ArticleEating and weight disorders : EWD2021
Eating disorders during COVID-19 pandemic: the experience of Italian healthcare providers.
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 19 papers, 3 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Pooled it
- COVID-19-related changes in eating disorder pathology, emotional and binge eating and need for care: a systematic review with frequentist and Bayesian meta-analyses.Eating and weight disorders : EWD · 2023Pooled it
- The prevalence of mental health outcomes among eating disorder patients during the COVID-19 pandemic: A meta-analysis.Clinical nutrition ESPEN · 2022Pooled it
- Stepping into day treatment approach versus inpatient treatment for adults with anorexia nervosa: the DAISIES RCT.Health technology assessment (Winchester, England) · 2025Trial
- A Scoping Review of Eating Disorder Clinicians' Experiences, Needs, Views and Wellbeing.Journal of clinical psychology · 2025Article
- The continuing impact of COVID-19 on eating disorder early intervention services in England: An investigation of referral numbers and presentation characteristics.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- Intensive Cognitive Behavioral Therapy for Adolescents with Anorexia Nervosa Outcomes before, during and after the COVID-19 Crisis.Nutrients · 2024Article
- Let the Body Talk: Preliminary Data of an Open Trial of Dance Movement Therapy for Eating Disorders.Journal of clinical medicine · 2023Article
- Experiences of a virtual day program for adolescents with eating disorders: a qualitative analysis of benefits and barriers.Journal of eating disorders · 2023Article
- Canadian pediatric eating disorder programs and virtual care during the COVID-19 pandemic: a mixed-methods approach to understanding clinicians' perspectives.Annals of general psychiatry · 2023Article
- How shift work influences anxiety, depression, stress and insomnia conditions in Italian nurses: an exploratory study.Acta bio-medica : Atenei Parmensis · 2023Observational
- Efficacy of the holistic, psychonutritional approach ofJournal of diabetes and metabolic disorders · 2022Review
- Eating Disorders in Hospitalized School-Aged Children and Adolescents during the COVID-19 Pandemic: A Cross-Sectional Study of Discharge Records in Developmental Ages in Italy.International journal of environmental research and public health · 2022Article
- The usage of different types of food outlets was not significantly associated with body mass index during the third COVID-19 national lockdown in the United Kingdom.Obesity science & practice · 2022Article
- A qualitative evaluation of team and family perceptions of family-based treatment delivered by videoconferencing (FBT-V) for adolescent Anorexia Nervosa during the COVID-19 pandemic.Journal of eating disorders · 2022Article
- Clinicians' perspectives on supporting individuals with severe anorexia nervosa in specialist eating disorder intensive treatment settings during the COVID-19 pandemic.Journal of eating disorders · 2022Article
- Use of Telehealth in the Management of Adolescent Eating Disorders: Patient Perspectives and Future Directions Suggested from the COVID-19 Pandemic.Adolescent health, medicine and therapeutics · 2022Review
- A systematic scoping review of research on COVID-19 impacts on eating disorders: A critical appraisal of the evidence and recommendations for the field.The International journal of eating disorders · 2022Article
- Childhood onset exercise addiction or atypical anorexia nervosa during Covid-19: case report.Journal of eating disorders · 2021Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDue to COVID-19 pandemic, the Italian population lived in quarantine from March to May 2020 (lockdown phase I). Restrictions impacted individuals' psychological health, especially in those with eating disorders (ED). Healthcare providers (HCPs) treating ED provided assistance by telemedicine and/or in walk-in clinics. We hypothesize that social restrictions represented a great stressor for ED patients and HCPs, negatively impacted their therapeutic alliance, and affected the frequency of dysfunctional behaviors.
methodsThis cross-sectional study consisted of an online survey investigating the experience of HCPs involved in ED treatment, with a specific focus on difficulties concerning the therapeutic efficacy. Questionnaire (n. 18 questions) was formulated ad hoc by our research team and sent by e-mail to Italian HCPs registered on online platforms. HCPs included ED experts specialized in psychology, nutrition or medicine. Data were collected during lockdown phase I and referred to patients with Anorexia Nervosa-(AN), Bulimia Nervosa (BN)-and Binge-Eating Disorder-(BED).
resultsOne-hundred questionnaires were collected; 84 and 76 were included in our qualitative and quantitative analyses, respectively. Thirty-six% of HCPs felt their therapeutic intervention was unsuccessful, 37% complained compromised therapeutic alliance. Changes in frequency of compensatory behaviors (increased in 41% AN and 49,5% BN; reduced in 14,6% AN and 21,8% BN) and binge-eating episodes (increased in 53,3% BN and 30,5% BED; reduced in 30,7% BN and 24,7% BED) were experienced and ascribed to augmented patient's anxiety. Disorders switches and variation in dysfunctional conducts frequency were both significantly related to ED category (p < 0.05 for all). Concentration techniques were recognized as useful to offset such negative outcomes.
conclusionAccording to HCPs, social restrictions affected the frequency of dysfunctional behaviors in ED patients and the efficacy of their therapeutic intervention. Further long-term studies are needed to confirm our data in a larger sample size. LEVEL IV: Novel results from a cross-sectional study.
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