Evidence map›Paper›PMID 32841413›Full record

ArticleThe International journal of eating disorders2020

Eating disorders in times of the COVID-19 pandemic-Results from an online survey of patients with anorexia nervosa.

Sandra Schlegl, Julia Maier, Adrian Meule, Ulrich Voderholzer

Open access · hybridAbstract read
In one paragraph

Article in The International journal of eating disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 140 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
140citing papers in PubMed, 9 pooled it
18.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

140 citing papers in PubMed, 9 syntheses or guidelines pooled it, 276 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Effects of COVID-19 lockdown on eating disorders and obesity: A systematic review and meta-analysis.European eating disorders review : the journal of the Eating Disorders Association · 2021
    Pooled it
  7. Pooled it
  8. Impact of COVID-19 on Mental Health in Adolescents: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
  9. Pooled it
  10. Eating behaviour and symptom trajectories in patients with a history of binge eating disorder during COVID-19 pandemic.European eating disorders review : the journal of the Eating Disorders Association · 2021
    Trial
  11. Article
  12. Impact of COVID-19 Lockdown on Psychopathology at the Onset of Eating Disorders.European eating disorders review : the journal of the Eating Disorders Association · 2026
    Article
  13. Article
  14. Article
  15. Observational
  16. Article
  17. Article
  18. Article
  19. E-Mental Health Interventions in Inpatient Care: Scoping Review.Journal of medical Internet research · 2025
    Article
  20. Mediating Factors and Demographic Disparities Associated With Disordered Eating in University Students During the Era of COVID-19.European eating disorders review : the journal of the Eating Disorders Association · 2025
    Article

80 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Sandra SchleglDepartment of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilians-University, Munich, Germany.ORCID 0000-0003-1791-7379
Julia MaierDepartment of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilians-University, Munich, Germany.
Adrian MeuleDepartment of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilians-University, Munich, Germany.ORCID 0000-0002-6639-8977
Ulrich VoderholzerDepartment of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilians-University, Munich, Germany.ORCID 0000-0003-0261-3145
Ludwig-Maximilians-Universität München · DESchön Klinik Roseneck · DEUniversity Medical Center Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe COVID-19 pandemic and the resulting public restrictions pose a psychological burden for humans worldwide and may be particularly detrimental for individuals with mental disorders. Therefore, the current study explored effects of the COVID-19 pandemic on eating disorder (ED) symptoms and other psychological aspects in former inpatients with anorexia nervosa (AN).

methodOne-hundred and fifty-nine patients with AN-discharged from inpatient treatment in 2019-completed an online survey on contact history with COVID-19, changes in ED symptoms and other psychological aspects, health care utilization, and strategies patients employed to cope during the pandemic.

resultsApproximately 70% of patients reported that eating, shape and weight concerns, drive for physical activity, loneliness, sadness, and inner restlessness increased during the pandemic. Access to in-person psychotherapies and visits at the general practitioner (including weight checks) decreased by 37% and 46%, respectively. Videoconference therapy was used by 26% and telephone contacts by 35% of patients. Patients experienced daily routines, day planning and enjoyable activities as the most helpful among the most used coping strategies. DISCUSSION: The COVID-19 pandemic poses great challenges to patients with AN. ED-related thoughts and behaviors may be used as dysfunctional coping mechanisms to regain control over the current circumstances. E-mental health interventions appear to be promising for supporting AN patients during these hard times. Furthermore, interventions addressing symptoms of depression and anxiety, as well as intolerance of uncertainty might help them manage their ED symptoms.

Indexed as

Coronavirus InfectionsPandemicsPneumonia, ViralAdaptation, PsychologicalAdolescentAdultAnorexia NervosaAnxietyCOVID-19Cross-Sectional StudiesDepressionExerciseFemaleGermanyHealth BehaviorHealth Services Accessibilityanorexia nervosacoping strategiesCOVID-19 pandemichealth care utilizationsymptoms worsening

Identifiers

PMID32841413
PMCPMC7461418
OpenAlexW3081173220

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.