Impact of COVID-19 Lockdown in Eating Disorders: A Multicentre Collaborative International Study
Por:
Baenas, I, Etxandi, M, Munguia, L, Granero, R, Mestre-Bach, G, Sanchez, I, Ortega, E, Andreu, A, Moize, VL, Fernandez-Real, JM, Tinahones, FJ, Dieguez, C, Fruhbeck, G, Le Grange, D, Tchanturia, K, Karwautz, A, Zeiler, M, Imgart, H, Zanko, A, Favaro, A, Claes, L, Shekriladze, I, Serrano-Troncoso, E, Cecilia-Costa, R, Rangil, T, Loran-Meler, ME, Soriano-Pacheco, J, Carceller-Sindreu, M, Navarrete, R, Lozano, M, Linares, R, Gudiol, C, Carratala, J, Plana, MT, Graell, M, Gonzalez-Parra, D, Gomez-del Barrio, JA, Sepulveda, AR, Sanchez-Gonzalez, J, Machado, PPP, Hakansson, A, Tury, F, Paszthy, B, Stein, D, Papezova, H, Gricova, J, Bax, B, Borisenkov, MF, Popov, SV, Gubin, DG, Petrov, IM, Isakova, D, Mustafina, SV, Kim, YR, Nakazato, M, Godart, N, van Voren, R, Ilnytska, T, Chen, J, Rowlands, K, Voderholzer, U, Monteleone, AM, Treasure, J, Jimenez-Murcia, S, Fernandez-Aranda, F
Publicada:
1 ene 2022
Resumen:
Background. The COVID-19 lockdown has had a significant impact on mental health. Patients with eating disorders (ED) have been particularly vulnerable. Aims. (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. Methods. 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). Results. 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. Conclusions. 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.
Filiaciones:
Baenas, I:
Bellvitge Univ Hosp, Dept Psychiat, IDIBELL, Barcelona 08907, Spain
Inst Salud Carlos III, CIBER Fisiopatol Obes & Nutr CIBERobn, Barcelona 28029, Spain
Bellvitge Biomed Res Inst IDIBELL, Neurosci Programme, Psychoneurobiol Eating & Addict Behav Grp, Barcelona 08908, Spain
Etxandi, M:
Bellvitge Univ Hosp, Dept Psychiat, IDIBELL, Barcelona 08907, Spain
Munguia, L:
Bellvitge Univ Hosp, Dept Psychiat, IDIBELL, Barcelona 08907, Spain
Inst Salud Carlos III, CIBER Fisiopatol Obes & Nutr CIBERobn, Barcelona 28029, Spain
Bellvitge Biomed Res Inst IDIBELL, Neurosci Programme, Psychoneurobiol Eating & Addict Behav Grp, Barcelona 08908, Spain
Granero, R:
Inst Salud Carlos III, CIBER Fisiopatol Obes & Nutr CIBERobn, Barcelona 28029, Spain
Bellvitge Biomed Res Inst IDIBELL, Neurosci Programme, Psychoneurobiol Eating & Addict Behav Grp, Barcelona 08908, Spain
Univ Autonoma Barcelona, Sch Psychol, Dept Psychobiol & Methodol, Barcelona 08193, Spain
Mestre-Bach, G:
Univ Internacl La Rioja, Fac Ciencias Salud, La Rioja 26006, Spain
Sanchez, I:
Bellvitge Univ Hosp, Dept Psychiat, IDIBELL, Barcelona 08907, Spain
Inst Salud Carlos III, CIBER Fisiopatol Obes & Nutr CIBERobn, Barcelona 28029, Spain
Bellvitge Biomed Res Inst IDIBELL, Neurosci Programme, Psychoneurobiol Eating & Addict Behav Grp, Barcelona 08908, Spain
Ortega, E:
Hosp Clin Barcelona, Endocrinol & Nutr Div, Barcelona 08036, Spain
