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  1. Article ; Online: Longitudinal experiences and impact of the COVID-19 pandemic among people with past or current eating disorders in Sweden.

    Birgegård, Andreas / Abbaspour, Afrouz / Borg, Stina / Clinton, David / Mantilla, Emma Forsén / Savva, Androula / Termorshuizen, Jet D / Bulik, Cynthia M

    Eating disorders

    2021  Volume 30, Issue 6, Page(s) 602–617

    Abstract: The study aimed to document the impact of the COVID-19 pandemic on the health and well-being of individuals with past and current eating disorders (ED) in Sweden. We re-contacted participants with a known lifetime history of ED from two previous Swedish ... ...

    Abstract The study aimed to document the impact of the COVID-19 pandemic on the health and well-being of individuals with past and current eating disorders (ED) in Sweden. We re-contacted participants with a known lifetime history of ED from two previous Swedish studies. Participants completed an online survey about health and functioning at baseline early in the pandemic (Wave 1 ca May/June 2020;
    MeSH term(s) Humans ; COVID-19/epidemiology ; Pandemics ; Sweden/epidemiology ; Feeding and Eating Disorders/epidemiology ; Anxiety/epidemiology
    Language English
    Publishing date 2021-10-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1209799-8
    ISSN 1532-530X ; 1064-0266 ; 1067-1633
    ISSN (online) 1532-530X
    ISSN 1064-0266 ; 1067-1633
    DOI 10.1080/10640266.2021.1985286
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Longer-term impact of COVID-19 among individuals with self-reported eating disorders in the United States, the Netherlands, and Sweden.

    Termorshuizen, Jet D / Sun, Quan / Borg, Stina / Mantilla, Emma F / Goode, Rachel W / Peat, Christine M / Thornton, Laura M / Watson, Hunna / van Furth, Eric F / Birgegård, Andreas / Bulik, Cynthia M

    The International journal of eating disorders

    2022  Volume 56, Issue 1, Page(s) 80–90

    Abstract: Objective: We assessed eating disorder (ED) illness status, symptomatology, treatment access, anxiety, and depression in the first year of the COVID-19 pandemic among individuals with a pre-existing ED in the United States (US), the Netherlands (NL), ... ...

    Abstract Objective: We assessed eating disorder (ED) illness status, symptomatology, treatment access, anxiety, and depression in the first year of the COVID-19 pandemic among individuals with a pre-existing ED in the United States (US), the Netherlands (NL), and Sweden (SE).
    Methods: Participants completed online surveys in April-July 2020, at the early stage of the pandemic, and one year later. At one-year follow-up, we added questions addressing retrospective changes in ED symptoms, treatment, and anxiety/depression since the start of the COVID-19 pandemic. We present descriptive statistics and assess change in ED symptomatology, treatment, and anxiety/depression among those with an active or lingering ED.
    Results: Participants (US n = 132; NL n = 219; SE n = 702) were mostly young and female with a history of anorexia nervosa (>60% in all three countries). Across countries, respondents reported impact of COVID-19 on ED symptoms at both time points, with improvement in US and NL at one-year follow-up, and stable but less impact on ED symptoms in SE. Furthermore, at one-year follow-up, roughly half of those in treatment reported reduced treatment access and quality, and the majority of the sample reported increased anxiety and depressive mood since the start of the pandemic.
    Discussion: Our findings suggest that the self-perceived impact of COVID-19 changed over time but remained concerning even one year after the start of the pandemic. Clinicians, community organizations, and policy makers are encouraged to address potentially changing treatment needs in the face of public health emergency events.
    Public significance: Our findings suggest that the impact of COVID-19 on individuals with eating disorders decreased over time but remained concerning even one year after the start of the pandemic and that the impact differed across countries. Clinicians, community organizations, and policy makers are encouraged to incorporate this knowledge to address potentially changing treatment needs in the face of public health emergency events.
    MeSH term(s) Female ; Humans ; COVID-19/complications ; COVID-19/epidemiology ; Netherlands/epidemiology ; Pandemics ; Retrospective Studies ; Self Report ; Sweden/epidemiology ; United States/epidemiology ; Feeding and Eating Disorders/epidemiology
    Language English
    Publishing date 2022-10-13
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, P.H.S. ; Research Support, Non-U.S. Gov't
    ZDB-ID 603170-5
    ISSN 1098-108X ; 0276-3478
    ISSN (online) 1098-108X
    ISSN 0276-3478
    DOI 10.1002/eat.23824
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Course and predictors of eating disorder symptoms, anxiety symptoms, and pandemic-related eating disorder concerns among adults with eating disorders during the first year of the COVID-19 pandemic.

