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The emotional-behavioral state of Israeli adolescent and young adult females with anorexia nervosa during the COVID19 pandemic

BACKGROUND: During the COVID-19 pandemic in Israel, the number of patients with eating disorders (EDs) seeking treatment increased significantly. The present study sought to evaluate whether, during the pandemic (2020–21), patients with anorexia nervosa (AN) would show more ED-related, comorbid, and...

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Autores principales: Serur, Yaffa, Dikstein, Hadar, Shilton, Tal, Gothelf, Doron, Latzer, Yael, Lewis, Yael, Enoch-Levy, Adi, Pessach, Itai, Gur, Eitan, Stein, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9547577/
https://www.ncbi.nlm.nih.gov/pubmed/36209127
http://dx.doi.org/10.1186/s40337-022-00668-w
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author Serur, Yaffa
Dikstein, Hadar
Shilton, Tal
Gothelf, Doron
Latzer, Yael
Lewis, Yael
Enoch-Levy, Adi
Pessach, Itai
Gur, Eitan
Stein, Daniel
author_facet Serur, Yaffa
Dikstein, Hadar
Shilton, Tal
Gothelf, Doron
Latzer, Yael
Lewis, Yael
Enoch-Levy, Adi
Pessach, Itai
Gur, Eitan
Stein, Daniel
author_sort Serur, Yaffa
collection PubMed
description BACKGROUND: During the COVID-19 pandemic in Israel, the number of patients with eating disorders (EDs) seeking treatment increased significantly. The present study sought to evaluate whether, during the pandemic (2020–21), patients with anorexia nervosa (AN) would show more ED-related, comorbid, and COVID-19-related symptoms in comparison to a naturalistic control group, and whether differences would be found between adult and adolescent patients with AN. We also examined attitudes to telemedicine use during the pandemic in patients receiving long-distance interventions. METHODS: Using online self-report questionnaires, we assessed general and COVID-19-specific symptoms with a secure digital platform (REDCap(®)) in 36 female adolescents with AN, 35 female adults with AN, and 25 female controls. RESULTS: Compared with controls, patients with AN showed more symptoms of EDs, anxiety, depression, and post-traumatic stress disorder (PTSD), elevated suicidal ideation, more COVID-related emotional-behavioral disturbances, and lower resilience. Adult patients with AN fared worse than adolescent patients on most of these measures. Adult patients using telemedicine during the COVID-19 pandemic showed fewer positive attitudes toward this treatment than adolescents (telemedicine was offered to all, but used by 18/35 adolescents and 21/36 adults with AN). Last, elevated COVID-19-related symptomatology was correlated with more symptoms of ED, anxiety, depression and PTSD, and with lower resilience. CONCLUSIONS: Our findings suggest that the emotional-behavioral state of Israeli females with AN, particularly adults, was worse during the COVID-19 pandemic in comparison to controls. Many patients did not use telemedicine for their treatment. Adult patients using telemedicine were less satisfied with it than adolescent patients.
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spelling pubmed-95475772022-10-10 The emotional-behavioral state of Israeli adolescent and young adult females with anorexia nervosa during the COVID19 pandemic Serur, Yaffa Dikstein, Hadar Shilton, Tal Gothelf, Doron Latzer, Yael Lewis, Yael Enoch-Levy, Adi Pessach, Itai Gur, Eitan Stein, Daniel J Eat Disord Research BACKGROUND: During the COVID-19 pandemic in Israel, the number of patients with eating disorders (EDs) seeking treatment increased significantly. The present study sought to evaluate whether, during the pandemic (2020–21), patients with anorexia nervosa (AN) would show more ED-related, comorbid, and COVID-19-related symptoms in comparison to a naturalistic control group, and whether differences would be found between adult and adolescent patients with AN. We also examined attitudes to telemedicine use during the pandemic in patients receiving long-distance interventions. METHODS: Using online self-report questionnaires, we assessed general and COVID-19-specific symptoms with a secure digital platform (REDCap(®)) in 36 female adolescents with AN, 35 female adults with AN, and 25 female controls. RESULTS: Compared with controls, patients with AN showed more symptoms of EDs, anxiety, depression, and post-traumatic stress disorder (PTSD), elevated suicidal ideation, more COVID-related emotional-behavioral disturbances, and lower resilience. Adult patients with AN fared worse than adolescent patients on most of these measures. Adult patients using telemedicine during the COVID-19 pandemic showed fewer positive attitudes toward this treatment than adolescents (telemedicine was offered to all, but used by 18/35 adolescents and 21/36 adults with AN). Last, elevated COVID-19-related symptomatology was correlated with more symptoms of ED, anxiety, depression and PTSD, and with lower resilience. CONCLUSIONS: Our findings suggest that the emotional-behavioral state of Israeli females with AN, particularly adults, was worse during the COVID-19 pandemic in comparison to controls. Many patients did not use telemedicine for their treatment. Adult patients using telemedicine were less satisfied with it than adolescent patients. BioMed Central 2022-10-08 /pmc/articles/PMC9547577/ /pubmed/36209127 http://dx.doi.org/10.1186/s40337-022-00668-w Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Serur, Yaffa
Dikstein, Hadar
Shilton, Tal
Gothelf, Doron
Latzer, Yael
Lewis, Yael
Enoch-Levy, Adi
Pessach, Itai
Gur, Eitan
Stein, Daniel
The emotional-behavioral state of Israeli adolescent and young adult females with anorexia nervosa during the COVID19 pandemic
title The emotional-behavioral state of Israeli adolescent and young adult females with anorexia nervosa during the COVID19 pandemic
title_full The emotional-behavioral state of Israeli adolescent and young adult females with anorexia nervosa during the COVID19 pandemic
title_fullStr The emotional-behavioral state of Israeli adolescent and young adult females with anorexia nervosa during the COVID19 pandemic
title_full_unstemmed The emotional-behavioral state of Israeli adolescent and young adult females with anorexia nervosa during the COVID19 pandemic
title_short The emotional-behavioral state of Israeli adolescent and young adult females with anorexia nervosa during the COVID19 pandemic
title_sort emotional-behavioral state of israeli adolescent and young adult females with anorexia nervosa during the covid19 pandemic
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9547577/
https://www.ncbi.nlm.nih.gov/pubmed/36209127
http://dx.doi.org/10.1186/s40337-022-00668-w
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