Review of Ireland’s First Year of the COVID-19 Pandemic Impact on People Affected by Eating Disorders: ‘Behind Every Screen There Was a Family Supporting a Person with an Eating Disorder’

Parsons, Harriet; Murphy, Barry; Malone, Deirbhile; Holme, Ingrid

doi:10.3390/jcm10153385

Cited by 17 publications

(20 citation statements)

References 35 publications

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“…N for clinical sample numbers was reported in this table. d Parsons et al's ( 2021 ) sample was recruited through the PiLaR program in Ireland, which is a program for family members supporting a loved one with an ED throughout the pandemic. Family members reported on clinical information about their loved one's ED throughout the pandemic.…”

Section: Resultsmentioning

confidence: 99%

“…Eleven studies compared the differences in admissions from before the pandemic to during the pandemic, the percent changes in admissions in individual studies varied from 0% to 123%, respectively (Ayton et al, 2021 ; Graell et al, 2020 ; Hansen et al, 2021 ; Haripersad et al, 2021 ; Jones et al, 2020 ; Lin et al, 2021 ; Matthews et al, 2021 ; Otto et al, 2021 ; Parsons et al, 2021 ; Spettigue et al, 2021 ; Springall et al, 2021 ). The pooled hospital admissions across the studies demonstrated on average a 48% (pre = 591, post = 876, n = 10 studies) increase in ED admissions during the pandemic compared to previous timepoints.…”

Section: Resultsmentioning

confidence: 99%

“…Notably, when examining the differences in pediatric admissions compared to adults, there was an average increase of 83% in pediatric admissions ( n = 8 studies), whereas for adults there was an average increase of 16% in admissions ( n = 2 studies). Two studies did not have sufficient admission data and thus could not be included in the averages included above (Lin et al, 2021 ; Matthews et al, 2021 ), whereas three different cohort data points were extracted from Parsons et al ( 2021 ).…”

Section: Resultsmentioning

confidence: 99%

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The impact of the COVID‐19 pandemic on eating disorders: A systematic review

Devoe

Han

Anderson

et al. 2022

Intl J Eating Disorders

210

147

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Objective A growing body of evidence suggests that individuals with eating disorders (EDs) have experienced deteriorating symptoms, increased isolation, and an increase in hospital admissions as a result of the COVID‐19 pandemic. Despite this, no systematic reviews have been conducted examining the COVID‐19 and ED peer‐reviewed literature. Therefore, this systematic review aimed to synthesize the impact of the COVID‐19 pandemic on individuals with EDs. Method Database searches of the peer‐reviewed literature were completed in the subsequent databases: CINAHL, Embase, MEDLINE, and PsycINFO (from November 2019 to October 20, 2021). All research reporting on the relationship between the COVID‐19 pandemic on individuals with EDs were included. Results Fifty‐three studies met the inclusion criteria, including 36,485 individuals with EDs. The pooled hospital admissions across the studies demonstrated on average a 48% (pre = 591, post = 876, n = 10 studies) increase in admissions during the pandemic compared to previous pre‐pandemic timepoints. In this review, 36% of studies ( n = 19) documented increases in eating disorder symptoms during the pandemic, this increase in eating disorder symptoms were documented in AN, BED, BN, and OFSED patients. Studies also demonstrated increases in anxiety ( n = 9) and depression ( n = 8), however patterns of change appeared to be diagnostic and timing specific (e.g., lockdowns). Discussion We found a large increase in the number of hospitalizations and an increase in ED symptoms, anxiety, depression, and changes to BMI in ED patients during the pandemic. However, these changes appeared to be diagnostic and timing specific. Many qualitative studies described deterioration in ED symptomatology due to decreased access to care and treatment, changes to routine and loss of structure, negative influence of the media, and social isolation. Future studies are needed to focus on pediatric populations, new ED diagnoses, and severity of illness at presentation. Public Significance The scientific literature suggests that individuals with eating disorders have experienced deteriorating symptoms, increased isolation, and an increase in hospital admissions as a result of the COVID‐19 pandemic. This study synthesized 53 articles and explored the impact of the COVID‐19 pandemic on patients with eating disorders. We found increases in eating disorder symptoms during the pandemic; this increase in eating disorder symptoms was documented in patients with common eating disorders including anorexia nervosa, binge‐eating disorder, bulimia nervosa, and other specified feeding and eating disorders. This review also demonstrated changes in body mass index (an index used to classify underweight, overweight, and obesity in adults) and increas...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The impact of the COVID‐19 pandemic on eating disorders: A systematic review