    Thompson, Katherine A / Hedlund, Elin L / Sun, Quan / Peat, Christine M / Goode, Rachel W / Termorshuizen, Jet D / Thornton, Laura M / Borg, Stina / van Furth, Eric F / Birgegård, Andreas / Bulik, Cynthia M / Watson, Hunna J

    The International journal of eating disorders

    2022  Volume 56, Issue 1, Page(s) 151–168

    Abstract: Objective: The COVID-19 pandemic and public health mitigation measures have negatively impacted individuals with eating disorders (ED). We evaluated changes in and predictors of ED symptoms, pandemic-related ED concerns, and anxiety symptoms across the ... ...

    Abstract Objective: The COVID-19 pandemic and public health mitigation measures have negatively impacted individuals with eating disorders (ED). We evaluated changes in and predictors of ED symptoms, pandemic-related ED concerns, and anxiety symptoms across the first 12 months of the COVID-19 pandemic among individuals with self-reported EDs in the United States (US), Sweden (SE), and the Netherlands (NL).
    Method: Participants in the US (N = 510), SE (N = 982), and NL (N = 510) completed an online survey assessing ED symptoms (binge eating, restriction, compensatory behaviors, and anxiety about being unable to exercise), general anxiety symptoms, and pandemic-related ED concerns about accessing food, lack of structure and social support, being in a triggering environment, and food and treatment costs. In the US and NL, respondents completed surveys beginning April 2020 and continuing monthly for a year. In SE, respondents completed baseline surveys in May 2020, a six-month follow-up around December 2020, and a 12-month follow-up in May 2021.
    Results: Three patterns emerged: (1) a curvilinear course with the highest level of symptoms at baseline, declining through November 2020, and increasing through the rest of the year; (2) a linear declining course over time; and (3) a stable course with no changes. Worries about COVID-19 infection, lockdown, concerns about lack of structure and social support, and concerns about accessing food consistent with one's recovery meal plan predicted increases in ED symptoms.
    Discussion: ED symptoms tracked with pandemic-related concerns in people with EDs. Conceptualizing predictors of symptoms may inform therapy and public health resources that reduce the impact of pandemics on mental health.
    Public significance: Our findings suggest that the COVID-19 pandemic had negative impacts on people with eating disorders, including amplification of mental health symptoms and stressors around peak periods of infection and COVID-19 restrictions. These findings inform medical providers, policy-makers, and community-based supports about the information and resource needs of this group to ensure efficient dissemination in future public health emergencies and during the ongoing COVID-19 pandemic.
    MeSH term(s) Adult ; Humans ; COVID-19 ; Pandemics ; Communicable Disease Control ; Anxiety/diagnosis ; Anxiety/epidemiology ; Anxiety/psychology ; Feeding and Eating Disorders/diagnosis ; Feeding and Eating Disorders/epidemiology ; Exercise/psychology
    Language English
    Publishing date 2022-12-12
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, P.H.S. ; Research Support, Non-U.S. Gov't
    ZDB-ID 603170-5
    ISSN 1098-108X ; 0276-3478
    ISSN (online) 1098-108X
    ISSN 0276-3478
    DOI 10.1002/eat.23870
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Longitudinal experiences and impact of the COVID-19 pandemic among people with past or current eating disorders in Sweden

    Birgegard, Andreas / Abbaspour, Afrouz / Borg, Stina / Clinton, David / Forsen Mantilla, Emma / Termorshuizen, Jet D / Bulik, Cynthia M

    medRxiv

    Abstract: Objective: To document the impact of the COVI-19 pandemic on the health and well-being of individuals with past and current eating disorders in Sweden. Method: We re-contacted participants from two previous Swedish studies who had a known lifetime ... ...

