Exploring the ways in which COVID‐19 and lockdown has affected the lives of adult patients with anorexia nervosa and their carers
Open accessAbstract
OBJECTIVE: This qualitative study explores the ways in which the coronavirus disease 2019 (COVID-19) pandemic and associated lockdown measures have affected the lives of adult patients with anorexia nervosa (AN) and their carers. METHOD: Semi-structured interviews were conducted with patients with AN (n = 21) and carers (n = 28) from the start of UK Government imposed lockdown. Data related directly to the impact of lockdown and COVID-19 were analysed using thematic analysis. RESULTS: Four broad themes were identified for patients and carers separately. Patients experienced: 1. reduced access to eating disorder (ED) services; 2. disruption to routine and activities in the community; 3. heightened psychological distress and ED symptoms; 4. increased attempts at self-management in recovery. Carer themes included: 1. concern over provision of professional support for patients; 2. increased practical demands placed on carers in lockdown; 3. managing new challenges around patient wellbeing; 4. new opportunities. CONCLUSIONS: Reduced access to ED services, loss of routine and heightened anxieties and ED symptoms resulting from COVID-19 and lockdown measures presented challenges for patients and carers. Increased remote support by ED services enabled the continuation of treatment and self-management resources and strategies promoted self-efficacy in both groups.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
As a consequence of intense media reports on COVID-19, levels of anxiety increased, with an exacerbation of fear of contamination and washing compulsions.
“As a consequence of the intense media reports on COVID-19 (the so-called “infodemic”), the levels of anxiety increased, with an exacerbation of the fear of contamination and washing compulsions (Clark Bryan et al., 2020).”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Clark Bryan et al., 2020
The introduction of lockdown measures and social isolation was associated with negative mental health outcomes, sense of loneliness, tendency to become more focused on food, rumination over food intake, disordered eating behaviors such as restrictions or binge eating, and compulsive physical exercise.
“The introduction of lockdown measures and social isolation was associated with negative mental health outcomes, sense of loneliness, the tendency to become more focused on food, rumination over food intake, disordered eating behaviors, such as restrictions or binge eating, and compulsive physical exercise (Branley-Bell and Talbot, 2020; Brown et al., 2020; Clark Bryan et al., 2020).”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Clark Bryan et al., 2020
Patients experienced reduced motivation for recovery.
“and experienced reduced motivation for recovery (Branley-Bell and Talbot, 2020; Clark Bryan et al., 2020).”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Clark Bryan et al., 2020
Patients with eating disorders complained about discrepancies in service provision, premature discharge, and suspension of treatments that increased anxiety and feelings of being abandoned.
“These studies highlighted the role of the accessibility to professional support as a crucial determinant of mental well-being: patients complained about discrepancies in service provision, premature discharge, and suspension of treatments that increased anxiety, and feelings of being abandoned (Branley-Bell and Talbot, 2020; Brown et al., 2020; Clark Bryan et al., 2020).”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Clark Bryan et al., 2020
Accessibility to professional support is a crucial determinant of mental well-being for patients with eating disorders during the pandemic.
“These studies highlighted the role of the accessibility to professional support as a crucial determinant of mental well-being: patients complained about discrepancies in service provision, premature discharge, and suspension of treatments that increased anxiety, and feelings of being abandoned (Branley-Bell and Talbot, 2020; Brown et al., 2020; Clark Bryan et al., 2020).”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Clark Bryan et al., 2020
Patients with eating disorders experienced worsening preoccupation with weight and body shape during the pandemic due to difficulties in continuing compensatory behaviors, including compulsive physical exercise.
“Patients with EDs experienced during pandemic the worsening of their preoccupation with weight and body shape, due to the difficulties in continuing their compensatory behaviors, including compulsive physical exercise (Castellini et al., 2020; Clark Bryan et al., 2020; Phillipou et al., 2020; Richardson et al., 2020; Schlegl et al., 2020a,b).”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Clark Bryan et al., 2020
Restrictions or difficulties in healthcare access was relevant in the three studies reviewed.
“This factor was relevant in the three studies (Brown et al., 2020; Clark Bryan et al., 2020; Termorshuizen et al., 2020).”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Clark Bryan et al., 2020
The mean age of the studies found ranged from 19 to 54 years.
