Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain.
CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain.
Nutrients. 2021 Dec 27;14(1):100. doi: 10.3390/nu14010100.
The COVID-19 lockdown has had a significant impact on mental health. Patients with eating disorders (ED) have been particularly vulnerable.
(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.
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).
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.
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.
COVID-19 封锁对心理健康产生了重大影响。患有饮食障碍 (ED) 的患者尤其脆弱。
(1) 探讨来自欧洲和亚洲不同国家的 ED 患者在封锁期间与饮食相关的症状和一般精神病理学的变化；(2) 评估与诊断 ED 亚型、年龄和地理位置相关的差异。
该样本包括 829 名根据 DSM-5 标准在欧洲和亚洲专门的 ED 单位诊断为 ED 的参与者。参与者使用 COVID-19 隔离量表 (CIES) 进行评估。
与其他 ED 亚型相比，暴食障碍 (BED) 患者在封锁期间体重和 ED 症状受到的影响最大，而其他特定的进食和饮食障碍 (OFSED) 患者的一般心理功能恶化程度大于其他 ED 亚型的患者。最后，亚洲人和年轻人似乎更有韧性。
COVID-19 封锁期间 ED 患者的精神病理学变化因文化背景以及年龄和 ED 诊断的个体差异而异。临床服务可能需要针对最脆弱的患者制定预防措施并调整治疗方法。
