COVID-19 and eating disorders during confinement: Analysis of factors associated with resilience and aggravation of symptoms

COVID-19 and eating disorders during confinement: Analysis of factors associated with resilience and aggravation of symptoms
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DOI:
10.1002/erv.2771
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发表时间:
2020-08-20
影响因子:
5.3
通讯作者:
Fernandez-Aranda, Fernando
Fernandez-Aranda, Fernando
中科院分区:
心理学2区
文献类型:
--
作者:
Baenas, Isabel;Caravaca-Sanz, Elena;Fernandez-Aranda, Fernando

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目的评估因新冠肺炎而导致的勃起功能障碍患者在围产期的功能恶化程度,并探讨可能的影响因素(应对策略、焦虑抑郁症状和人格特征)。方法对74例新冠肺炎暴发前就诊的勃起功能障碍患者进行研究。治疗前评估包括SCL-90R、TCI-R、EDI-2和Y-Fas 2.0问卷,用于一般精神病理学、个性和ED严重程度指数。临床医生在封锁期间通过半结构化电话调查收集ED症状、应对策略、社会人口学数据和新冠肺炎关注的数据。结果在禁闭期间,ED症状和一般精神病理(焦虑和抑郁)的恶化与低自我指导性有关。禁闭期间较高的ED症状与应对禁闭情况的适应性较差的应对策略有关,从而导致体重增加。结论这些对进一步禁闭或应激情况的特定易感因素可能有助于设计个性化的预防和治疗方法。
Objectives To assess the level of deterioration in functioning of ED patients during confinement, due to COVID-19, and examine potential contributing factors (coping strategies, anxiety-depressive symptomatology and personality traits). Methods A total of 74 ED patients in treatment before the COVID-19 outbreak, contributed to this study. Baseline pre-treatment evaluation included the SCL-90R, TCI-R, EDI-2 and Y-FAS 2.0 questionnaires for general psychopathology, personality and ED severity indexes. ED symptoms, coping strategies, socio-demographic data and COVID-19 concerns were collected by clinicians through a semi-structured telephone survey during lockdown. Results A deterioration in ED symptoms and general psychopathology (anxiety and depression), during lockdown, was associated with low self-directedness. Higher ED symptomatology during confinement was associated with less-adaptive coping strategies to deal with lockdown situation leading to an increase in weight. Conclusions These specific vulnerability factors to further confinement or stressful situations may help design personalized preventive and therapeutic approaches.