The impact of COVID-19 lockdown and of the following “re-opening” period on specific and general psychopathology in people with Eating Disorders: the emergent role of internalizing symptoms

Monteleone, Alessio Maria; Marciello, Francesca; Cascino, Giammarco; Abbate-Daga, Giovanni; Anselmetti, Simona; Baiano, Monica; Balestrieri, Matteo; Barone, Eugenia; Bertelli, Sara; Carpiniello, Bernardo; Castellini, Giovanni; Corrivetti, Giulio; Giorgi, Serafino De; Favaro, Angela; Gramaglia, Carla; Marzola, Enrica; Meneguzzo, Paolo; Monaco, Francesco; Oriani, Maria Ginevra; Pinna, Federica; Rania, Marianna; Renna, Caterina; Ricca, Valdo; Salvo, Pierandrea; Segura-Garcìa, Cristina; Scarabel, Fabiana; Todisco, Patrizia; Volpe, Umberto; Zeppegno, Patrizia; Monteleone, Palmiero

doi:10.1016/j.jad.2021.02.037

Cited by 60 publications

(87 citation statements)

References 39 publications

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“…Similar to other studies ( 48 , 50 ), our clinical impression suggests that the COVID-19 resulted in a deterioration of the ED-related condition also in young Ultra-Orthodox girls with EDs. More patients have been hospitalized in our department during 2020 vs. 2019 (35 vs. 25, respectively) and more patient have been hospitalized in the pediatric service in the Maaynei Hayeshuah Medical Center, in 2020 vs. 2019 (12 vs. 7, respectively).…”

Section: Discussionsupporting

confidence: 90%

Virtual Online Home-Based Treatment During the COVID-19 Pandemic for Ultra-Orthodox Young Women With Eating Disorders

et al. 2021

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Background: With the outbreak of the COVID-19 pandemic, the need arose to maintain treatment continuity for religious Jewish Ultra-Orthodox young women with eating disorders (EDs) previously hospitalized in the ED department at the Ultra-Orthodox “Mayanei Hayeshua” medical center in Israel. This need led to the development of home-based online treatment channels, previously unfamiliar, and unaccepted in this population. The implementation of this model had to take into consideration many of the difficulties inherent in the use of online treatment in Jewish Ultra-Orthodox mental health patients.Aims: We sought to investigate our online home-based treatment model implemented during the COVID-19 pandemic in previously hospitalized young Ultra-Orthodox women with EDs.Method: We briefly review the literature on: (1) The Jewish Israeli Ultra-Orthodox culture; (2) Young women in Ultra-Orthodox society; and (3) EDs in Jewish Israeli Ultra-Orthodox women. We then present the inpatient ED department for Ultra-Orthodox young women and describe the online treatment model adapted to this population during the COVID-19 pandemic. We highlight the difficulties, dilemmas, and advantages of our online model with the description of three patients.Findings: Online therapy can serve as a barrier to treatment in some cases, due to physical (lack of suitable online devices except phones), familial (over-crowded families), and religious circumstances, as well as because of the patients' reluctance to take part in this treatment. In other cases, virtual home-based treatment can lead to a positive change. This may be the case in patients who find the distancing online model suitable for them, and in parents who are committed to treatment, using their greater physical and emotional presence at home during the COVID-19 pandemic for the good if their ill-daughters.Discussion: This paper highlights the difficulties and possibilities inherent in a virtual home-based treatment during the COVID-19 pandemic for Ultra-Orthodox young women previously hospitalized because of an ED. This model can be effective for some patients and families if undertaken by a multidisciplinary team that is not only knowledgeable about the treatment of EDs and the use of online strategies but also knowledgeable and culturally sensitive to the specific needs and codes of Ultra-Orthodox populations.

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Section: Discussionsupporting

confidence: 90%

Virtual Online Home-Based Treatment During the COVID-19 Pandemic for Ultra-Orthodox Young Women With Eating Disorders

et al. 2021

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“…In summary, our findings support the view that the incidence and outcomes of eating disorders have been adversely affected by the COVID-19 pandemic. [1][2][3][4][9][10][11] Services need to be resourced adequately and urgently to deal with the increased demand. RR in each stratum compared with the corresponding stratum in the previous year.…”

Section: Discussionmentioning

confidence: 99%

Incidence and outcomes of eating disorders during the COVID-19 pandemic

et al. 2021

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Summary There are concerns that eating disorders have become commoner during the coronavirus disease 2019 (COVID-19) pandemic. Using the electronic health records of 5.2 million people aged under 30, mostly in the USA, we show that the diagnostic incidence was 15.3% higher in 2020 overall compared with previous years (relative risk 1.15, 95% CI 1.12−1.19). The relative risk increased steadily from March 2020 onwards, exceeding 1.5 by the end of the year. The increase occurred solely in females, and primarily related to teenagers and anorexia nervosa. A higher proportion of patients with eating disorders in 2020 had suicidal ideation (hazard ratio HR = 1.30, 1.16−1.47) or attempted suicide (HR = 1.69, 1.21−2.35).

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“… 1 Social isolation was the main preventive measure implemented worldwide to avoid contagion, 2 , 3 which caused multiple lifestyle changes. Increased heavy episodic drinking, 4 binge eating, 5 and development of eating disorders 6 accompanied with a decrease in physical activity 7 have resulted in higher body weight. 8 – 11 Multiple people have lost their jobs and have experienced the death of family and friends, 12 which has resulted in anxiety and mental distress.…”

Section: Introductionmentioning

confidence: 99%

Telemedicine in Peru as a Result of the COVID-19 Pandemic: Perspective from a Country with Limited Internet Access

Álvarez-Risco

Del-Aguila-Arcentales²,

Yáñez

2021

The American Journal of Tropical Medicine and Hygiene

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The COVID-19 pandemic contributed to the worldwide implementation of telemedicine because of the need for medical care for patients, especially those with chronic diseases. This perspective paper presents the current situation of telemedicine in Peru, showing advances in regulation, cases of successful implementation, and the current challenges. Access to health should be available to all, and more efforts need to be implemented to offer access to the internet to achieve high-quality telemedicine to all the vulnerable groups in Peru.

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The impact of COVID-19 lockdown and of the following “re-opening” period on specific and general psychopathology in people with Eating Disorders: the emergent role of internalizing symptoms

Cited by 60 publications

References 39 publications

Virtual Online Home-Based Treatment During the COVID-19 Pandemic for Ultra-Orthodox Young Women With Eating Disorders

Virtual Online Home-Based Treatment During the COVID-19 Pandemic for Ultra-Orthodox Young Women With Eating Disorders

Incidence and outcomes of eating disorders during the COVID-19 pandemic

Telemedicine in Peru as a Result of the COVID-19 Pandemic: Perspective from a Country with Limited Internet Access

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