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Case Report: COVID-19 Pandemic Exacerbates Eating Disorder by Social and Intrafamilial Isolation

The coronavirus disease-2019 (COVID-19) pandemic has increased the stress levels of children and their parents and diagnoses of eating disorders (EDs), irritable bowel syndrome, migraines, tension headaches, orthostatic dysregulation, and/or school refusal has increased among children. We present a...

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Autores principales: Katsumi, Yoshiki, Kodo, Kazuki, Goto, Sachiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8907844/
https://www.ncbi.nlm.nih.gov/pubmed/35281227
http://dx.doi.org/10.3389/fped.2022.819214
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author Katsumi, Yoshiki
Kodo, Kazuki
Goto, Sachiko
author_facet Katsumi, Yoshiki
Kodo, Kazuki
Goto, Sachiko
author_sort Katsumi, Yoshiki
collection PubMed
description The coronavirus disease-2019 (COVID-19) pandemic has increased the stress levels of children and their parents and diagnoses of eating disorders (EDs), irritable bowel syndrome, migraines, tension headaches, orthostatic dysregulation, and/or school refusal has increased among children. We present a case of a nine-year old girl, which rapidly worsened due to stress and isolation related to the COVID-19 pandemic. The patient's father noted her rapid weight loss due to poor oral intake. While she had already stopped gaining weight before the pandemic, her weight rapidly decreased to 22 kg during the pandemic. We diagnosed her with an ED and administrated nasogastric tube feeding. We postulated that not only social isolation, but also the disruption in her relationship with her parents, due to the pandemic, contributed to her ED. During a family meeting, she revealed that she felt more anxious during the pandemic. After the meeting, her parents rescheduled their jobs so that the family can have dinner together every night. The patient started eating sufficiently and weighed 31.8 kg at the one-year follow-up. The proportion of children with ED increased during the pandemic; their symptoms worsened because they felt lonely due to social and intrafamilial isolation. While parents have themselves experienced more stress during the pandemic, children, including those with ED, have experienced increased stress related directly to the pandemic, as well as indirectly from their parents. Pediatricians should consider the impact of stress on children, especially from social and intrafamilial isolation, both during and after the pandemic.
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spelling pubmed-89078442022-03-11 Case Report: COVID-19 Pandemic Exacerbates Eating Disorder by Social and Intrafamilial Isolation Katsumi, Yoshiki Kodo, Kazuki Goto, Sachiko Front Pediatr Pediatrics The coronavirus disease-2019 (COVID-19) pandemic has increased the stress levels of children and their parents and diagnoses of eating disorders (EDs), irritable bowel syndrome, migraines, tension headaches, orthostatic dysregulation, and/or school refusal has increased among children. We present a case of a nine-year old girl, which rapidly worsened due to stress and isolation related to the COVID-19 pandemic. The patient's father noted her rapid weight loss due to poor oral intake. While she had already stopped gaining weight before the pandemic, her weight rapidly decreased to 22 kg during the pandemic. We diagnosed her with an ED and administrated nasogastric tube feeding. We postulated that not only social isolation, but also the disruption in her relationship with her parents, due to the pandemic, contributed to her ED. During a family meeting, she revealed that she felt more anxious during the pandemic. After the meeting, her parents rescheduled their jobs so that the family can have dinner together every night. The patient started eating sufficiently and weighed 31.8 kg at the one-year follow-up. The proportion of children with ED increased during the pandemic; their symptoms worsened because they felt lonely due to social and intrafamilial isolation. While parents have themselves experienced more stress during the pandemic, children, including those with ED, have experienced increased stress related directly to the pandemic, as well as indirectly from their parents. Pediatricians should consider the impact of stress on children, especially from social and intrafamilial isolation, both during and after the pandemic. Frontiers Media S.A. 2022-02-24 /pmc/articles/PMC8907844/ /pubmed/35281227 http://dx.doi.org/10.3389/fped.2022.819214 Text en Copyright © 2022 Katsumi, Kodo and Goto. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Katsumi, Yoshiki
Kodo, Kazuki
Goto, Sachiko
Case Report: COVID-19 Pandemic Exacerbates Eating Disorder by Social and Intrafamilial Isolation
title Case Report: COVID-19 Pandemic Exacerbates Eating Disorder by Social and Intrafamilial Isolation
title_full Case Report: COVID-19 Pandemic Exacerbates Eating Disorder by Social and Intrafamilial Isolation
title_fullStr Case Report: COVID-19 Pandemic Exacerbates Eating Disorder by Social and Intrafamilial Isolation
title_full_unstemmed Case Report: COVID-19 Pandemic Exacerbates Eating Disorder by Social and Intrafamilial Isolation
title_short Case Report: COVID-19 Pandemic Exacerbates Eating Disorder by Social and Intrafamilial Isolation
title_sort case report: covid-19 pandemic exacerbates eating disorder by social and intrafamilial isolation
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8907844/
https://www.ncbi.nlm.nih.gov/pubmed/35281227
http://dx.doi.org/10.3389/fped.2022.819214
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