Devoe

Han

Anderson

et al. 2022

Intl J Eating Disorders

210

147

View full text Add to dashboard Cite

show abstract

“…The COVID-19 epidemic significantly impacted eating disorder (ED) patients, interfering with the recovery process [97]. Parsons et al [98] suggested that the pandemic has impacted the experience of ED patients, the experience of service provision and the family situation. Therefore, support is necessary in various forms for people with eating disorders and their families.…”

Section: Orthorexia Fear Of Covid-19 and Pa Among University Studentsmentioning

confidence: 99%

The Mediating Role of Orthorexia in the Relationship between Physical Activity and Fear of COVID-19 among University Students in Poland

Kuśnierz

Rogowska

Kwaśnicka

et al. 2021

JCM

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Previous research showed that the COVID-19 pandemic has a significant impact on the wellbeing and lifestyle of populations worldwide, including eating and physical activity (PA) patterns. The present study aims to examine the mediating effect of orthorexia on the relationship between PA and fear of COVID-19. A sample of 473 university students from Poland of a mean age of 22 years (M = 22.04, SD = 2.90, 47% of women) participated in the cross-sectional online survey study. Continuous variables were measured using the Fear of COVID-19 Scale (FCV-19S) and the Test of Orthorexia Nervosa (TON-17), while categorical variables divided participants into the physically active and inactive group regarding WHO criteria (150 min per week). Weak gender differences were found. Active people showed lower fear of COVID-19 and higher orthorexia scores than those inactive. Orthorexia was found as a suppressor variable, which increases the negative predictive value of PA on fear of COVID-19. The model of cooperative suppression explained 7% of FCV-19S. The mechanism of mediation showed that health-related behavior could help reduce fear of COVID-19, but caution is necessary for people with addictive behavior tendencies. Universities should support university students by offering programs focused on increasing healthy lifestyles and improving wellbeing.

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“…Despite the elevated psychological risk profiles of ED patients’ sisters, and the evidence of an increase of psychological distress in parents during the pandemic [ 16 ], to our knowledge, no study has considered this specific population in the evaluation of the effects of COVID-19; instead, they have focused solely on parents or caregivers [ 16 , 24 ]. However, literature has shown that comparing ED patients and their sisters enable the evaluation of intra- and interpersonal moderating factors for the impacts of EDs [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

One year of COVID-19 pandemic on patients with eating disorders, healthy sisters, and community women: evidence of psychological vulnerabilities

et al. 2022

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Purpose The COVID-19 pandemic has been a psychological burden worldwide, especially for individuals with eating disorders (EDs). In addition, the healthy sisters of patients with EDs are known to present specific psychological vulnerabilities. This study evaluates differences between the general population, patients with EDs, and their healthy sisters. Method A group of 233 participants (91 patients with EDs, 57 of their healthy sisters and 85 community women) was enrolled in an online survey on general and specific psychopathology 1 year after the beginning of the COVID-19 pandemic. The survey examined associations between posttraumatic symptoms and depression, anxiety, obsessive–compulsiveness, interpersonal sensitivity, and eating-related concerns. Results Clinically relevant scores for posttraumatic disorders were found in patients with EDs. Healthy sisters scored similarly to patients for avoidance. Regression analysis showed specific associations between interpersonal sensitivity and posttraumatic symptomatology in patients and healthy sisters, but not in community women. Conclusion The psychological burden in patients with EDs is clinically relevant and linked to interpersonal sensitivity, obsessive–compulsiveness, and global symptom severity. Differences between patients, healthy sisters, and community women are discussed regarding vulnerability factors for EDs. Level of evidence Level III: evidence obtained from well-designed cohort or case–control analytic studies.

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Review of Ireland’s First Year of the COVID-19 Pandemic Impact on People Affected by Eating Disorders: ‘Behind Every Screen There Was a Family Supporting a Person with an Eating Disorder’

Cited by 17 publications

References 35 publications

The impact of the COVID‐19 pandemic on eating disorders: A systematic review

The impact of the COVID‐19 pandemic on eating disorders: A systematic review

The Mediating Role of Orthorexia in the Relationship between Physical Activity and Fear of COVID-19 among University Students in Poland

One year of COVID-19 pandemic on patients with eating disorders, healthy sisters, and community women: evidence of psychological vulnerabilities

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