“Thus, the mean age of the studies we found ranged from 19 (Scharmer et al., 2020) to 54 years (Clark Bryan et al., 2020).”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Clark Bryan et al., 2020
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Using thematic analysis in psychology
Braun, V., & Clarke, V. (2006) · Qualitative Research in Psychology · doi:10.1191/1478088706qp063oa · Cited by 194,414 · see citing works
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369 · see citing works
The psychological impact of quarantine and how to reduce it: Rapid review of the evidence
Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020) · The Lancet · doi:10.1016/s0140-6736(20)30460-8 · Cited by 16,378 · see citing works
Holmes, E. A., O'Connor, R. C., Perry, V. H., Tracey, I., Wessely, S., Arseneault, L., Ballard, C., Christensen, H., Cohen Silver, R., Everall, I., et al. (2020) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30168-1 · Cited by 5,715 · see citing works
Online mental health services in China during the COVID-19 outbreak
Liu, S., Yang, L., Zhang, C., Xiang, Y.-T., Liu, Z., Hu, S., & Zhang, B. (2020) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30077-8 · Cited by 1,992 · see citing works
The consequences of the COVID-19 pandemic on mental health and implications for clinical practice
Fiorillo, A., & Gorwood, P. (2020) · European Psychiatry · doi:10.1192/j.eurpsy.2020.35 · Cited by 1,190 · see citing works
The impact of the <scp>COVID</scp>‐19 pandemic on eating disorder risk and symptoms
Rodgers, R. F., Lombardo, C., Cerolini, S., Franko, D. L., Omori, M., Fuller‐Tyszkiewicz, M., Linardon, J., Courtet, P., & Guillaume, S. (2020) · International Journal of Eating Disorders · doi:10.1002/eat.23318 · Cited by 650 · see citing works
<scp>COVID</scp> ‐19 and implications for eating disorders
Fernández‐Aranda, F., Casas, M., Claes, L., Bryan, D. C., Favaro, A., Granero, R., Gudiol, C., Jiménez‐Murcia, S., Karwautz, A., Le Grange, D., et al. (2020) · European Eating Disorders Review · doi:10.1002/erv.2738 · Cited by 392 · see citing works
A systematic review of family caregiving in eating disorders
Anastasiadou, D. T., Medina-Pradas, C., Sepúlveda, A. R., & Treasure, J. L. (2014) · Eating Behaviors · doi:10.1016/j.eatbeh.2014.06.001 · Cited by 223 · see citing works
Cognitive–behavioral guided self-help for eating disorders: Effectiveness and scalability
Wilson, G. T., & Zandberg, L. J. (2012) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.03.001 · Cited by 223 · see citing works
Treasure, J. L., Willmott, D., Ambwani, S., Cardi, V., Bryan, D. C., Rowlands, K., & Schmidt, U. H. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9030630 · Cited by 212 · see citing works
Sequential Treatment for Bulimia Nervosa Incorporating A Self-Care Manual
Treasure, J. L., Schmidt, U. H., Troop, N. A., Tiller, J., Todd, G., & Turnbull, S. (1996) · The British Journal of Psychiatry · doi:10.1192/bjp.168.1.94 · Cited by 144 · see citing works
Access to <scp>evidence‐based</scp> care for eating disorders during the <scp>COVID</scp> ‐19 crisis
Weissman, R. S., Bauer, S., & Thomas, J. J. (2020) · International Journal of Eating Disorders · doi:10.1002/eat.23279 · Cited by 143 · see citing works
Examination of the shared genetic basis of anorexia nervosa and obsessive–compulsive disorder
Yılmaz, Z., Halvorsen, M., Bryois, J., Yu, D., Thornton, L. M., Zerwas, S. C., Micali, N., Moessner, R., Burton, C. L., Zai, G. C., et al. (2018) · Molecular Psychiatry · doi:10.1038/s41380-018-0115-4 · Cited by 131 · see citing works
Davis, C., Ng, K. C., Oh, J. Y., Baeg, A., Rajasegaran, K., & Chew, C. S. E. (2020) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2020.03.037 · Cited by 116 · see citing works
First step in managing bulimia nervosa: controlled trial of therapeutic manual
Treasure, J. L., Schmidt, U. H., Troop, N., Tiller, J., Todd, G., Keilen, M., & Dodge, E. (1994) · BMJ · doi:10.1136/bmj.308.6930.686 · Cited by 109 · see citing works
Hibbs, R., Magill, N., Goddard, E., Rhind, C., Raenker, S., Macdonald, P., Todd, G., Arcelus, J., Morgan, J., Beecham, J., et al. (2015) · BJPsych Open · doi:10.1192/bjpo.bp.115.000273 · Cited by 90 · see citing works
Salerno, L., Rhind, C., Hibbs, R., Micali, N., Schmidt, U. H., Gowers, S., Macdonald, P., Goddard, E., Todd, G., Coco, G. L., et al. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.11.016 · Cited by 70 · see citing works
The Role of Habits in Anorexia Nervosa: Where We Are and Where to Go From Here?