Inst Invest Biomed August Pi Sunyer IDIBAPS, Barcelona 08036, Spain
Ctr Invest Biomed Red Diabet & Enfermedads Metab, Madrid 28029, Spain
Andreu, A:
Hosp Clin Barcelona, Endocrinol & Nutr Div, Barcelona 08036, Spain
Inst Invest Biomed August Pi Sunyer IDIBAPS, Barcelona 08036, Spain
Moize, VL:
Hosp Clin Barcelona, Endocrinol & Nutr Div, Barcelona 08036, Spain
Inst Invest Biomed August Pi Sunyer IDIBAPS, Barcelona 08036, Spain
Ctr Invest Biomed Red Diabet & Enfermedads Metab, Madrid 28029, Spain
Fernandez-Real, JM:
Inst Salud Carlos III, CIBER Fisiopatol Obes & Nutr CIBERobn, Barcelona 28029, Spain
Hosp Girona Dr Josep Trueta, Inst Invest Biomed Girona IDIBGI, Unit Diabet Endocrinol & Nutr, Girona 17007, Spain
Univ Girona, Sch Med, Dept Med Sci, Girona 17004, Spain
Tinahones, FJ:
Inst Salud Carlos III, CIBER Fisiopatol Obes & Nutr CIBERobn, Barcelona 28029, Spain
Virgen Victoria Univ Hosp, Dept Endocrinol & Nutr, Inst Invest Biomed Malaga IBIMA, Malaga 29010, Spain
Dieguez, C:
Inst Salud Carlos III, CIBER Fisiopatol Obes & Nutr CIBERobn, Barcelona 28029, Spain
Univ Santiago Compostela, Dept Physiol, CIMUS, Inst Invest Sanitaria, Santiago De Compostela 15782, Spain
Fruhbeck, G:
Inst Salud Carlos III, CIBER Fisiopatol Obes & Nutr CIBERobn, Barcelona 28029, Spain
Univ Navarra, Clin Univ Navarra, Metab Res Lab, IdiSNA, Pamplona 31008, Spain
Le Grange, D:
Univ Calif San Francisco, Dept Psychiat, Eating Disorders Program, San Francisco, CA 94143 USA
Tchanturia, K:
Kings Coll London, Dept Psychol Med, Sect Eating Disorders, Inst Psychiat Psychol & Neurosci, London WC2R 2LS, England
Karwautz, A:
Med Univ Vienna, Dept Child & Adolescent Psychiat, Eating Disorders Unit, A-1090 Vienna, Austria
Zeiler, M:
Med Univ Vienna, Dept Child & Adolescent Psychiat, Eating Disorders Unit, A-1090 Vienna, Austria
Imgart, H:
Parkland Klin, 34537 Bad Wildungen, D-34537 Bad Wildungen, Germany
Zanko, A:
Parkland Klin, 34537 Bad Wildungen, D-34537 Bad Wildungen, Germany
Favaro, A:
Univ Padua, Dept Neurosci, I-35122 Padua, Italy
Univ Padua, Neurosci Ctr PNC, I-35122 Padua, Italy
Claes, L:
Katholieke Univ Leuven, Fac Psychol & Educ Sci, Clin Psychol, B-3000 Leuven, Belgium
Univ Antwerp, Fac Med & Hlth Sci, Clin Psychol, B-2000 Antwerp, Belgium
Shekriladze, I:
Ilia State Univ, D Uznadze Inst Psychol, Tbilisi 0162, Georgia
Serrano-Troncoso, E:
Hosp San Juan Dios, Child & Adolescent Psychiat & Psychol Dept, Inst Recerca Sant Joan Deu, Esplugas de Llobregat 08950, Spain
Cecilia-Costa, R:
Hosp San Juan Dios, Child & Adolescent Psychiat & Psychol Dept, Inst Recerca Sant Joan Deu, Esplugas de Llobregat 08950, Spain
Rangil, T:
Germans Trias & Pujol Univ Hosp, Dept Psychiat, IGTP, Barcelona 08916, Spain
Univ Autonoma Barcelona, Dept Psychiat & Legal Med, Barcelona 08193, Spain
Loran-Meler, ME:
Germans Trias & Pujol Univ Hosp, Dept Psychiat, IGTP, Barcelona 08916, Spain
