics, Siberian Branch of Russian Academy of Sciences, 630090 Novosibirsk, Russia
- Youl-Ri Kim
- Department of Psychiatry, Seoul Paik Hospital-Inje University, Seoul 01757, Korea
- Michiko Nakazato
- Department of Psychiatry, School of Medicine, International University of Health and Welfare, Narita 286-8686, Japan
- Nathalie Godart
- CESP, Université Paris-Saclay, UVSQ, INSERM U 1178, 94805 Villejuif, France
- Robert van Voren
- Department of Political Science, Vytautas Magnus University, 44248 Kaunas, Lithuania
- Tetiana Ilnytska
- Institute of Psychiatry of Taras Shevchenko, National University of Kyiv, 01033 Kyiv, Ukraine
- Jue Chen
- Department of Clinical Psychology, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, 280, Shanghai 200030, China
- Katie Rowlands
- Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London WC2R 2LS, UK
- Ulrich Voderholzer
- Schön Klinik Roseneck, 83209 Prien am Chiemsee, Germany
- Alessio M. Monteleone
- Dipartimento di Salute Mentale e Fisica e Medicina Preventiva, Universitá degli Studi della Campania “Luigi Vanvitelli”, 80138 Naples, Italy
- Janet Treasure
- Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London WC2R 2LS, UK
- Susana Jiménez-Murcia
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain
- Fernando Fernández-Aranda
- Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain
- DOI
- https://doi.org/10.3390/nu14010100
- Journal volume & issue
-
Vol. 14,
no. 1
p. 100
Abstract
Background. The COVID-19 lockdown has had a significant impact on mental health. Patients with eating disorders (ED) have been particularly vulnerable. Aims. (1) To explore changes in eating-related symptoms and general psychopathology during lockdown in patients with an ED from various European and Asian countries; and (2) to assess differences related to diagnostic ED subtypes, age, and geography. Methods. The sample comprised 829 participants, diagnosed with an ED according to DSM-5 criteria from specialized ED units in Europe and Asia. Participants were assessed using the COVID-19 Isolation Scale (CIES). Results. Patients with binge eating disorder (BED) experienced the highest impact on weight and ED symptoms in comparison with other ED subtypes during lockdown, whereas individuals with other specified feeding and eating disorders (OFSED) had greater deterioration in general psychological functioning than subjects with other ED subtypes. Finally, Asian and younger individuals appeared to be more resilient. Conclusions. The psychopathological changes in ED patients during the COVID-19 lockdown varied by cultural context and individual variation in age and ED diagnosis. Clinical services may need to target preventive measures and adapt therapeutic approaches for the most vulnerable patients.
Keywords
- eating disorders
- COVID-19 lockdown
- COVID-19 Isolation Eating Scale (CIES)
- eating symptoms
- psychological impact