Uniacke, B., Walsh, B. T., Foerde, K., & STEINGLASS, J. E. (2018) · Current Psychiatry Reports · doi:10.1007/s11920-018-0928-5 · Cited by 65 · see citing works
A risk profile of compulsive exercise in adolescents with an eating disorder: a systematic review
Fietz, M., Touyz, S. W., & Hay, P. (2014) · Advances in Eating Disorders · doi:10.1080/21662630.2014.894470 · Cited by 61 · see citing works
Hodsoll, J., Rhind, C., Micali, N., Hibbs, R., Goddard, E., Nazar, B. P., Schmidt, U., Gowers, S., Macdonald, P., Todd, G., et al. (2017) · European eating disorders review · doi:10.1002/erv.2540 · Cited by 59 · see citing works
Cardi, V., Ambwani, S., Robinson, E. J., Albano, G., Macdonald, P., Aya, V., Rowlands, K., Todd, G., Schmidt, U. H., Landau, S., et al. (2017) · European Eating Disorders Review · doi:10.1002/erv.2542 · Cited by 54 · see citing works
Levinson, C. A., Brosof, L. C., Kinkel‐Ram, S. S., Pruitt, A., Russell, S., & Lenze, E. J. (2019) · Eating Behaviors · doi:10.1016/j.eatbeh.2019.05.001 · Cited by 53 · see citing works
Albano, G., Hodsoll, J. P., Kan, C., Coco, G. L., & Cardi, V. (2019) · International Review of Psychiatry · doi:10.1080/09540261.2019.1588711 · Cited by 31 · see citing works
Lessons Learned in Caring for Adolescents With Eating Disorders: The Singapore Experience
Gordon, C. M., & Katzman, D. K. (2020) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2020.03.041 · Cited by 20 · see citing works
Flagged first, then by citations
1 of the 26 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- Joffe, H. D. Harper & A. Thompson (2012). Thematic analysis. Qualitative Research Methods in Mental Health and Psychotherapy, A Guide for Students and Practitioners(209– 223). Chichester: Wiley‐Blackwell..
- National Institute for Health and Care Excellence. (2017). Eating disorders: Recognition and treatment (NICE Guideline No. 69). Retrieved from https://www.nice.org.uk/guidance/ng69/ 28654225
Cited by
Sorted by citations
The impact of the COVID ‐19 pandemic on eating disorders: A systematic review
Devoe, D. J. A., Han, A., Anderson, A., Katzman, D. K., Patten, S. B., Soumbasis, A., Flanagan, J., Paslakis, G., Vyver, E., Marcoux, G., et al. (2022) · International Journal of Eating Disorders · doi:10.1002/eat.23704 · Cited by 374 · see citing works
Social Work during the COVID-19 Crisis: Responding to Urgent Social Needs
Redondo-Sama, G., Matulic, V., Pascual, A. M., & de Vicente, I. (2020) · Sustainability · doi:10.3390/su12208595 · Cited by 112 · see citing works
Schneider, J., Pegram, G., Gibson, B., Talamonti, D., Tinoco, A., Craddock, N., Matheson, E. L., & Forshaw, M. J. (2022) · International Journal of Eating Disorders · doi:10.1002/eat.23706 · Cited by 114 · see citing works
Nutley, S. K., Falise, A. M., Henderson, R. R., Apostolou, V., Mathews, C. A., & Striley, C. W. (2021) · JMIR Mental Health · doi:10.2196/26011 · Cited by 93 · see citing works
Couturier, J. L., Pellegrini, D., Miller, C., Bhatnagar, N., Boachie, A., Bourret, K., Brouwers, M. C., Coelho, J. S., Dimitropoulos, G., Findlay, S. M., et al. (2021) · Journal of Eating Disorders · doi:10.1186/s40337-021-00394-9 · Cited by 87 · see citing works
Monteleone, A. M., Marciello, F., Cascino, G., Daga, G. A., Anselmetti, S., Baiano, M., Balestrieri, M., Barone, E., Bertelli, S., Carpiniello, B., et al. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.02.037 · Cited by 79 · see citing works
