Division of Psychology, Johns Hopkins All Children's Hospital, St. Petersburg, Florida, USA.
Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Int J Eat Disord. 2023 Jan;56(1):257-262. doi: 10.1002/eat.23788. Epub 2022 Jul 30.
We aimed to identify trends of patients with eating disorders (EDs) requiring hospitalization before and during the pandemic at a children's hospital in the southeastern United States.
A retrospective chart review was completed for 71 adolescents and young adults (ages 10-21 years; M = 14.61, SD = 2.121).
Results indicated a 188% increase in ED hospital admissions since the pandemic, with patients presenting with increased rates of comorbid mental health diagnoses (p = .009). During COVID-19, the development of temporary outpatient multidisciplinary discharge plans (i.e., "bridge plans") were utilized more often due to difficulties accessing the appropriate level of care (p = .039).
Results suggest a significant increase in youth requiring medical stabilization for EDs since the start of the COVID-19 pandemic (2.9 times more than prepandemic), as well as a need for greater advocacy to increase specialized mental health services along the full continuum of care.
This study brings awareness to the significant increase in patients needing medical stabilization secondary to restrictive EDs and increased rates of comorbid mental health diagnoses in this patient population since the onset of the COVID-19 pandemic. Patients during COVID-19 were less likely to directly transition to treatment likely secondary to the strain COVID-19 placed on mental health systems/treatment centers. Increased advocacy for specialized care for eating disorder patients.
我们旨在确定美国东南部一家儿童医院在大流行前后，因饮食失调（ED）住院的患者的趋势。
对 71 名青少年和年轻人（年龄 10-21 岁；M=14.61，SD=2.121）进行了回顾性图表审查。
结果表明，自大流行以来，ED 住院人数增加了 188%，伴有合并精神健康诊断的患者比例增加（p=0.009）。在 COVID-19 期间，由于难以获得适当水平的护理，更多地利用了临时门诊多学科出院计划（即“桥梁计划”）（p=0.039）。
结果表明，自 COVID-19 大流行开始以来，需要医疗稳定治疗的青少年 ED 显著增加（比大流行前增加了 2.9 倍），并且需要更多的宣传，以增加整个护理过程中的专门心理健康服务。
本研究提醒人们注意，自 COVID-19 大流行开始以来，因限制型 ED 而需要医疗稳定治疗的患者以及该患者群体中合并精神健康诊断的比率显著增加。在 COVID-19 期间，患者不太可能直接过渡到治疗，可能主要是因为 COVID-19 对心理健康系统/治疗中心造成了压力。增加对饮食失调患者的专门护理的宣传。