Soriano-Pacheco, J:
Univ Autonoma Barcelona UAB, Dept Psychiat, Hosp Santa Creu & Sant Pau, Inst Invest Biomed Sant Pau IIB Sant Pau, Barcelona 08041, Spain
ISCIII, Ctr Invest Biomed Red Salud Mental CIBERSAM, Madrid 28029, Spain
Carceller-Sindreu, M:
Univ Autonoma Barcelona UAB, Dept Psychiat, Hosp Santa Creu & Sant Pau, Inst Invest Biomed Sant Pau IIB Sant Pau, Barcelona 08041, Spain
ISCIII, Ctr Invest Biomed Red Salud Mental CIBERSAM, Madrid 28029, Spain
Navarrete, R:
Univ Autonoma Madrid, Ctr Diagnost Enfermedades Moleculares, Madrid 28049, Spain
Lozano, M:
FITA Fdn, Barcelona 08006, Spain
Linares, R:
FITA Fdn, Barcelona 08006, Spain
Gudiol, C:
Hosp Univ Bellvitge, Inst Invest Biomed Bellvitge IDIBELL, Inst Catala Oncol Hosp, Dept Infect Dis, Barcelona 08908, Spain
Inst Salud Carlos III, REIPI Spanish Network Res Infect Dis, Madrid 28029, Spain
Univ Barcelona, Sch Med & Hlth Sci, Dept Clin Sci, Barcelona 08907, Spain
Inst Salud Carlos III, CIBER Enfermedades Infecciosas CIBERINFEC, Madrid 28029, Spain
Carratala, J:
Hosp Univ Bellvitge, Inst Invest Biomed Bellvitge IDIBELL, Inst Catala Oncol Hosp, Dept Infect Dis, Barcelona 08908, Spain
Inst Salud Carlos III, REIPI Spanish Network Res Infect Dis, Madrid 28029, Spain
Univ Barcelona, Sch Med & Hlth Sci, Dept Clin Sci, Barcelona 08907, Spain
Inst Salud Carlos III, CIBER Enfermedades Infecciosas CIBERINFEC, Madrid 28029, Spain
Plana, MT:
ISCIII, Ctr Invest Biomed Red Salud Mental CIBERSAM, Madrid 28029, Spain
Hosp Clin Barcelona, Inst Neurosci, Barcelona 08036, Spain
Hosp Clin Barcelona, Inst Neurosci, Dept Child & Adolescent Psychiat & Psychol, Barcelona 08036, Spain
Graell, M:
ISCIII, Ctr Invest Biomed Red Salud Mental CIBERSAM, Madrid 28029, Spain
Child Hosp Nino Jesus, Child & Adolescent Psychiat & Psychol Serv, Madrid 28009, Spain
Gonzalez-Parra, D:
Univ Salamanca, Inst Biomed Salamanca IBSAL, Univ Salamanca Healthcare Complex USHC, Psychiat Serv, Salamanca 37008, Spain
Gomez-del Barrio, JA:
ISCIII, Ctr Invest Biomed Red Salud Mental CIBERSAM, Madrid 28029, Spain
Hosp Univ Marques Valdecilla, Unidad Trastornos Conducta Alimentaria, Avda Valdecilla S-N, Santander 39011, Spain
Inst Invest Valdecilla IDIVAL, Santander 39011, Spain
Sepulveda, AR:
Univ Autonoma Madrid, Fac Psicol, Madrid 28049, Spain
Sanchez-Gonzalez, J:
Bellvitge Univ Hosp, Dept Psychiat, IDIBELL, Barcelona 08907, Spain
Machado, PPP:
Univ Minho, Psychol Res Ctr, Sch Psychol, Psychotherapy & Psychopathol Res Unit, P-4710057 Braga, Portugal
Hakansson, A:
Lund Univ, Fac Med, Dept Clin Sci Lund, Psychiat, S-22100 Lund, Sweden
Malmo Addict Ctr, Gambling Disorder Unit, S-20502 Malmo, Sweden
Tury, F:
Semmelwe Univ, Inst Behav Sci, H-1085 Budapest, Hungary
Paszthy, B:
Semmelwe Univ, Dept Paediat 1, H-1085 Budapest, Hungary
Stein, D:
Safra Childrens Hosp, Chaim Sheba Med Ctr, IL-52621 Tel Hashomer, Israel
