Evidence map›Paper›PMID 38492150›Full record

ArticleIrish journal of medical science2024

Eating disorders and COVID-19 - different or just more?

Cathal Rafferty, Angela O'Donnell, Sally Campbell, Bohan Sun, Jenny King, Zeinab Ali, Diarmuid Lynch, Elizabeth Barrett, Sarah Richardson, Michelle Clifford and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Irish journal of medical science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
5.1field-weighted citation impact, top 5% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
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

11 authors at 2 institutions in 1 country.

Cathal RaffertySchool of Medicine, University College Dublin, Dublin, Ireland. cathal.rafferty@ucdconnect.ie.ORCID http://orcid.org/0009-0002-0217-527X
Angela O'DonnellSchool of Medicine, University College Dublin, Dublin, Ireland.
Sally CampbellSchool of Medicine, University College Dublin, Dublin, Ireland.
Bohan SunSchool of Medicine, University College Dublin, Dublin, Ireland.
Jenny KingDepartment of Paediatric Liaison Psychiatry, Children's Hospital Ireland, Crumlin Dublin 12, Dublin, Ireland.
Zeinab AliDepartment of Paediatric Liaison Psychiatry, Children's Hospital Ireland, Crumlin Dublin 12, Dublin, Ireland.
Diarmuid LynchDepartment of Paediatric Liaison Psychiatry, Children's Hospital Ireland, Crumlin Dublin 12, Dublin, Ireland.
Elizabeth BarrettSchool of Medicine, University College Dublin, Dublin, Ireland.
Sarah RichardsonDepartment of Paediatric Liaison Psychiatry, Children's Hospital Ireland, Crumlin Dublin 12, Dublin, Ireland.
Michelle CliffordLucena CAMHS, SJOG, Rathgar Dublin 6, Dublin, Ireland.
Fiona McNicholasSchool of Medicine, University College Dublin, Dublin, Ireland.
University College Dublin · IEChildren's Health Ireland at Crumlin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 saw an increase in child mental health presentations internationally. Clinicians analogised the exponential increase in anorexia nervosa to a 'tsunami' or 'outbreak', raising parallel concerns regarding medical and psychological risks (Marsh in The Guardian, 2021; Leask in NZ Herald, 2021; Monteleone et al. in Eat Weight Disord 26(8):2443-2452, 2021) . It is unclear whether Ireland emulated this picture of increased referrals with increased medical compromise.

aimsThis paper examines both rates and clinical profiles of child eating disorder presentations in the Republic of Ireland (ROI), across different clinical settings.

methodsFollowing ethical approval, retrospective chart reviews were conducted in a community eating disorder service and in two paediatric hospital settings. The time frame of the different studies ranged from January 2016 to December 2022.

resultsCommunity eating disorder services saw significantly higher referral rates post COVID-19 (3.78/month vs. 2.31/month, p = 0.02), with a shorter duration of illness (4.8 months vs. 7.4 months, p = 0.001), but no significant difference in ideal body weight % (IBW%) at referral (85.32% vs. 83.7%, p = 0.1). Both paediatric hospitals witnessed significantly increased referrals post-COVID-19 (hospital 1; 4.38/month vs. 1.93/month, p = 0.0001; hospital 2; 2.8/month vs. 0.92/month, p < 0.0001), but no significant difference in IBW% at assessment (hospital 1; 82.7% vs. 81.39%, p = 0.673; hospital 2; 81.5% vs. 83%, p = 0.563). There was no significant difference in clinical profile, management, or duration of hospital stay.

conclusionsThis study supports the growing consensus of a pandemic specific increase in eating disorder referrals to both medical and psychiatry services. However, there was little to indicate a change in clinical profile or severity. Ongoing monitoring of referrals is necessary to ensure adequate service availability and expertise.

Indexed as

COVID-19Feeding and Eating DisordersAdolescentChildFemaleHumansIrelandMaleReferral and ConsultationRetrospective StudiesSARS-CoV-2CAMHSCOVID-19Eating disordersHospital admissionReferral rates

Identifiers

PMID38492150
PMCPMC11294367
OpenAlexW4392885019

What OpenQuestion holds

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LicenceCC BY
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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.