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Eating behaviour and symptom trajectories in patients with a history of binge eating disorder during COVID‐19 pandemic

OBJECTIVE: A history of an eating disorder (ED) might constitute a risk for symptom deterioration and relapse during COVID‐19 pandemic. This longitudinal study investigates ED symptom trajectories until the first COVID‐19 lockdown in Spring 2020 in patients with a history of binge eating disorder (B...

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Autores principales: Giel, Katrin E., Schurr, Marisa, Zipfel, Stephan, Junne, Florian, Schag, Kathrin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8206923/
https://www.ncbi.nlm.nih.gov/pubmed/33955610
http://dx.doi.org/10.1002/erv.2837
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author Giel, Katrin E.
Schurr, Marisa
Zipfel, Stephan
Junne, Florian
Schag, Kathrin
author_facet Giel, Katrin E.
Schurr, Marisa
Zipfel, Stephan
Junne, Florian
Schag, Kathrin
author_sort Giel, Katrin E.
collection PubMed
description OBJECTIVE: A history of an eating disorder (ED) might constitute a risk for symptom deterioration and relapse during COVID‐19 pandemic. This longitudinal study investigates ED symptom trajectories until the first COVID‐19 lockdown in Spring 2020 in patients with a history of binge eating disorder (BED). METHOD: Participants of the randomised‐controlled BED treatment trial IMPULS participated in a re‐assessment directly after the first COVID‐19 lockdown in Germany. We used expert‐rated clinical interviews and self‐report to investigate binge eating (BE) frequency, ED and general psychopathology, distress, emotion regulation and sense of coherence. Symptom trajectories were analysed for baseline when entering the trial, end of trial participation and the time point directly after lockdown. BE frequency was assessed on a recall basis for 4 weeks directly before lockdown and 4 weeks during lockdown. RESULTS: BE frequency, general ED pathology and depressive symptoms markedly increased after as compared to before the COVID‐19 outbreak. Individuals scoring high on reappraisal as emotion regulation strategy and sense of coherence scored lower on general ED pathology. CONCLUSION: Individuals with a history of an ED are at risk for symptom deterioration and relapse during the pandemic. Intervention and service dissemination strategies are needed to support vulnerable groups throughout the pandemic.
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spelling pubmed-82069232021-06-16 Eating behaviour and symptom trajectories in patients with a history of binge eating disorder during COVID‐19 pandemic Giel, Katrin E. Schurr, Marisa Zipfel, Stephan Junne, Florian Schag, Kathrin Eur Eat Disord Rev Brief Report OBJECTIVE: A history of an eating disorder (ED) might constitute a risk for symptom deterioration and relapse during COVID‐19 pandemic. This longitudinal study investigates ED symptom trajectories until the first COVID‐19 lockdown in Spring 2020 in patients with a history of binge eating disorder (BED). METHOD: Participants of the randomised‐controlled BED treatment trial IMPULS participated in a re‐assessment directly after the first COVID‐19 lockdown in Germany. We used expert‐rated clinical interviews and self‐report to investigate binge eating (BE) frequency, ED and general psychopathology, distress, emotion regulation and sense of coherence. Symptom trajectories were analysed for baseline when entering the trial, end of trial participation and the time point directly after lockdown. BE frequency was assessed on a recall basis for 4 weeks directly before lockdown and 4 weeks during lockdown. RESULTS: BE frequency, general ED pathology and depressive symptoms markedly increased after as compared to before the COVID‐19 outbreak. Individuals scoring high on reappraisal as emotion regulation strategy and sense of coherence scored lower on general ED pathology. CONCLUSION: Individuals with a history of an ED are at risk for symptom deterioration and relapse during the pandemic. Intervention and service dissemination strategies are needed to support vulnerable groups throughout the pandemic. John Wiley and Sons Inc. 2021-05-06 2021-07 /pmc/articles/PMC8206923/ /pubmed/33955610 http://dx.doi.org/10.1002/erv.2837 Text en © 2021 The Authors. European Eating Disorders Review published by Eating Disorders Association and John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Brief Report
Giel, Katrin E.
Schurr, Marisa
Zipfel, Stephan
Junne, Florian
Schag, Kathrin
Eating behaviour and symptom trajectories in patients with a history of binge eating disorder during COVID‐19 pandemic
title Eating behaviour and symptom trajectories in patients with a history of binge eating disorder during COVID‐19 pandemic
title_full Eating behaviour and symptom trajectories in patients with a history of binge eating disorder during COVID‐19 pandemic
title_fullStr Eating behaviour and symptom trajectories in patients with a history of binge eating disorder during COVID‐19 pandemic
title_full_unstemmed Eating behaviour and symptom trajectories in patients with a history of binge eating disorder during COVID‐19 pandemic
title_short Eating behaviour and symptom trajectories in patients with a history of binge eating disorder during COVID‐19 pandemic
title_sort eating behaviour and symptom trajectories in patients with a history of binge eating disorder during covid‐19 pandemic
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8206923/
https://www.ncbi.nlm.nih.gov/pubmed/33955610
http://dx.doi.org/10.1002/erv.2837
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