Effects of the COVID-19 pandemic on youth mental health: a cross-sectional study on eating disorder patients and their unaffected siblings

Abstract

Background Adolescence has emerged as a particularly vulnerable phase during the COVID-19 pandemic, with eating disorders (EDs) representing a prominent psychopathological challenge linked to the restrictions imposed by the pandemic. Emerging evidence suggests that not only individuals with EDs but also their healthy siblings (HS) may experience unique psychological effects in this context. However, the existing literature on this topic remains limited. This study seeks to examine and compare the effects of the pandemic on adolescents and adults, with a specific focus on the impact of containment measures, disruptions in daily routines, and alterations in life trajectories, for both individuals with EDs and their HS. Methods We enrolled 273 individuals, including those diagnosed with EDs and their HS. Among the participants, 120 were under the age of 19. Multiple self-report questionnaires were administered to assess the psychological impact of 1 year of the COVID-19 pandemic. These assessments covered a range of psychological constructs, including posttraumatic symptoms, general psychopathology, and eating-related concerns. Results Notably, adolescent patients with EDs demonstrated the highest psychopathological scores within our sample. They were the sole subgroup to surpass clinical cutoffs, exhibiting more pronounced issues concerning eating-related concerns and general psychological well-being. Our findings also shed light on the unique experiences of HS during the pandemic. Conclusion Our findings highlight the specific psychological burden endured by adolescents with EDs throughout the COVID-19 pandemic, emphasizing the vulnerability of this demographic. Moreover, the experiences of HS, often overlooked in the literature, warrant increased attention in future health programs and interventions.

Metaphors of adolescence during COVID-19 pandemic: a mixed-method analysis in relation to well-being and alexithymia

“…This result is in line with evidence that highlights the link between alexithymia and depressive symptoms ( Alkan Härtwig et al, 2013 ; Karukivi et al, 2010a , b ), a relationship that appears to have become particularly pronounced during the COVID-19 emergency ( Wang et al, 2021 ). Moreover, this result is in line with research that emphasizes the link between alexithymia and other clinical profiles, such as eating disorders and alexithymia ( Meneguzzo et al, 2022 ), which the covid-19 experience has further intensified, as evidenced by the increase in restrictive and compensatory behaviors during the pandemic as a dysfunctional strategy to maintain or lose weight ( Meneguzzo et al, 2024 ). Therefore, it seems that adolescents with marked difficulty identifying and being aware of their own emotions also need to invest significant effort in attempting to identify, understand, and manage sources of stress in complex situations, such as the present pandemic scenario.…”

Adolescent mental health interventions: a narrative review of the positive effects of physical activity and implementation strategies

“…Research indicates that the pandemic has significantly worsened the mental health status of adolescents. Adolescents have commonly experienced anxiety and loneliness due to social isolation, disrupted routines, and uncertainty about the future, contributing to the rise in mental health issues ( Huang and Ougrin, 2021 ; Meneguzzo et al, 2024 ). Consequently, addressing adolescent mental health issues is not only a medical challenge but also a societal responsibility, necessitating comprehensive and multi-faceted intervention strategies.…”