Impact of COVID-19 Lockdown in Eating Disorders: A Multicentre Collaborative International Study
Por:
Baenas I, Etxandi M, Munguía L, Granero R, Mestre-Bach G, Sánchez I, Ortega E, Andreu A, Moize VL, Fernández-Real JM, Tinahones FJ, Diéguez C, Frühbeck G, Le Grange D, Tchanturia K, Karwautz A, Zeiler M, Imgart H, Zanko A, Favaro A, Claes L, Shekriladze I, Serrano E, Raquel Cecilia Costa, 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, González-Parra D, Gómez-Del Barrio JA, Sepúlveda AR, Sánchez-González J, Machado PPP, Håkansson A, Túry F, Pászthy B, Stein D, Papezová 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, Jiménez-Murcia S and Fernández-Aranda F
Publicada:
1 ene 2022
Ahead of Print:
27 dic 2021
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:
Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain
CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain
Psychoneurobiology of Eating and Addictive Behaviors Group, Neurosciences Programme, Bellvitge Biomedical Research Institute (IDIBELL), 08908 Barcelona, Spain
Etxandi M:
Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain
Munguía L:
Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain
CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain
Psychoneurobiology of Eating and Addictive Behaviors Group, Neurosciences Programme, Bellvitge Biomedical Research Institute (IDIBELL), 08908 Barcelona, Spain
Granero R:
CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain
Psychoneurobiology of Eating and Addictive Behaviors Group, Neurosciences Programme, Bellvitge Biomedical Research Institute (IDIBELL), 08908 Barcelona, Spain
Department of Psychobiology and Methodology, School of Psychology, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain
Mestre-Bach G:
Facultad de Ciencias de la Salud, Universidad Internacional de La Rioja, 26006 La Rioja, Spain
Sánchez I:
Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain
CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain
Psychoneurobiology of Eating and Addictive Behaviors Group, Neurosciences Programme, Bellvitge Biomedical Research Institute (IDIBELL), 08908 Barcelona, Spain
Ortega E:
Endocrinology and Nutrition Division, Hospital Clinic and Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), 08036 Barcelona, Spain
Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), 28029 Madrid, Spain
Andreu A:
Endocrinology and Nutrition Division, Hospital Clinic and Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), 08036 Barcelona, Spain
Moize VL:
Endocrinology and Nutrition Division, Hospital Clinic and Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), 08036 Barcelona, Spain
Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), 28029 Madrid, Spain
Fernández-Real JM:
CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain
Unit of Diabetes, Endocrinology and Nutrition, Hospital de Girona Dr. Josep Trueta-Institut d'Investigació Biomèdica de Girona (IDIBGI), 17007 Girona, Spain
Department of Medical Sciences, School of Medicine, University of Girona, 17004 Girona, Spain
Tinahones FJ:
CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain
Department of Endocrinology and Nutrition, Virgen de la Victoria University Hospital-Instituto de Investigación Biomédica de Málaga (IBIMA), 29010 Málaga, Spain
Diéguez C:
CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain
Department of Physiology, CIMUS, University of Santiago de Compostela-Instituto de Investigación Sanitaria, 15782 Santiago de Compostela, Spain
Frühbeck G:
CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain
Metabolic Research Laboratory, Clínica Universidad de Navarra, University of Navarra-IdiSNA, 31008 Pamplona, Spain
Le Grange D:
Eating Disorders Program, Department of Psychiatry, University of California, San Francisco, CA 94143, USA
Tchanturia K:
Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London WC2R 2LS, UK
Karwautz A:
Eating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, Austria
Zeiler M:
Eating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, Austria
Imgart H:
Parkland Klinik, 34537 Bad Wildungen, Germany