    Abstract Objective: To document the impact of the COVI-19 pandemic on the health and well-being of individuals with past and current eating disorders in Sweden. Method: We re-contacted participants from two previous Swedish studies who had a known lifetime history of an eating disorder. Participants completed an online questionnaire about their health and functioning at baseline early in the pandemic (Wave 1; N=982) and six months later (Wave 2); N=646). Results: Three important patterns emerged: 1) higher current eating disorder symptom levels were associated with greater anxiety, worry, and pandemic-related eating disorder symptom increase; 2) patterns were fairly stable across time, although a concerning number who reported being symptom-free at Wave 1 reported re-emergence of symptoms at Wave 2; and 3) only a minority of participants with current eating disorders were in treatment, and of those who were in treatment, many reported fewer treatment sessions than pre-pandemic and decreased quality of care. Conclusions: The COVID-19 pandemic is posing serious health challenges for individuals with eating disorders, whether currently symptomatic or in remission. We encourage health service providers and patient advocates to be alert to the needs of individuals with eating disorders and to take active measures to ensure access to appropriate evidence-based care both during and following the pandemic.
    Keywords covid19
    Language English
    Publishing date 2021-03-31
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2021.03.29.21254526
    Database COVID19

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  5. Article: Early Impact of COVID-19 on Individuals with Eating Disorders: A survey of ~1000 Individuals in the United States and the Netherlands.

    Termorshuizen, Jet D / Watson, Hunna J / Thornton, Laura M / Borg, Stina / Flatt, Rachael E / MacDermod, Casey M / Harper, Lauren E / van Furth, Eric F / Peat, Christine M / Bulik, Cynthia M

    medRxiv : the preprint server for health sciences

    2020  

    Abstract: We received rapid ethical permission to evaluate the early impact of COVID-19 on people with eating disorders. Participants in the United States (US, N=511) and the Netherlands (NL, N=510), recruited through ongoing studies and social media, completed an ...

    Abstract We received rapid ethical permission to evaluate the early impact of COVID-19 on people with eating disorders. Participants in the United States (US, N=511) and the Netherlands (NL, N=510), recruited through ongoing studies and social media, completed an online baseline survey that included both quantitative measures and free-text responses assessing the impact of COVID-19 on situational circumstances, eating disorder symptoms, eating disorder treatment, and general well-being. Results revealed strong and wide-ranging effects on eating disorder concerns and illness behaviors that were consistent with diagnoses. Participants with anorexia nervosa (US 62% of sample; NL 69%) reported increased restriction and fears about being able to find foods consistent with their meal plan. Individuals with bulimia nervosa and binge-eating disorder (US 30% of sample; NL 15%) reported increases in their binge-eating episodes and urges to binge. Respondents noted marked increases in anxiety since 2019 and reported greater concerns about the impact of COVID-19 on their mental health than physical health. Although many participants acknowledged and appreciated the transition to telehealth, limitations of this treatment modality for this population were raised. Individuals with past histories of eating disorders noted concerns about relapse related to COVID-19 circumstances. Encouragingly, respondents also noted positive effects including greater connection with family, more time for self-care, and motivation to recover.
    Keywords covid19
    Language English
    Publishing date 2020-06-08
    Publishing country United States
    Document type Preprint
    DOI 10.1101/2020.05.28.20116301
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Early impact of COVID-19 on individuals with self-reported eating disorders: A survey of ~1,000 individuals in the United States and the Netherlands.

    Termorshuizen, Jet D / Watson, Hunna J / Thornton, Laura M / Borg, Stina / Flatt, Rachael E / MacDermod, Casey M / Harper, Lauren E / van Furth, Eric F / Peat, Christine M / Bulik, Cynthia M

    The International journal of eating disorders

    2020  Volume 53, Issue 11, Page(s) 1780–1790

    Abstract: Objective: We evaluated the early impact of COVID-19 on people with self-reported eating disorders.: Method: Participants in the United States (US, N = 511) and the Netherlands (NL, N = 510), recruited through ongoing studies and social media, ... ...