Fernández‐Aranda, F., Munguía, L., Mestre‐Bach, G., Steward, T., Etxandi, M., Baenas, I., Granero, R., Sánchez, I., Ortega, E., Andreu, A., et al. (2020) · European Eating Disorders Review · doi:10.1002/erv.2784 · Cited by 74 · see citing works
Self-citationMcCombie, C., Austin, A., Dalton, B., Lawrence, V., & Schmidt, U. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.589225 · Cited by 70 · see citing works
Giel, K. E., Schurr, M., Zipfel, S., Junne, F., & Schag, K. (2021) · European Eating Disorders Review · doi:10.1002/erv.2837 · Cited by 66 · see citing works
McLean, C. P., Utpala, R., & Sharp, G. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.926709 · Cited by 66 · see citing works
COVID-19 and eating disorder and mental health concerns in patients with eating disorders
Vitagliano, J. A., Jhe, G., Milliren, C. E., Lin, J. A., Spigel, R., Freizinger, M., Woods, E. R., Forman, S. F., & Richmond, T. K. (2021) · Journal of Eating Disorders · doi:10.1186/s40337-021-00437-1 · Cited by 63 · see citing works
Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review
Miniati, M., Marzetti, F., Palagini, L., Marazziti, D., Orrù, G., Conversano, C., & Gemignani, A. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.663376 · Cited by 61 · see citing works
Matthews, A. L., KRAMER, R. A., Peterson, C. M., & Mitan, L. P. (2021) · Eating Behaviors · doi:10.1016/j.eatbeh.2021.101573 · Cited by 61 · see citing works
Access to care and worsening eating disorder symptomatology in youth during the COVID-19 pandemic
Spigel, R., Lin, J., Milliren, C. E., Freizinger, M., Vitagliano, J. A., Woods, E. R., Forman, S. F., & Richmond, T. K. (2021) · Journal of Eating Disorders · doi:10.1186/s40337-021-00421-9 · Cited by 51 · see citing works
Zeiler, M. D., Wittek, T., Kahlenberg, L., Gröbner, E., Nitsch, M., Wagner, G., Truttmann, S., Krauss, H., Waldherr, K., & Karwautz, A. F. K. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18084251 · Cited by 48 · see citing works
Lewis, Y. D., Elran‐Barak, R., Tov, R. G.-S., & Zubery, E. (2021) · Journal of Eating Disorders · doi:10.1186/s40337-021-00383-y · Cited by 49 · see citing works
A Perspective on Mature Gratitude as a Way of Coping With COVID-19
Jans-Beken, L. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.632911 · Cited by 48 · see citing works
Treatment of eating disorders in adolescents during the COVID-19 pandemic: a case series
Yaffa, S., Adi, E.-L., Itai, P., Marit, J.-M., Doron, G., & Daniel, S. (2021) · Journal of Eating Disorders · doi:10.1186/s40337-021-00374-z · Cited by 40 · see citing works
Review of the unprecedented impact of the COVID-19 pandemic on the occurrence of eating disorders
Meier, K., van Hoeken, D., & Hoek, H. W. (2022) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000815 · Cited by 38 · see citing works
Nisticò, V., Bertelli, S., Tedesco, R., Anselmetti, S., Priori, A., Gambini, O., & Demartini, B. (2021) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-021-01137-0 · Cited by 35 · see citing works
Maunder, K., & McNicholas, F. (2021) · Journal of Eating Disorders · doi:10.1186/s40337-021-00485-7 · Cited by 34 · see citing works
Impact of COVID-19 Lockdown in Eating Disorders: A Multicentre Collaborative International Study
Baenas, I., Etxandi, M., Munguía, L., Granero, R., Mestre‐Bach, G., Sánchez, I., Ortega, E., Andreu, A., Moize, V. L., Fernández‐Real, J. M., et al. (2021) · Nutrients · doi:10.3390/nu14010100 · Cited by 33 · see citing works
Monteleone, A. M., Cascino, G., Barone, E., Carfagno, M., & Monteleone, P. (2021) · Current Psychiatry Reports · doi:10.1007/s11920-021-01294-0 · Cited by 31 · see citing works
