COVID-19 and binge eating: Patient perceptions of eating disorder symptoms, tele-therapy, and treatment implications.
COVID-19 and binge eating: Patient perceptions of eating disorder symptoms, tele-therapy, and treatment implications.
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DOI：
10.1007/s12144-021-01494-0
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Juarascio A
中科院分区：
文献类型：
--
作者：
Frayn M;Fojtu C;Juarascio A
COVID-19已被证明会对饮食失调症状产生不良影响，包括增加饮食限制和增加暴食。然而，这方面的研究迄今为止是有限的。此外，由于大流行病，许多饮食失调治疗已转向远程保健平台，但对患者对这种方式的看法知之甚少。本探索性研究的目的是定性检查：（1）COVID-19对暴食症症状的影响（2）患者对远程治疗的看法，以及（3）在饮食失调治疗中解决COVID-19的方法。通过一对一的半结构化访谈（N = 11）收集数据，作为对那些因暴食症而接受个体门诊治疗的患者进行中期评估的一部分。经专题分析后，确定患者在COVID-19期间报告了症状恶化和改善。研究发现，社交距离和呆在家里的措施对不同患者的症状都有改善和恶化的作用。此外，患者报告积极的看法远距离治疗，特别是欣赏这种方式的方便。最后，患者对将COVID相关问题纳入其饮食失调治疗提供了不同的反馈，一些参与者希望将其纳入其中，而其他人则将COVID-19和他们的饮食失调视为单独的问题。本研究的结果初步确定了COVID-19可能改善暴食谱系障碍症状的方式，并表明患者对远程治疗的积极看法。我们的研究结果可用于为COVID-19期间未来饮食失调治疗的适应提供信息。
COVID-19 has been shown to detrimentally affect eating disorder symptoms, including increased dietary restriction and increased binge eating. However, research in this area is thus far limited. Additionally, as a result of the pandemic, many eating disorder treatments have converted to tele-health platforms, however, little is known about patient perceptions of this modality. The aim of the present, exploratory study was to qualitatively examine: (1) The impact of COVID-19 on binge eating spectrum disorder symptoms (2) Patient perceptions of tele-therapy, and (3) Ways to address COVID-19 in eating disorder treatment. Data were collected through one-on-one, semi-structured interviews (N = 11), conducted as part of a mid-program assessment for those undergoing individual, outpatient therapy for binge eating spectrum disorders. After thematic analysis, it was identified that patients reported both symptom deterioration and improvement during COVID-19. Factors surrounding social distancing and stay-at-home measures were found to both improve and worsen symptoms for different patients. Further, patients reported positive perceptions of tele-therapy, particularly appreciating the convenience of this modality. Finally, patients provided variable feedback on the incorporation of COVID-related concerns into their eating disorder treatment, with some participants wishing for this inclusion, and others viewing COVID-19 and their eating disorder as separate issues. Findings from the present study preliminarily identify ways in which binge eating spectrum disorder symptoms may have improved due to COVID-19 and indicate positive patient perceptions of tele-therapy. Our results may be used to inform the adaptation of future eating disorder treatment during COVID-19.
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影响因子：
5.5
作者：
Schlegl, Sandra;Maier, Julia;Voderholzer, Ulrich
通讯作者：
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DOI：
10.1002/eat.23426
发表时间：
2021-03
期刊：
The International journal of eating disorders
影响因子：
--
作者：
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