Eating disorders in times of theCOVID-19 pandemic-Results from an online survey of patients with anorexia nervosa
Eating disorders in times of theCOVID-19 pandemic-Results from an online survey of patients with anorexia nervosa
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DOI：
10.1002/eat.23374
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发表时间：
2020-08-25
影响因子：
5.5
通讯作者：
Voderholzer, Ulrich
中科院分区：
文献类型：
--
作者：
Schlegl, Sandra;Maier, Julia;Voderholzer, Ulrich
目的COVID-19大流行和由此产生的公共限制给全世界的人类带来了心理负担，对精神障碍患者可能尤其有害。因此，本研究探讨了COVID-19大流行对神经性厌食症（AN）前住院患者进食障碍（艾德）症状和其他心理方面的影响。方法对2019年出院的159例AN患者进行在线调查，内容包括COVID-19接触史、艾德症状和其他心理方面的变化、医疗保健利用以及患者在大流行期间采取的科普策略。结果约70%的患者报告说，在大流行期间，饮食，形状和体重问题，体力活动的驱动力，孤独，悲伤和内心不安增加。接受心理治疗和看全科医生（包括体重检查）的人数分别下降了37%和46%。26%的患者使用视频会议治疗，35%的患者使用电话联系。患者经历的日常生活，一天的计划和愉快的活动是最有用的最常用的应对策略。讨论COVID-19大流行对AN患者构成巨大挑战。ED相关的想法和行为可能被用作功能失调的应对机制，以重新控制当前的环境。电子心理健康干预似乎是有希望的支持AN患者在这些困难时期。此外，针对抑郁和焦虑症状的干预措施，以及对不确定性的不容忍可能有助于他们控制艾德症状。
Objective The COVID-19 pandemic and the resulting public restrictions pose a psychological burden for humans worldwide and may be particularly detrimental for individuals with mental disorders. Therefore, the current study explored effects of the COVID-19 pandemic on eating disorder (ED) symptoms and other psychological aspects in former inpatients with anorexia nervosa (AN). Method One-hundred and fifty-nine patients with AN-discharged from inpatient treatment in 2019-completed an online survey on contact history with COVID-19, changes in ED symptoms and other psychological aspects, health care utilization, and strategies patients employed to cope during the pandemic. Results Approximately 70% of patients reported that eating, shape and weight concerns, drive for physical activity, loneliness, sadness, and inner restlessness increased during the pandemic. Access to in-person psychotherapies and visits at the general practitioner (including weight checks) decreased by 37% and 46%, respectively. Videoconference therapy was used by 26% and telephone contacts by 35% of patients. Patients experienced daily routines, day planning and enjoyable activities as the most helpful among the most used coping strategies. Discussion The COVID-19 pandemic poses great challenges to patients with AN. ED-related thoughts and behaviors may be used as dysfunctional coping mechanisms to regain control over the current circumstances. E-mental health interventions appear to be promising for supporting AN patients during these hard times. Furthermore, interventions addressing symptoms of depression and anxiety, as well as intolerance of uncertainty might help them manage their ED symptoms.