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Longer-term impact of COVID-19 among individuals with self-reported eating disorders in the United States, the Netherlands, and Sweden
Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.;GGZ Rivierduinen Eating Disorders Ursula, Leiden, South Holland, Netherlands..ORCID iD: 0000-0002-5912-3975
Univ N Carolina, Dept Biostat, Chapel Hill, NC 27599 USA..
Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..ORCID iD: 0000-0001-9550-3820
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2023 (English)In: International Journal of Eating Disorders, ISSN 0276-3478, E-ISSN 1098-108X, Vol. 56, no 1, p. 80-90Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
WILEY , 2023. Vol. 56, no 1, p. 80-90
Keywords [en]
coronavirus, COVID-19, eating disorders, mental health, pandemic
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:gih:diva-7757DOI: 10.1002/eat.23824ISI: 000867464100001PubMedID: 36237128OAI: oai:DiVA.org:gih-7757DiVA, id: diva2:1795149
Available from: 2023-09-07 Created: 2023-09-07 Last updated: 2023-09-07

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Forsén Mantilla, Emma

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Termorshuizen, Jet D.Forsén Mantilla, EmmaGoode, Rachel W.Peat, Christine M.Thornton, Laura M.Watson, Hunnavan Furth, Eric F.
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International Journal of Eating Disorders
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