Papezova, H:
Charles Univ Prague, Dept Psychiat, Fac Med 1, Prague 11000, Czech Republic
Gricova, J:
Charles Univ Prague, Dept Psychiat, Fac Med 1, Prague 11000, Czech Republic
Bax, B:
Vilnius Univ Vilnius, Eating Disorders Ctr, LT-01513 Vilnius, Lithuania
Borisenkov, MF:
Russian Acad Sci, Ural Branch, Komi Sci Ctr, Inst Physiol, Syktyvkar 167982, Russia
Popov, SV:
Russian Acad Sci, Ural Branch, Komi Sci Ctr, Inst Physiol, Syktyvkar 167982, Russia
Gubin, DG:
Tyumen State Med Univ, Dept Biol, Lab Chronobiol & Chronomed, Tyumen 625023, Russia
Tomsk Res Med Ctr, Tyumen Cardiol Res Inst, Tyumen 634009, Russia
Petrov, IM:
Tyumen State Med Univ, UNESCO, Dept Biol & Med Phys, Tyumen 625023, Russia
Isakova, D:
Tyumen State Med Univ, Dept Therapy & Endocrinol, Tyumen 625023, Russia
Mustafina, SV:
Russian Acad Sci, Siberian Branch, Inst Cytol & Genet, Inst Internal & Prevent Med Branch, Novosibirsk 630090, Russia
Kim, YR:
Inje Univ, Seoul Paik Hosp, Dept Psychiat, Seoul 01757, South Korea
Nakazato, M:
Int Univ Hlth & Welf, Sch Med, Dept Psychiat, Narita 2868686, Japan
Godart, N:
Univ Paris, CESP, UVSQ, INSERM 1178, Villejuif 94805, France
Univ Paris 05, Inst Mutualiste Montsouris, Sch Med, Dept Psychiat, F-75006 Paris, France
Fdn Sante Etudiants France, Praticienne Hosp, UFR Sci Sante Simone Veil UVSQ, F-78180 Paris, France
van Voren, R:
Vytautas Magnus Univ, Dept Polit Sci, LT-44248 Kaunas, Lithuania
Ilnytska, T:
Natl Univ Kyiv, Inst Psychiat Taras Shevchenko, Kiev 01033, Ukraine
Chen, J:
Shanghai Jiao Tong Univ, Sch Med, Shanghai Mental Hlth Ctr, Dept Clin Psychol, Shanghai 200030, Peoples R China
Rowlands, K:
Kings Coll London, Dept Psychol Med, Sect Eating Disorders, Inst Psychiat Psychol & Neurosci, London WC2R 2LS, England
Voderholzer, U:
Schon Klin Roseneck, D-83209 Prien Am Chiemsee, Germany
Monteleone, AM:
Univ Campania Luigi Vanvitelli, Dipartimento Salute Mentale & Fis & Med Prevent, I-80138 Naples, Italy
Treasure, J:
Kings Coll London, Dept Psychol Med, Sect Eating Disorders, Inst Psychiat Psychol & Neurosci, London WC2R 2LS, England
Jimenez-Murcia, S:
Bellvitge Univ Hosp, Dept Psychiat, IDIBELL, Barcelona 08907, Spain
Inst Salud Carlos III, CIBER Fisiopatol Obes & Nutr CIBERobn, Barcelona 28029, Spain
Bellvitge Biomed Res Inst IDIBELL, Neurosci Programme, Psychoneurobiol Eating & Addict Behav Grp, Barcelona 08908, Spain
Univ Barcelona, Sch Med & Hlth Sci, Dept Clin Sci, Barcelona 08907, Spain
Fernandez-Aranda, F:
Bellvitge Univ Hosp, Dept Psychiat, IDIBELL, Barcelona 08907, Spain
Inst Salud Carlos III, CIBER Fisiopatol Obes & Nutr CIBERobn, Barcelona 28029, Spain
Bellvitge Biomed Res Inst IDIBELL, Neurosci Programme, Psychoneurobiol Eating & Addict Behav Grp, Barcelona 08908, Spain
Univ Barcelona, Sch Med & Hlth Sci, Dept Clin Sci, Barcelona 08907, Spain
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