Evidence map›Paper›PMID 33636674›Full record

ArticleJournal of affective disorders2021

The impact of COVID-19 lockdown and of the following "re-opening" period on specific and general psychopathology in people with Eating Disorders: the emergent role of internalizing symptoms.

Alessio Maria Monteleone, Francesca Marciello, Giammarco Cascino, Giovanni Abbate-Daga, Simona Anselmetti, Monica Baiano, Matteo Balestrieri, Eugenia Barone, Sara Bertelli, Bernardo Carpiniello and 20 more

Abstract read
In one paragraph

Article in Journal of affective disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

42 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. 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
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  18. Current psychology (New Brunswick, N.J.) · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors.

Alessio Maria MonteleoneDepartment of Psychiatry, University of Campania "Luigi Vanvitelli", Naples, Italy. Electronic address: alessiomaria.monteleone@unicampania.it.
Francesca MarcielloDepartment of Medicine, Surgery and Dentistry 'Scuola Medica Salernitana', Section of Neurosciences, University of Salerno, Salerno, Italy.
Giammarco CascinoDepartment of Medicine, Surgery and Dentistry 'Scuola Medica Salernitana', Section of Neurosciences, University of Salerno, Salerno, Italy.
Giovanni Abbate-DagaEating Disorders Center for Treatment and Research, Department of Neuroscience, University of Turin, Turin, Italy.
Simona AnselmettiNutrimente onlus, Milan, Italy.
Monica BaianoEating Disorders Center, Unit of Psychiatry, DAME, University of Udine, Udine, Italy.
Matteo BalestrieriUnit of Psychiatry, DAME, University of Udine, Udine, Italy.
Eugenia BaroneDepartment of Psychiatry, University of Campania "Luigi Vanvitelli", Naples, Italy.
Sara BertelliDepartment of Mental Health, ASST Santi Paolo e Carlo, Milan, Italy.
Bernardo CarpinielloSection of Psychiatry, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Giovanni CastelliniPsychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy.
Giulio CorrivettiEuropean Biomedical Research Institute of Salerno (EBRIS), Salerno, Italy.
Serafino DE GiorgiCenter for Treatment and Research on Eating Disorders, Mental Health Department, ASL Lecce, Lecce, Italy.
Angela FavaroDepartment of Neuroscience, University of Padova, Padua, Italy.
Carla GramagliaPsychiatry Institute, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Enrica MarzolaEating Disorders Center for Treatment and Research, Department of Neuroscience, University of Turin, Turin, Italy.
Paolo MeneguzzoDepartment of Neuroscience, University of Padova, Padua, Italy; Eating Disorders Unit, Casa di Cura "Villa Margherita", Arcugnano, Italy.
Francesco MonacoDepartment of Mental Health, Asl Salerno, Salerno, Italy.
Maria Ginevra OrianiED outpatient service, Mental Health Department, AV2 ASUR Marche, Jesi, Italy.
Federica PinnaSection of Psychiatry, Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Marianna RaniaDepartment of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy.
Caterina RennaCenter for Treatment and Research on Eating Disorders, Mental Health Department, ASL Lecce, Lecce, Italy.
Valdo RiccaPsychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy.
Pierandrea SalvoEating disorders Centre Portogruaro, AULSS 4 Veneto Orientale, Italy.
Cristina Segura-GarciaDepartment of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy.
Fabiana ScarabelEating disorders Centre Portogruaro, AULSS 4 Veneto Orientale, Italy.
Patrizia TodiscoEating Disorders Unit, Casa di Cura "Villa Margherita", Arcugnano, Italy.
Umberto VolpeUnit of Clinical Psychiatry, Department of Clinical Neurosciences/DIMSC, Università Politecnica delle Marche, Ancona, Italy.
Patrizia ZeppegnoPsychiatry Institute, Department of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.
Palmiero MonteleoneDepartment of Medicine, Surgery and Dentistry 'Scuola Medica Salernitana', Section of Neurosciences, University of Salerno, Salerno, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe assessed the impact of the coronavirus disease 2019 (COVID-19) pandemic on specific Eating Disorder (ED) and general psychopathology in people with an ED diagnosis during the lockdown period and after the end of the related containment measures.

methodsPeople with clinically defined diagnosis and undergoing treatment for an ED completed an online survey, which included adapted questions from standardized psychometric scales. Data relative to three different time periods (before, during and after the end of lockdown) were collected. Psychopathological changes over these periods were investigated and compared through one-way analysis of variance or covariance with repeated measures.

resultsThree hundred twelve people completed the survey (57.4% diagnosed with Anorexia Nervosa (AN) or atypical AN, 20.2% with Bulimia Nervosa, 15.4% with Binge Eating Disorder, 7.05% with Other Specified Feeding or Eating Disorders). The severity of both specific and general psychopathology increased during the lockdown and the rise of general symptoms persisted in the following re-opening phase, except for suicide ideation. Almost all of these findings were not affected by ED diagnosis, participants' age and illness duration. LIMITATIONS: The retrospective nature of data collection is the main limitation of the study.

conclusionsPeople with EDs showed a COVID-19 emergency-induced worsening of both general and specific psychopathology. The effect on general psychopathology persisted in the re-opening period. These findings suggest a high stress vulnerability of ED individuals with important effects on internalizing symptoms, which are worth of attention by clinicians.

Indexed as

COVID-19Feeding and Eating DisordersCommunicable Disease ControlHumansPsychopathologyRetrospective StudiesSARS-CoV-2ConfinementCOVID-19Eating disordersPsychopathologySocial exposureStress

Identifiers

PMID33636674
PMCPMC9755808

What OpenQuestion holds

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Registered trials

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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.