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“What Made My Eating Disorder Worse?” The Impact of the COVID-19 Pandemic from the Perspective of Adolescents with Anorexia Nervosa

(1) Background: the COVID-19 pandemic and subsequent confinements have led to a dramatic increase in anorexia nervosa (AN) in adolescent patients, whereas the effect on symptom severity and the influencing factors are not yet clear, especially not from the adolescents’ perspective. (2) Methods: from...

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Autores principales: Gilsbach, Susanne, Herpertz-Dahlmann, Beate
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10005403/
https://www.ncbi.nlm.nih.gov/pubmed/36904240
http://dx.doi.org/10.3390/nu15051242
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author Gilsbach, Susanne
Herpertz-Dahlmann, Beate
author_facet Gilsbach, Susanne
Herpertz-Dahlmann, Beate
author_sort Gilsbach, Susanne
collection PubMed
description (1) Background: the COVID-19 pandemic and subsequent confinements have led to a dramatic increase in anorexia nervosa (AN) in adolescent patients, whereas the effect on symptom severity and the influencing factors are not yet clear, especially not from the adolescents’ perspective. (2) Methods: from February to October 2021, 38 adolescent patients with AN completed an adjusted version of the COVID Isolation Eating Scale (CIES), a self-report questionnaire asking for ED symptomatology before and during the COVID-19 pandemic and for their experiences with remote treatment. (3) Results: patients reported a significant negative impact of confinement on ED symptoms, depression, anxiety, and emotional regulation. During the pandemic, engagement with weight and body image was related to social media, and mirror checking increased. The patients were more preoccupied with cooking recipes and had more eating-related conflicts with their parents. However, the differences in the amount of engagement with social media actively glorifying AN before and during the pandemic did not remain significant after correction for multiple comparisons. The minority of patients who received remote treatment found it to be only limitedly helpful. (4) Conclusions: from the patients’ perspective, the COVID-19 pandemic-associated confinement had a detrimental effect on the symptoms of adolescent patients with AN.
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spelling pubmed-100054032023-03-11 “What Made My Eating Disorder Worse?” The Impact of the COVID-19 Pandemic from the Perspective of Adolescents with Anorexia Nervosa Gilsbach, Susanne Herpertz-Dahlmann, Beate Nutrients Article (1) Background: the COVID-19 pandemic and subsequent confinements have led to a dramatic increase in anorexia nervosa (AN) in adolescent patients, whereas the effect on symptom severity and the influencing factors are not yet clear, especially not from the adolescents’ perspective. (2) Methods: from February to October 2021, 38 adolescent patients with AN completed an adjusted version of the COVID Isolation Eating Scale (CIES), a self-report questionnaire asking for ED symptomatology before and during the COVID-19 pandemic and for their experiences with remote treatment. (3) Results: patients reported a significant negative impact of confinement on ED symptoms, depression, anxiety, and emotional regulation. During the pandemic, engagement with weight and body image was related to social media, and mirror checking increased. The patients were more preoccupied with cooking recipes and had more eating-related conflicts with their parents. However, the differences in the amount of engagement with social media actively glorifying AN before and during the pandemic did not remain significant after correction for multiple comparisons. The minority of patients who received remote treatment found it to be only limitedly helpful. (4) Conclusions: from the patients’ perspective, the COVID-19 pandemic-associated confinement had a detrimental effect on the symptoms of adolescent patients with AN. MDPI 2023-03-01 /pmc/articles/PMC10005403/ /pubmed/36904240 http://dx.doi.org/10.3390/nu15051242 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gilsbach, Susanne
Herpertz-Dahlmann, Beate
“What Made My Eating Disorder Worse?” The Impact of the COVID-19 Pandemic from the Perspective of Adolescents with Anorexia Nervosa
title “What Made My Eating Disorder Worse?” The Impact of the COVID-19 Pandemic from the Perspective of Adolescents with Anorexia Nervosa
title_full “What Made My Eating Disorder Worse?” The Impact of the COVID-19 Pandemic from the Perspective of Adolescents with Anorexia Nervosa
title_fullStr “What Made My Eating Disorder Worse?” The Impact of the COVID-19 Pandemic from the Perspective of Adolescents with Anorexia Nervosa
title_full_unstemmed “What Made My Eating Disorder Worse?” The Impact of the COVID-19 Pandemic from the Perspective of Adolescents with Anorexia Nervosa
title_short “What Made My Eating Disorder Worse?” The Impact of the COVID-19 Pandemic from the Perspective of Adolescents with Anorexia Nervosa
title_sort “what made my eating disorder worse?” the impact of the covid-19 pandemic from the perspective of adolescents with anorexia nervosa
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10005403/
https://www.ncbi.nlm.nih.gov/pubmed/36904240
http://dx.doi.org/10.3390/nu15051242
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