Evidence map›Paper›PMID 41023255›Full record

ArticleEating and weight disorders : EWD2025

Mental health of children and young people with pre-existing eating problems during the COVID-19 pandemic.

Johanna Lee, Natalia K Rojas, Snehal M Pinto Pereria, Terence Stephenson, Jennifer McGowan, Trudie Chalder, Emma Dalrymple, Tamsin Ford, Isobel Heyman, Shamez Ladhani and 5 more

Abstract read
In one paragraph

Article in Eating and weight disorders : EWD, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Johanna LeeUCL GOS Institute of Child Health, London, England, UK.
Natalia K RojasUniversity College London Division of Surgery and Interventional Science, London, England, UK.
Snehal M Pinto PereriaUniversity College London Division of Surgery and Interventional Science, London, England, UK.
Terence StephensonUCL GOS Institute of Child Health, London, England, UK.
Jennifer McGowanUCL Department of Experimental Psychology, London, England, UK.
Trudie ChalderKing's College London Department of Psychological Medicine, London, England, UK.
Emma DalrympleUCL GOS Institute of Child Health, London, England, UK.
Tamsin FordCambridge University, Psychiatry, Cambridge, England, UK.
Isobel HeymanUCL GOS Institute of Child Health, London, England, UK.
Shamez LadhaniUK Health Security Agency, London, England, UK.
Kelsey McOwatUK Health Security Agency, London, England, UK.
Ruth SimmonsUK Health Security Agency, London, England, UK.
Olivia SwannThe University of Edinburgh Usher Institute of Population Health Sciences and Informatics, Edinburgh, Scotland, UK.
CLoCk Consortium
Roz ShafranUCL GOS Institute of Child Health, London, England, UK. r.shafran@ucl.ac.uk.

Funding

National Institute for Health and Care Research COVLT0022Senior Non-clinical fellowship MR/Y009398/1UK Medical Research Council Career Development Award MR/P020372/1UK Research and Innovation COVLT0022
6 · The paper itself

Abstract

objectiveThe study sought to explore mental health trajectories of children and young people (CYP) who retrospectively reported eating problems prior to the pandemic, over a 2-year period (2021-23). Given the rapid increase in eating disorder presentations during the pandemic, these CYP may be particularly susceptible to pandemic-related challenges, including social and functional restrictions.

methodsData on 2023 CYP from the Children and Young People with Long COVID (CLoCk) study recruited Jan-March 2021 who completed questionnaires at 3-, 6-, 12-, and 24-months post SARS-CoV-2 PCR-testing were analysed. Associations between baseline eating problems (N = 241) and emotional and behavioural symptoms (measured by the Strengths and Difficulties Questionnaire (SDQ) total difficulties and impact scores) at each time-point were examined by regression models. Multi-level models were used to determine whether SDQ total and impact trajectories of those with/without prior self-reported eating problems differed.

resultsCompared to CYP who did not report pre-existing eating problems, those that did had more mental health difficulties at all time points: reflected in significantly higher SDQ total difficulties and impact scores. However, mental health scores of CYP reporting pre-pandemic eating problems were stable over time. Whereas, CYP without eating problems had a slight increase in mental health difficulties over time. Differences between groups diminished but remained significant when controlling for potential confounding variables including prior mental health difficulties. DISCUSSION: Young people with eating problems had more emotional and behavioural symptoms during 2021-23, compared with those that did not have eating problems. However, mental health did not worsen over time amongst CYP with pre-existing eating problems, providing evidence of some relative resilience to the effects of the pandemic in this population. PUBLIC SIGNIFICANCE: Eating disorders are a major public health concern and presentations have remained high since the Covid-19 pandemic. Understanding how eating difficulties relate to mental health symptomology over time has implications for service planning. LEVEL OF EVIDENCE: Level III: Evidence obtained from well-designed cohort study.

Indexed as

COVID-19Feeding and Eating DisordersMental HealthAdolescentChildFemaleHumansMalePandemicsRetrospective StudiesSARS-CoV-2Surveys and QuestionnairesYoung AdultChildren and young peopleCOVID-19Eating problemsMental healthPandemic

Identifiers

PMID41023255
PMCPMC12479571

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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.