Gymnastik- och idrottshögskolan, GIH

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  • 1.
    Birgegard, Andreas
    et al.
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Abbaspour, Afrouz
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Borg, Stina
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Clinton, David
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Forsén Mantilla, Emma
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Savva, Androula
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Termorshuizen, Jet D.
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Bulik, Cynthia M.
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.;Univ N Carolina, Dept Psychiat, Chapel Hill, NC 27515 USA.;Univ N Carolina, Dept Nutr, Chapel Hill, NC 27515 USA..
    Longitudinal experiences and impact of the COVID-19 pandemic among people with past or current eating disorders in Sweden2021In: Eating Disorders, ISSN 1064-0266, E-ISSN 1532-530X, Vol. 30, no 6, p. 602-617Article in journal (Refereed)
    Abstract [en]

    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; N= 982) and six months later (Wave 2 Dec/Jan 2020/21; N= 646). Three important patterns emerged: 1) higher current ED symptoms were associated with greater anxiety, worry, and pandemic-related ED symptom increase; 2) patterns were fairly stable across time, although a concerning percentage (23%) who were symptom-free at Wave 1 reported the re-emergence of symptoms at Wave 2; and 3) only a minority of participants (<50%) with a current ED were in treatment, and of those in treatment, many reported fewer treatment sessions and decreased quality of care. The COVID-19 pandemic appears to pose serious health challenges for individuals with an ED, whether currently symptomatic or in remission. We encourage health service providers and patient advocates to be alert to the needs of individuals with ED and to take active measures to ensure access to appropriate evidence-based care both during and following the pandemic.

  • 2.
    Seidel, Maria
    et al.
    Tech Univ Dresden, Div Psychol & Social Med & Dev Neurosci, Fac Med, Fetscherstr 74, D-01307 Dresden, Germany.;Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, S-17165 Stockholm, Solna, Sweden..
    Ehrlich, Stefan
    Tech Univ Dresden, Div Psychol & Social Med & Dev Neurosci, Fac Med, Fetscherstr 74, D-01307 Dresden, Germany..
    Breithaupt, Lauren
    Harvard Med Sch, Dept Psychiat, Boston, MA 02115 USA.;Massachusetts Gen Hosp, Eating Disorders Clin & Res Program, Boston, MA 02114 USA..
    Welch, Elisabeth
    Karolinska Inst, Dept Clin Neurosci, Ctr Psychiat Res, Stockholm, Sweden.;Stockholm Ctr Eating Disorders, Stockholm Hlth Care Serv, Stockholm, Sweden..
    Wiklund, Camilla
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, S-17165 Stockholm, Solna, Sweden..
    Hubel, Christopher
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, S-17165 Stockholm, Solna, Sweden.;Kings Coll London, Inst Psychiat Psychol & Neurosci, Social Genet & Dev Psychiat Ctr, London, England.;South London & Maudsley NHS Fdn Trust, UK Natl Inst Hlth Res NIHR, Biomed Res Ctr BRC, London, England.;Aarhus Univ, Aarhus Business & Social Sci, Natl Ctr Register Based Res, Aarhus, Denmark..
    Thornton, Laura M.
    Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden..
    Savva, Androula
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, S-17165 Stockholm, Solna, Sweden..
    Fundin, Bengt T.
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, S-17165 Stockholm, Solna, Sweden..
    Pege, Jessica
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, S-17165 Stockholm, Solna, Sweden..
    Billger, Annelie
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, S-17165 Stockholm, Solna, Sweden..
    Abbaspour, Afrouz
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, S-17165 Stockholm, Solna, Sweden..
    Schaefer, Martin
    Tech Univ Dresden, Div Psychol & Social Med & Dev Neurosci, Fac Med, Fetscherstr 74, D-01307 Dresden, Germany.;Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden..
    Boehm, Ilka
    Tech Univ Dresden, Div Psychol & Social Med & Dev Neurosci, Fac Med, Fetscherstr 74, D-01307 Dresden, Germany..
    Zvrskovec, Johan
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, S-17165 Stockholm, Solna, Sweden.;Kings Coll London, Inst Psychiat Psychol & Neurosci, Social Genet & Dev Psychiat Ctr, London, England..
    Rosager, Emilie Vangsgaard
    Univ Copenhagen, Dept Clin Med, Copenhagen, Denmark..
    Hasselbalch, Katharina Collin
    Univ Copenhagen, Dept Clin Med, Copenhagen, Denmark..
    Leppa, Virpi
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, S-17165 Stockholm, Solna, Sweden..
    Sjogren, Magnus
    Univ Copenhagen, Dept Clin Med, Copenhagen, Denmark.;Mental Hlth Ctr Ballerup, Eating Disorder Res Unit, Ballerup, Denmark..
    Nergardh, Ricard
    Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden..
    Feusner, Jamie D.
    Univ Calif Los Angeles, Dept Psychiat & Biobehav Sci, Los Angeles, CA 90024 USA..
    Ghaderi, Ata
    Kings Coll London, Inst Psychiat Psychol & Neurosci, Social Genet & Dev Psychiat Ctr, London, England.;Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden..
    Bulik, Cynthia M.
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, S-17165 Stockholm, Solna, Sweden.;Univ N Carolina, Dept Psychiat, Chapel Hill, NC 27515 USA.;Univ N Carolina, Dept Nutr, Chapel Hill, NC 27515 USA..
    Study protocol of comprehensive risk evaluation for anorexia nervosa in twins (CREAT): a study of discordant monozygotic twins with anorexia nervosa2020In: BMC Psychiatry, E-ISSN 1471-244X, Vol. 20, no 1, article id 507Article in journal (Refereed)
    Abstract [en]

    Background Anorexia nervosa (AN) is a severe disorder, for which genetic evidence suggests psychiatric as well as metabolic origins. AN has high somatic and psychiatric comorbidities, broad impact on quality of life, and elevated mortality. Risk factor studies of AN have focused on differences between acutely ill and recovered individuals. Such comparisons often yield ambiguous conclusions, as alterations could reflect different effects depending on the comparison. Whereas differences found in acutely ill patients could reflect state effects that are due to acute starvation or acute disease-specific factors, they could also reflect underlying traits. Observations in recovered individuals could reflect either an underlying trait or a "scar" due to lasting effects of sustained undernutrition and illness. The co-twin control design (i.e., monozygotic [MZ] twins who are discordant for AN and MZ concordant control twin pairs) affords at least partial disambiguation of these effects. Methods Comprehensive Risk Evaluation for Anorexia nervosa in Twins (CREAT) will be the largest and most comprehensive investigation of twins who are discordant for AN to date. CREAT utilizes a co-twin control design that includes endocrinological, neurocognitive, neuroimaging, genomic, and multi-omic approaches coupled with an experimental component that explores the impact of an overnight fast on most measured parameters. Discussion The multimodal longitudinal twin assessment of the CREAT study will help to disambiguate state, trait, and "scar" effects, and thereby enable a deeper understanding of the contribution of genetics, epigenetics, cognitive functions, brain structure and function, metabolism, endocrinology, microbiology, and immunology to the etiology and maintenance of AN.

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