Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain.
Ciber Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain.
Eur Eat Disord Rev. 2020 Nov;28(6):855-863. doi: 10.1002/erv.2771. Epub 2020 Aug 20.
To assess the level of deterioration in functioning of ED patients during confinement, due to COVID-19, and examine potential contributing factors (coping strategies, anxiety-depressive symptomatology and personality traits).
A total of 74 ED patients in treatment before the COVID-19 outbreak, contributed to this study. Baseline pre-treatment evaluation included the SCL-90R, TCI-R, EDI-2 and Y-FAS 2.0 questionnaires for general psychopathology, personality and ED severity indexes. ED symptoms, coping strategies, socio-demographic data and COVID-19 concerns were collected by clinicians through a semi-structured telephone survey during lockdown.
A deterioration in ED symptoms and general psychopathology (anxiety and depression), during lockdown, was associated with low self-directedness. Higher ED symptomatology during confinement was associated with less-adaptive coping strategies to deal with lockdown situation leading to an increase in weight.
These specific vulnerability factors to further confinement or stressful situations may help design personalized preventive and therapeutic approaches.
评估 COVID-19 期间因隔离而导致 ED 患者功能恶化的程度，并探讨潜在的影响因素（应对策略、焦虑抑郁症状和人格特征）。
共有 74 名在 COVID-19 爆发前正在接受治疗的 ED 患者参与了这项研究。基线治疗前评估包括 SCL-90R、TCI-R、EDI-2 和 Y-FAS 2.0 问卷，用于评估一般心理病理、人格和 ED 严重程度指标。ED 症状、应对策略、社会人口学数据和 COVID-19 相关问题由临床医生通过隔离期间的半结构化电话调查收集。
ED 症状和一般心理病理（焦虑和抑郁）在隔离期间的恶化与自我导向性低有关。禁闭期间 ED 症状更严重与应对禁闭情况的适应性应对策略较少有关，这导致体重增加。
这些对进一步禁闭或应激情况的特定脆弱性因素可能有助于设计个性化的预防和治疗方法。
