Ioannidis Konstantinos, Hook Roxanne W, Wiedemann Anna, Bhatti Junaid, Czabanowska Katarzyna, Roman-Urrestarazu Andres, Grant Jon E, Goodyer Ian M, Fonagy Peter, Bullmore Edward T, Jones Peter B, Chamberlain Samuel R
Department of Psychiatry, University of Cambridge, UK; Cambridge and Peterborough NHS Foundation Trust, Cambridge, UK; Department of International Health, Care and Public Health Research Institute, Maastricht University, Maastricht, Netherlands.
Department of Psychiatry, University of Cambridge, UK.
Compr Psychiatry. 2022 May;115:152304. doi: 10.1016/j.comppsych.2022.152304. Epub 2022 Mar 12.
There is growing concern about how people with eating disorders are impacted by the widespread societal restructuring during the COVID-19 crisis.
We aimed to examine how factors relating to the impact of the pandemic associate with eating disorders and quantify this relationship while adjusting for concurrent and longitudinal parameters of risk.
We gathered demographic, behavioral and clinical data pre- and mid-pandemic as well as childhood trauma history from a longitudinal online survey of 489 adults (mean age 23.4 years) recruited from the Neuroscience in Psychiatry Network (NSPN). Using pre-pandemic (T1) and concurrent (T2) data we aimed to predict eating disorders at mid-pandemic (T2). We deployed hierarchical generalized logistic regression to ascertain the strength of longitudinal and concurrent associations.
Pre-pandemic eating disorder scores strongly associated with concurrent eating disorder (z = 5.93). More conflict at home mid-pandemic (z = 2.03), pre- (lower sensation seeking z = -2.58) and mid-pandemic (higher lack of perseverance z = 2.33) impulsivity traits also associated with mid-pandemic eating disorder.
Conflict at home mid-pandemic and specific aspects of impulsiveness significantly associated with concurrent eating disorder when adjusted for pre-pandemic eating disorder symptoms, baseline demographics, behavioral traits, history of traumatic experiences and concurrent psychopathology. These results provide insight into the struggles of those suffering with eating disorders during the COVID-19 pandemic and highlight the importance of impulsiveness traits and the immediate family environment in their experience of illness during the pandemic.
人们越来越关注饮食失调者在新冠疫情危机期间社会普遍重构中受到的影响。
我们旨在研究与疫情影响相关的因素如何与饮食失调相关联，并在调整风险的并发和纵向参数的同时量化这种关系。
我们从精神病学网络神经科学（NSPN）招募的489名成年人（平均年龄23.4岁）的纵向在线调查中收集了疫情前和疫情中期的人口统计学、行为和临床数据以及童年创伤史。利用疫情前（T1）和同期（T2）的数据，我们旨在预测疫情中期（T2）的饮食失调情况。我们采用分层广义逻辑回归来确定纵向和同期关联的强度。
疫情前的饮食失调得分与同期饮食失调密切相关（z = 5.93）。疫情中期家庭冲突更多（z = 2.03），疫情前（较低的寻求刺激得分z = -2.58）和疫情中期（较高的缺乏毅力得分z = 2.33）的冲动特质也与疫情中期的饮食失调有关。
在调整疫情前的饮食失调症状、基线人口统计学、行为特征、创伤经历史和同期精神病理学后，疫情中期的家庭冲突和冲动性的特定方面与同期饮食失调显著相关。这些结果为了解新冠疫情期间饮食失调者的挣扎提供了见解，并突出了冲动特质和直系家庭环境在他们疫情期间患病经历中的重要性。
