ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2022
The youngest are hit hardest: The influence of the COVID-19 pandemic on the hospitalization rate for children, adolescents, and young adults with anorexia nervosa in a large German representative sample.
Article in European psychiatry : the journal of the Association of European Psychiatrists, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Mental health and quality of life in children and adolescents during the COVID-19 pandemic: a systematic review of longitudinal studies.Frontiers in public health · 2023Pooled it
- Parental Concerns About Child Disordered Eating Among Youth With High Weights Participating in a Motivational Interviewing-Based Behavioral Intervention.Journal of nutrition education and behavior · 2026Trial
- Continuity of care: time to first outpatient appointment after child and adolescent psychiatric hospital stays in Germany.BMC health services research · 2026Article
- Parallel Increase in Childhood Anorexia Nervosa and Early Puberty During the COVID-19 Pandemic.The International journal of eating disorders · 2026Article
- Decreasing prevalence or increase in unregistered cases of bulimia nervosa in children and adolescents in Germany? A comparison using representative claims data pre- vs. intra-COVID-19 pandemic.Eating and weight disorders : EWD · 2025Article
- The impact of the COVID-19 pandemic on administrative eating disorder prevalence in the outpatient sector and on severity of anorexia nervosa.European child & adolescent psychiatry · 2025Article
- Early intervention for adolescents with anorexia nervosa: Pilot evaluation of an outpatient group therapy prior to inpatient treatment.European eating disorders review : the journal of the Eating Disorders Association · 2025Article
- A never-ending story: The COVID-19 pandemic and the increase of hospital admissions for typical and atypical anorexia nervosa in children, adolescents and young adults in the post-pandemic era in Germany.European psychiatry : the journal of the Association of European Psychiatrists · 2024Article
- Article
- Association of Dietary Habits with Eating Disorders among Latvian Youth Aged 18-24.Behavioral sciences (Basel, Switzerland) · 2024Article
- [New aspects in etiology and treatment of adolescent anorexia nervosa-a postulated bio-psycho-social model and the impact of the COVID-19 pandemic].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024Review
- The Diagnosis and Treatment of Anorexia Nervosa in Childhood and Adolescence.Deutsches Arzteblatt international · 2024Review
- Pediatric acute hospitalization for anorexia nervosa: an economic evaluation.Italian journal of pediatrics · 2024Article
- Adherence to Dutch Guideline in Hospitalized Anorexia Nervosa Adolescents.Global pediatric health · 2024Article
- Involuntary Treatment for Child and Adolescent Anorexia Nervosa-A Narrative Review and Possible Advances to Move Away from Coercion.Healthcare (Basel, Switzerland) · 2023Review
- Mirror Exposure Training for Adolescents With Anorexia Nervosa (MIRADAN): Cognitive Mechanisms of Body Disturbance - A Study Protocol.Clinical psychology in Europe · 2023Article
- [Maintaining a comprehensive provision of inpatient child and adolescent mental health services in the years to come-a German perspective].Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2023Article
- "What Made My Eating Disorder Worse?" The Impact of the COVID-19 Pandemic from the Perspective of Adolescents with Anorexia Nervosa.Nutrients · 2023Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe COVID-19 pandemic has severely impacted the mental health of children and adolescents. Young people at risk for anorexia nervosa (AN) have been especially shown to be affected. There are no studies that have investigated the respective proportions of hospitalized children, adolescents, and young adults separately as well as of both sexes during the COVID-19 crisis.
methodsThis study is based on the administrative data of the largest German statutory health insurance. All children (0-14 years) and adolescents (15-19 years) with a discharge diagnosis of typical and atypical AN according to the International Classification of Diseases (ICD)-10 were included. Admission rates per 10,000 person-years were calculated separately by sex and age group, based on admission numbers from the 9-month interval from January to September of 2019, 2020, and 2021 and the number of insured persons per sex and age group of each year.
resultsThe entire sample comprised approximately 4.7 million children and adolescents. There was a highly significant increase of 40% (relative risk (RR): 1.4; [1.27, 1.55];
conclusionsYoung people appear to be especially prone to develop AN during a crisis, such as with social isolation and school closures. Home-based or mobile pediatric services should be established to prevent this often chronic and disabling disorder in young patients.
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