Bryan, D. C., Macdonald, P., Cardi, V., Rowlands, K., Ambwani, S., Arcelus, J., Bonin, E., Landau, S., Schmidt, U. H., & Treasure, J. L. (2022) · BJPsych Open · doi:10.1192/bjo.2022.535 · Cited by 32 · see citing works
Anorexia nervosa: COVID‑19 pandemic period (Review)
Dumitrașcu, M. C., Şandru, F., Carşote, M., Petca, R., Gheorghisan-Galateanu, A. A., Petca, A. T., & Valea, A. (2021) · Experimental and Therapeutic Medicine · doi:10.3892/etm.2021.10236 · Cited by 30 · see citing works
Jia, Y., Bao, J., Yi, M., Zhang, Z., Wang, J., Wang, H., Li, Y., & Chen, O. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-046525 · Cited by 26 · see citing works
Phillipou, A., Tan, E. J., Toh, W. L., Rheenen, T. E. V., Meyer, D., Neill, E., Sumner, P. J., & Rossell, S. L. (2021) · Eating Behaviors · doi:10.1016/j.eatbeh.2021.101564 · Cited by 26 · see citing works
Grennan, L., Nicula, M., Pellegrini, D., Giuliani, K., Crews, E., Webb, C., Gouveia, M., Loewen, T., & Couturier, J. L. (2022) · Journal of Eating Disorders · doi:10.1186/s40337-022-00719-2 · Cited by 25 · see citing works
The Effects of Online Continuing Education for Healthcare Professionals: A Systematic Scoping Review
Chaker, R., Hajj-Hassan, M., & Ozanne, S. (2024) · Open Education Studies · doi:10.1515/edu-2022-0226 · Cited by 28 · see citing works
Parsons, H., Murphy, B., Malone, D., & Holme, I. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10153385 · Cited by 24 · see citing works
Hunter, R., & Gibson, C. (2021) · Appetite · doi:10.1016/j.appet.2021.105451 · Cited by 23 · see citing works
Brownstone, L. M., Kelly, D. A., Maloul, E. K., Dinneen, J. L., Palazzolo, L. A., Raque‐Bogdan, T. L., & Greene, A. K. (2021) · Psychology of Sexual Orientation and Gender Diversity · doi:10.1037/sgd0000519 · Cited by 23 · see citing works
The impact of Facebook use on self-reported eating disorders during the COVID-19 lockdown
Mannino, G., Salerno, L., Bonfanti, R. C., Albano, G., & Lo Coco, G. (2021) · BMC Psychiatry · doi:10.1186/s12888-021-03628-x · Cited by 21 · see citing works
Psychosocial and financial impacts for carers of those with eating disorders in New Zealand
Surgenor, L. J., Dhakal, S., Watterson, R., Lim, B., Kennedy, M. A., Bulik, C. M., Wilson, N., Keelan, K., Lawson, R., & Jordan, J. (2022) · Journal of Eating Disorders · doi:10.1186/s40337-022-00565-2 · Cited by 20 · see citing works
Guo, L., Wu, M., Zhu, Z., Zhang, L., Peng, S., Li, W., Chen, H., Fernández‐Aranda, F., & Chen, J. (2020) · European Eating Disorders Review · doi:10.1002/erv.2783 · Cited by 19 · see citing works
Cribben, H., Macdonald, P., Treasure, J. L., Cini, E., Nicholls, D., Batchelor, R., & Kan, C. (2021) · BJPsych Open · doi:10.1192/bjo.2021.1019 · Cited by 19 · see citing works
McNamara, N., Wakefield, J. R. H., Cruwys, T., Potter, A., Jones, B. A., & McDevitt, S. (2022) · Journal of Community & Applied Social Psychology · doi:10.1002/casp.2606 · Cited by 24 · see citing works
Brownstone, L. M., Greene, A. K., Kelly, D. A., Maloul, E. K., Norling, H. N., Rockholm, R. H., & Izaguirre, C. M. (2022) · Body Image · doi:10.1016/j.bodyim.2022.01.002 · Cited by 18 · see citing works
Wang, R., Gan, Y., Wang, X., Li, J., Lipowska, M., Izydorczyk, B., Guo, S., Lipowski, M., Yang, Y., & Fan, H. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.776842 · Cited by 16 · see citing works