Zanko A:
Parkland Klinik, 34537 Bad Wildungen, Germany
Favaro A:
Department of Neuroscience, University of Padua and Neuroscience Center (PNC), 35122 Padua, Italy
Claes L:
Clinical Psychology, Faculty of Psychology and Educational Sciences, KU Leuven, 3000 Leuven, Belgium
Clinical Psychology, Faculty of Medicine and Health Sciences, University Antwerp, 2000 Antwerp, Belgium
Shekriladze I:
D. Uznadze Institute of Psychology, Ilia State University, 0162 Tbilisi, Georgia
Serrano E:
Child and Adolescent Psychiatry and Psychology Department, Hospital Sant Joan de Déu- Institut de Recerca Sant Joan de Déu, 08950 Esplugues de Llobregat, Spain
Raquel Cecilia Costa:
Child and Adolescent Psychiatry and Psychology Department, Hospital Sant Joan de Déu- Institut de Recerca Sant Joan de Déu, 08950 Esplugues de Llobregat, Spain
Rangil T:
Department of Psychiatry, Germans Trias i Pujol University Hospital-IGTP, 08916 Barcelona, Spain
Department of Psychiatry and Legal Medicine, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain
Loran-Meler ME:
Department of Psychiatry, Germans Trias i Pujol University Hospital-IGTP, 08916 Barcelona, Spain
Soriano-Pacheco J:
Department of Psychiatry, Hospital de la Santa Creu i Sant Pau-Institut d'Investigació Biomèdica Sant Pau (IIB-Sant Pau)-Universitat Autònoma de Barcelona (UAB), 08041 Barcelona, Spain
Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), ISCIII, 28029 Madrid, Spain
Carceller-Sindreu M:
Department of Psychiatry, Hospital de la Santa Creu i Sant Pau-Institut d'Investigació Biomèdica Sant Pau (IIB-Sant Pau)-Universitat Autònoma de Barcelona (UAB), 08041 Barcelona, Spain
Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), ISCIII, 28029 Madrid, Spain
Navarrete R:
Centro de Diagnóstico de Enfermedades Moleculares, Universidad Autónoma de Madrid, 28049 Madrid, Spain
Lozano M:
FITA Foundation, 08006 Barcelona, Spain
Linares R:
FITA Foundation, 08006 Barcelona, Spain
Gudiol C:
Infectious Diseases Department, Hospital Universitari Bellvitge-Institut de Investigació Biomedica de Bellvitge (IDIBELL)-Institut Català d'Oncologia-Hospitalet, 08908 Barcelona, Spain
REIPI (Spanish Network for Research in Infectious Disease), Instituto de Salud Carlos III, 28029 Madrid, Spain
Department of Clinical Sciences, School of Medicine and Health Sciences, University of Barcelona, 08907 Barcelona, Spain
CIBER de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, 28029 Madrid, Spain
Carratala J:
Infectious Diseases Department, Hospital Universitari Bellvitge-Institut de Investigació Biomedica de Bellvitge (IDIBELL)-Institut Català d'Oncologia-Hospitalet, 08908 Barcelona, Spain
REIPI (Spanish Network for Research in Infectious Disease), Instituto de Salud Carlos III, 28029 Madrid, Spain
Department of Clinical Sciences, School of Medicine and Health Sciences, University of Barcelona, 08907 Barcelona, Spain
CIBER de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, 28029 Madrid, Spain
Plana MT:
Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), ISCIII, 28029 Madrid, Spain
Institute of Neuroscience, Hospital Clínic de Barcelona, 08036 Barcelona, Spain
Department of Child and Adolescent Psychiatry and Psychology, 2017SGR881, Institute of Neurosciences, Hospital Clinic de Barcelona, 08036 Barcelona, Spain
Graell M:
Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), ISCIII, 28029 Madrid, Spain
Child and Adolescent Psychiatry and Psychology Service, Child Hospital Niño Jesus, 28009 Madrid, Spain
González-Parra D:
Psychiatry Service, University of Salamanca Healthcare Complex (USHC)-Institute of Biomedicine of Salamanca (IBSAL)-University of Salamanca, 37008 Salamanca, Spain
Gómez-Del Barrio JA:
Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), ISCIII, 28029 Madrid, Spain
Unidad de Trastornos de la Conducta Alimentaria, Hospital Universitario "Marqués de Valdecilla", Avda, Valdecilla s/n, 39011 Santander, Spain
Instituto de Investigación Valdecilla (IDIVAL), 39011 Santander, Spain
Sepúlveda AR:
Facultad de Psicología, Universidad Autónoma de Madrid, 28049 Madrid, Spain
Sánchez-González J:
Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain
Machado PPP:
Psychotherapy and Psychopathology Research Unit-Psychology Research Center, School of Psychology, University of Minho, 4710-057 Braga, Portugal
Håkansson A:
Department of Clinical Sciences Lund, Psychiatry, Faculty of Medicine, Lund University, 221 00 Lund, Sweden
Gambling Disorder Unit, Malmö Addiction Center, 205 02 Malmö, Sweden
Túry F:
Institute of Behavioral Sciences, Semmelweis University, 1085 Budapest, Hungary
Pászthy B:
1st Department of Paediatrics, Semmelweis University, 1085 Budapest, Hungary
Stein D:
Safra Children's Hospital, Chaim Sheba Medical Center, Tel Hashomer 52 621, Israel
Papezová H:
Department of Psychiatry, 1st Medical Faculty of Charles University, 11000 Prague, Czech Republic
Gricova J:
Department of Psychiatry, 1st Medical Faculty of Charles University, 11000 Prague, Czech Republic
Bax B:
Eating Disorders Center, Vilnius University Vilnius, 01513 Vilnius, Lithuania
Borisenkov MF:
Institute of Physiology of Komi Science Centre of the Ural Branch of the Russian Academy of Sciences, 167982 Syktyvkar, Russia
Popov SV:
Institute of Physiology of Komi Science Centre of the Ural Branch of the Russian Academy of Sciences, 167982 Syktyvkar, Russia
Gubin DG:
Laboratory for Chronobiology and Chronomedicine, Department of Biology, Tyumen State Medical University, 625023 Tyumen, Russia
Tyumen Cardiology Research Institute, Tomsk Research Medical Center, 634009 Tyumen, Russia
Petrov IM:
Department of Biological & Medical Physics UNESCO, Tyumen State Medical University, 625023 Tyumen, Russia
Isakova D:
Department of Therapy and Endocrinology, Tyumen State Medical University, 625023 Tyumen, Russia
Mustafina SV:
Institute of Internal and Preventive Medicine-Branch of the Institute of Cytology and Genetics, Siberian Branch of Russian Academy of Sciences, 630090 Novosibirsk, Russia
Kim YR:
Department of Psychiatry, Seoul Paik Hospital-Inje University, Seoul 01757, Korea
Nakazato M:
Department of Psychiatry, School of Medicine, International University of Health and Welfare, Narita 286-8686, Japan
Godart N:
CESP, Université Paris-Saclay, UVSQ, INSERM U 1178, 94805 Villejuif, France
Department of Psychiatry, Institut Mutualiste Montsouris, School of Medicine, Université Paris Descartes, 75006 Paris, France
UFR des Sciences de la Santé Simone Veil (UVSQ), Praticienne Hospitalière, Fondation Santé des Etudiants de France, 78180 Paris, France
van Voren R:
Department of Political Science, Vytautas Magnus University, 44248 Kaunas, Lithuania
Ilnytska T:
Institute of Psychiatry of Taras Shevchenko, National University of Kyiv, 01033 Kyiv, Ukraine
Chen J:
Department of Clinical Psychology, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, 280, Shanghai 200030, China
Rowlands K:
Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London WC2R 2LS, UK
Voderholzer U:
Schön Klinik Roseneck, 83209 Prien am Chiemsee, Germany
Monteleone AM:
Dipartimento di Salute Mentale e Fisica e Medicina Preventiva, Universitá degli Studi della Campania "Luigi Vanvitelli", 80138 Naples, Italy
Treasure J:
Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London WC2R 2LS, UK
Jiménez-Murcia S:
Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain
CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain
Psychoneurobiology of Eating and Addictive Behaviors Group, Neurosciences Programme, Bellvitge Biomedical Research Institute (IDIBELL), 08908 Barcelona, Spain
Department of Clinical Sciences, School of Medicine and Health Sciences, University of Barcelona, 08907 Barcelona, Spain
Fernández-Aranda F:
Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain
CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain
Psychoneurobiology of Eating and Addictive Behaviors Group, Neurosciences Programme, Bellvitge Biomedical Research Institute (IDIBELL), 08908 Barcelona, Spain
Department of Clinical Sciences, School of Medicine and Health Sciences, University of Barcelona, 08907 Barcelona, Spain
Green Published, gold, Green Accepted
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