ArticleEating and weight disorders : EWD2021
Risk and resilience factors for specific and general psychopathology worsening in people with Eating Disorders during COVID-19 pandemic: a retrospective Italian multicentre study.
Article in Eating and weight disorders : EWD, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.
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Who cites it
40 citing papers in PubMed, 4 syntheses or guidelines pooled it, 70 citations in OpenAlex.
- Short- and long-term effects of Covid-19 pandemic on health care system for individuals with eating disorders.Frontiers in psychiatry · 2024Pooled it
- The impacts of COVID-19 on eating disorders and disordered eating: A mixed studies systematic review and implications.Frontiers in psychology · 2022Pooled it
- 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 · 2021Pooled it
- COVID-19 Pandemic and Eating Disorders: What Can We Learn About Psychopathology and Treatment? A Systematic Review.Current psychiatry reports · 2021Pooled it
- Stepping into day treatment approach versus inpatient treatment for adults with anorexia nervosa: the DAISIES RCT.Health technology assessment (Winchester, England) · 2025Trial
- Trial
- Impact of COVID-19 Lockdown on Psychopathology at the Onset of Eating Disorders.European eating disorders review : the journal of the Eating Disorders Association · 2026Article
- Impact of the COVID-19 Pandemic on Pediatric Neuropsychiatric Disorders: A Retrospective Study at a Single Center for Child Neurology and Psychiatry.Children (Basel, Switzerland) · 2026Article
- Intermittent Fasting and Emotional Regulation: A Psychobiological Framework Integrating Metabolic, Neuroendocrine and Interoceptive Mechanisms.Nutrients · 2026Review
- Impact of the COVID-19 Pandemic on the Incidence of Anorexia and Bulimia Nervosa in Dutch Primary Care.The International journal of eating disorders · 2025Article
- Family functioning and eating psychopathology in developmental restrictive eating disorders after Covid-19 lockdown.Eating and weight disorders : EWD · 2025Article
- Eating disorders and COVID-19 - different or just more?Irish journal of medical science · 2024Article
- When time worsens framing: a longitudinal analysis of the psychological effects of the COVID-19 pandemic in women with an eating disorder and their healthy sisters.Archives of women's mental health · 2024Article
- The implications of the COVID-19 pandemic on eating disorder features and comorbid psychopathology among adolescents with anorexia nervosa and matched controls: a comparative cohort design study.Eating and weight disorders : EWD · 2024Article
- Effects of the COVID-19 pandemic on youth mental health: a cross-sectional study on eating disorder patients and their unaffected siblings.Child and adolescent psychiatry and mental health · 2024Article
- The Psychological and Medical Landscape of Anorexia Nervosa over a Decade: A Retrospective Study of Possible Physical and Psychological Shifts.Journal of clinical medicine · 2023Article
- Psychosocial Factors, Technology Use, and Disordered Eating in College Students During the COVID-19 Pandemic.Journal of psychosocial nursing and mental health services · 2023Article
- Effect of COVID-19 pandemic on utilisation of community-based mental health care in North-East of Italy: A psychiatric case register study.Epidemiology and psychiatric sciences · 2023Article
- Eating disorders during lockdown: the transcultural influence on eating and mood disturbances in Ibero-Brazilian population.Journal of eating disorders · 2023Article
- Increased General, Eating, and Body-Related Psychopathology in Inpatients in a Specialized Eating Disorders Unit after the Beginning of the COVID-19 Pandemic: A Retrospective Comparison with the Pre-Pandemic Period.Journal of clinical medicine · 2023Article
Corrections and comments
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Authors and funding
30 authors at 13 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe COVID-19 pandemic restrictions had negative impact on the psychopathology of people with Eating Disorders (EDs). Factors involved in the vulnerability to stressful events have been under-investigated in this population. We aimed to assess which factors contributed to COVID-19-induced worsening in both general and specific psychopathology.
methodsThree-hundred and twelve people with a clinically defined diagnosis of an ED and undergoing a specialist ED treatment in different Italian ED services before the spreading of COVID-19 pandemic filled in an online survey. ED specific and general psychopathology changes after COVID-19 quarantine were retrospectively evaluated. Factors related to COVID-19 concerns (financial condition, fear of contagion, perceived social isolation/support, satisfaction in peer, family or sentimental relationships), illness duration and treatment-related variables (type of treatment provided, type of access to care, satisfaction with therapeutic relationships) were included as predicting factors in a structural equational model, which included latent variables consisting of general and ED psychopathology items as outcomes.
resultsA perceived low quality of therapeutic relationships, fear of contagion and increased isolation were positively associated with psychopathology worsening. Reduced satisfaction with family and with friends' relationships and reduced perceived social support were associated with ED and general symptoms deterioration, respectively. No significant effect emerged for intimate relationships, illness duration, economic condition and type of treatment.
conclusionsThis study provides a comprehensive evaluation of clinical variables associated with psychopathological changes during the COVID-19 lockdown period highlighting potential risk and resilience factors and, possibly, informing treatment as well as prevention strategies for EDs. LEVEL OF EVIDENCE IV: Evidence obtained from multiple time series analysis such as case studies.
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