    Abstract Objective: We evaluated the early impact of COVID-19 on people with self-reported eating disorders.
    Method: Participants in the United States (US, N = 511) and the Netherlands (NL, N = 510), recruited through ongoing studies and social media, completed an online survey that included both quantitative measures and free-text responses assessing the impact of COVID-19 on situational circumstances, eating disorder symptoms, eating disorder treatment, and general well-being.
    Results: Results revealed strong and wide-ranging effects on eating disorder concerns and illness behaviors that were consistent with eating disorder type. Participants with anorexia nervosa (US 62% of sample; NL 69%) reported increased restriction and fears about being able to find foods consistent with their meal plan. Individuals with bulimia nervosa and binge-eating disorder (US 30% of sample; NL 15%) reported increases in their binge-eating episodes and urges to binge. Respondents noted marked increases in anxiety since 2019 and reported greater concerns about the impact of COVID-19 on their mental health than physical health. Although many participants acknowledged and appreciated the transition to telehealth, limitations of this treatment modality for this population were raised. Individuals with past histories of eating disorders noted concerns about relapse related to COVID-19 circumstances. Encouragingly, respondents also noted positive effects including greater connection with family, more time for self-care, and motivation to recover.
    Discussions: COVID-19 is associated with increased anxiety and poses specific disorder-related challenges for individuals with eating disorders that require attention by healthcare professionals and carers.
    MeSH term(s) Adolescent ; Adult ; Anxiety/epidemiology ; Anxiety/etiology ; COVID-19 ; Coronavirus Infections ; Feeding and Eating Disorders/psychology ; Feeding and Eating Disorders/therapy ; Female ; Health Behavior ; Health Services Accessibility ; Health Status Indicators ; Humans ; Male ; Mental Health ; Middle Aged ; Needs Assessment ; Netherlands ; Pandemics ; Pneumonia, Viral ; Self Report ; Telemedicine ; United States ; Young Adult
    Keywords covid19
    Language English
    Publishing date 2020-07-28
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 603170-5
    ISSN 1098-108X ; 0276-3478
    ISSN (online) 1098-108X
    ISSN 0276-3478
    DOI 10.1002/eat.23353
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Early impact of COVID ‐19 on individuals with self‐reported eating disorders

    Termorshuizen, Jet D. / Watson, Hunna J. / Thornton, Laura M. / Borg, Stina / Flatt, Rachael E. / MacDermod, Casey M. / Harper, Lauren E. / Furth, Eric F. / Peat, Christine M. / Bulik, Cynthia M.

    International Journal of Eating Disorders ; ISSN 0276-3478 1098-108X

    A survey of ~1,000 individuals in the United States and the Netherlands

    2020  

    Keywords Psychiatry and Mental health ; covid19
    Language English
    Publisher Wiley
    Publishing country us
    Document type Article ; Online
    DOI 10.1002/eat.23353
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article: Early impact of COVID-19 on individuals with self-reported eating disorders: A survey of ~1,000 individuals in the United States and the Netherlands

    Termorshuizen, Jet D / Watson, Hunna J / Thornton, Laura M / Borg, Stina / Flatt, Rachael E / MacDermod, Casey M / Harper, Lauren E / van Furth, Eric F / Peat, Christine M / Bulik, Cynthia M

    Int J Eat Disord

    Abstract: OBJECTIVE: We evaluated the early impact of COVID-19 on people with self-reported eating disorders. METHOD: Participants in the United States (US, N = 511) and the Netherlands (NL, N = 510), recruited through ongoing studies and social media, completed ... ...

    Abstract OBJECTIVE: We evaluated the early impact of COVID-19 on people with self-reported eating disorders. METHOD: Participants in the United States (US, N = 511) and the Netherlands (NL, N = 510), recruited through ongoing studies and social media, completed an online survey that included both quantitative measures and free-text responses assessing the impact of COVID-19 on situational circumstances, eating disorder symptoms, eating disorder treatment, and general well-being. RESULTS: Results revealed strong and wide-ranging effects on eating disorder concerns and illness behaviors that were consistent with eating disorder type. Participants with anorexia nervosa (US 62% of sample; NL 69%) reported increased restriction and fears about being able to find foods consistent with their meal plan. Individuals with bulimia nervosa and binge-eating disorder (US 30% of sample; NL 15%) reported increases in their binge-eating episodes and urges to binge. Respondents noted marked increases in anxiety since 2019 and reported greater concerns about the impact of COVID-19 on their mental health than physical health. Although many participants acknowledged and appreciated the transition to telehealth, limitations of this treatment modality for this population were raised. Individuals with past histories of eating disorders noted concerns about relapse related to COVID-19 circumstances. Encouragingly, respondents also noted positive effects including greater connection with family, more time for self-care, and motivation to recover. DISCUSSIONS: COVID-19 is associated with increased anxiety and poses specific disorder-related challenges for individuals with eating disorders that require attention by healthcare professionals and carers.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #680161
    Database COVID19

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