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COVID-19 pandemic and eating disorders: What impact on specific and general psychopathology?

Published online by Cambridge University Press:  13 August 2021

E. Barone ,
F. Marciello ,
G. Cascino ,
G. Abbate-Daga ,
S. Anselmetti ,
M. Baiano ,
M. Balestrieri ,
S. Bertelli ,
B. Carpiniello  and
G. Castellini
...Show all authors
E. Barone*
Affiliation:
Department Of Psychiatry, University of Campania “Luigi Vanvitelli”, Napoli, Italy
F. Marciello
Affiliation:
Department Of Medicine, Surgery And Dentistry, University of Salerno, Baronissi/Salerno, Italy
G. Cascino
Affiliation:
Department Of Medicine, Surgery And Dentistry, University of Salerno, Baronissi/Salerno, Italy
G. Abbate-Daga
Affiliation:
Department Of Neuroscience, Eating Disorders Center for Treatment and Research, torino, Italy
S. Anselmetti
Affiliation:
Nutrimente Onlus, Nutrimente Onlus, Milan, Italy
M. Baiano
Affiliation:
Nutrimente Onlus, Nutrimente Onlus, Milan, Italy
M. Balestrieri
Affiliation:
Department Of Psychiatry, Centro Unico Disturbi Comportamento Alimentare, udine, Italy
S. Bertelli
Affiliation:
University Of Udine, unit of psychiatry, DAME, udine, Italy
B. Carpiniello
Affiliation:
Department Of Mental Health, ASST Santi Paolo e Carlo, Milano, Italy
G. Castellini
Affiliation:
Italian Psychiatric Association; Secretary Of The Epa-council Of Npas, Department of Medical Sciences and Public Health University of Cagliari, Cagliari, Italy
G. Corrivetti
Affiliation:
Department Of Psychiatry, 10European Biomedical Research Institute of Salerno (EBRIS), salerno, Italy
S. De Giorgi
Affiliation:
Mental Health Department, Asl, Center for the Treatment and Research on Eating Disorders, lecce, Italy
A. Favaro
Affiliation:
12department Of Neuroscience, University of Padova, padova, Italy
C. Gramaglia
Affiliation:
Translational Medicine, Università Del Piemonte Orientale Amedeo Avogadro, Psychiatry Institute, Piermonte, Italy
E. Marzola
Affiliation:
Department Of Neuroscience, Eating Disorders Center for Treatment and Research, torino, Italy
F. Monaco
Affiliation:
Department Of Mental Health, ASL Salerno, salerno, Italy
M.G. Oriani
Affiliation:
Department Of Mental Health, ED outpatient service, jesi, Italy
P. Federica
Affiliation:
Italian Psychiatric Association; Secretary Of The Epa-council Of Npas, Department of Medical Sciences and Public Health University of Cagliari, Cagliari, Italy
M. Rania
Affiliation:
Department Of Health Science, university of Magna Grecia of Catanzaro, catanzaro, Italy
C. Renna
Affiliation:
Mental Health Department, Asl, Center for the Treatment and Research on Eating Disorders, lecce, Italy
V. Ricca
Affiliation:
Department Of Neuroscience, Psychology, Drug Research, Child Health, University of Florence, Florence, Italy
P. Salvo
Affiliation:
Eating Disorders Centre Portogruaro, AULSS4 Veneto oientale, portogruaro, Italy
C. Segura-Garcia
Affiliation:
Department Of Medical And Surgical Sciences, university of Magna Graecia of Catanzaro, catanzaro, Italy
F. Scarabel
Affiliation:
Eating Disorders Centre Portogruaro, AULSS4 Veneto oientale, portogruaro, Italy
P. Todisco
Affiliation:
Eating Disorders Unit, Casa di cura “villa Margherita”, arcugnano, Italy
U. Volpe
Affiliation:
Department Of Neurosciences/dimsc, School of Medicine Università Politecnica delle Marche, Ancona, Italy
P. Zeppegno
Affiliation:
Translational Medicine, Università Del Piemonte Orientale Amedeo Avogadro, Psychiatry Institute, Piermonte, Italy
P. Monteleone
Affiliation:
Department Of Medicine, Surgery And Dentistry “scuola Medica Salernitana”, University of Salerno, Baronissi/Salerno, Italy
A.M. Monteleone
Affiliation:
Department Of Psychiatry, University of Campania “Luigi Vanvitelli”, Naples, Italy
*
*Corresponding author.

Abstract

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Introduction

The coronavirus disease 2019 (COVID-19) pandemic and the resulting containment measures, such as “lockdown” and “social distancing”, have had important consequences on people’s mental and physical health.

Objectives

We aimed to study the effect of social isolation and subsequent re- exposure and eventual changes in general and ED-specific psychopathology in people with Eating Disorders (EDs).

Methods

Three-hundred twelve Italian people with EDs (179 Anorexia Nervosa, 83 Bulimia Nervosa, 48 Binge Eating Disorder and 22 Other Specific Feeding Eating Disorder) were asked to fill-in an online survey to explore several dimensions such as: anxiety, depression, panic, insomnia, suicide ideation, stress, post-traumatic stress and obsessive-compulsive symptoms. Differences in ED specific and general symptoms among the 3 investigated time periods (before, during and after the end of lockdown) were assessed with a one-way ANOVA with repeated measures. Subsequently, ED diagnosis was introduced as covariate in the analysis in order to investigate the possible contribution on psychopathological changes.

Results

ED core symptoms increased during the lockdown but most of them returned to pre-COVID19 levels at re-opening. The severity of general psychopathology also increased during the lockdown and persisted high in the following phase, except for depression and suicide ideation. None of this symptoms was affected by ED diagnosis, participants’age and illness duration.

Conclusions

People with EDs showed worsening of both general and specific psychopathology; moreover, changes in general psychopathology persisted in the re-opening period suggesting a higher stress vulnerability in this kind of patients.

Disclosure

No significant relationships.

Keyword

COVID19 and Eating Disorders

Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S114 - S115
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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