Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain.
CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Barcelona, Spain.
Eur Eat Disord Rev. 2020 Nov;28(6):871-883. doi: 10.1002/erv.2784. Epub 2020 Sep 20.
Confinement during the COVID-19 pandemic is expected to have a serious and complex impact on the mental health of patients with an eating disorder (ED) and of patients with obesity. The present manuscript has the following aims: (1) to analyse the psychometric properties of the COVID Isolation Eating Scale (CIES), (2) to explore changes that occurred due to confinement in eating symptomatology; and (3) to explore the general acceptation of the use of telemedicine during confinement. The sample comprised 121 participants (87 ED patients and 34 patients with obesity) recruited from six different centres. Confirmatory Factor Analyses (CFA) tested the rational-theoretical structure of the CIES. Adequate goodness-of-fit was obtained for the confirmatory factor analysis, and Cronbach alpha values ranged from good to excellent. Regarding the effects of confinement, positive and negative impacts of the confinement depends of the eating disorder subtype. Patients with anorexia nervosa (AN) and with obesity endorsed a positive response to treatment during confinement, no significant changes were found in bulimia nervosa (BN) patients, whereas Other Specified Feeding or Eating Disorder (OSFED) patients endorsed an increase in eating symptomatology and in psychopathology. Furthermore, AN patients expressed the greatest dissatisfaction and accommodation difficulty with remote therapy when compared with the previously provided face-to-face therapy. The present study provides empirical evidence on the psychometric robustness of the CIES tool and shows that a negative confinement impact was associated with ED subtype, whereas OSFED patients showed the highest impairment in eating symptomatology and in psychopathology.
在 COVID-19 大流行期间，禁闭预计会对饮食障碍（ED）患者和肥胖患者的心理健康产生严重而复杂的影响。本文有以下目的：（1）分析 COVID 隔离进食量表（CIES）的心理测量特性；（2）探讨禁闭对进食症状的变化；（3）探索禁闭期间远程医疗使用的普遍接受程度。样本包括从六个不同中心招募的 121 名参与者（87 名 ED 患者和 34 名肥胖患者）。验证性因素分析（CFA）检验了 CIES 的合理理论结构。验证性因素分析获得了足够的拟合优度，克朗巴赫α值范围从良好到优秀。关于禁闭的影响，禁闭的积极和消极影响取决于饮食障碍的亚型。神经性厌食症（AN）和肥胖患者对禁闭期间的治疗表示积极反应，神经性贪食症（BN）患者没有发现显著变化，而其他特定进食障碍或饮食障碍（OSFED）患者则表示进食症状和精神病理学的增加。此外，与以前提供的面对面治疗相比，AN 患者对远程治疗表示最大的不满和适应困难。本研究为 CIES 工具的心理测量稳健性提供了经验证据，并表明负面禁闭影响与 ED 亚型有关，而 OSFED 患者在进食症状和精神病理学方面表现出最高的损害。