Boltri, M., Brusa, F., Apicella, E., & Mendolicchio, L. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1360529 · Cited by 15 · see citing works
Webb, H., Dalton, B., Irish, M., Mercado, D., McCombie, C., Peachey, G., Arcelus, J., Au, K., Himmerich, H., Johnston, A. L., et al. (2022) · Journal of Eating Disorders · doi:10.1186/s40337-022-00555-4 · Cited by 15 · see citing works
Feldhege, J., Moessner, M., Wolf, M., & Bauer, S. (2021) · Journal of Medical Internet Research · doi:10.2196/28346 · Cited by 16 · see citing works
Couturier, J. L., Pellegrini, D., Miller, C., Agar, P., Webb, C., Anderson, K. E., Barwick, M. A., Dimitropoulos, G., Findlay, S. M., Kimber, M., et al. (2021) · Implementation Science Communications · doi:10.1186/s43058-021-00143-8 · Cited by 14 · see citing works
Leeming, D., Lucock, M. P., Shibazaki, K., Pilkington, N., & Scott, B. L. (2022) · Community Mental Health Journal · doi:10.1007/s10597-021-00932-4 · Cited by 12 · see citing works
Walters, C., Lambert, C., Pankhurst, J., Irving, S., Álvarez, A., & Petrakis, M. (2023) · Asia Pacific Journal of Social Work and Development · doi:10.1080/02185385.2023.2175717 · Cited by 11 · see citing works
Eating disorders during the COVID-19 pandemic: scoping review of psychosocial impact
Maia, B. B., de Oliveira‐Cardoso, É. A., & dos Santos, M. A. (2023) · Middle East Current Psychiatry · doi:10.1186/s43045-023-00334-0 · Cited by 10 · see citing works
Mahmoud, A. B., Hack‐Polay, D., Fuxman, L., Naquiallah, D., & Grigoriou, N. (2020) · BMC Public Health · doi:10.1186/s12889-020-09556-x · Cited by 11 · see citing works
Walters, C., & Petrakis, M. (2022) · The British Journal of Social Work · doi:10.1093/bjsw/bcac242 · Cited by 10 · see citing works
Trastorno de conducta alimentaria durante la pandemia del SARS-CoV-2
Huete-Córdova, M. (2022) · Revista de Neuro-Psiquiatría · doi:10.20453/rnp.v85i1.4156 · Cited by 9 · see citing works
Toulany, A., Saunders, N. R., Kurdyak, P. A., Strauss, R., Fu, L., Joh-Carnella, N., Chen, S., Guttmann, A., & Stukel, T. A. (2023) · Canadian Medical Association Journal · doi:10.1503/cmaj.221318 · Cited by 9 · see citing works
Childhood onset exercise addiction or atypical anorexia nervosa during Covid-19: case report
McNicholas, F. (2021) · Journal of Eating Disorders · doi:10.1186/s40337-021-00450-4 · Cited by 9 · see citing works
The Mental Health Impact of the COVID-19 Pandemic Second Wave on Shielders and Their Family Members
Daniels, J., & Rettie, H. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19127333 · Cited by 8 · see citing works
Elran‐Barak, R. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100438 · Cited by 8 · see citing works
Serur, Y., Dikstein, H., Shilton, T., Gothelf, D., Latzer, Y., Lewis, Y. D., Enoch‐Levy, A., Pessach, I. M., Gur, E., & Stein, D. J. (2022) · Journal of Eating Disorders · doi:10.1186/s40337-022-00668-w · Cited by 8 · see citing works
Savarese, G., Milano, W. D., & Carpinelli, L. (2022) · BioMed · doi:10.3390/biomed2010012 · Cited by 7 · see citing works
Understanding the conversation around COVID-19 and eating disorders: A thematic analysis of Reddit
Shields, A. N., Taylor, E., & Welch, J. R. (2022) · Journal of Eating Disorders · doi:10.1186/s40337-022-00530-z · Cited by 6 · see citing works
Mentzelou, M., Papadopoulou, S. Κ., Jacovides, C., Dakanalis, A., Alexatou, O., Vorvolakos, T., Psara, E., Ntovoli, A., Chrysafi, M., Kazis, D. A., et al. (2024) · COVID · doi:10.3390/covid4110119 · Cited by 5 · see citing works
Zeiler, M. D., Schneider, A. E., Philipp, J., Truttmann, S., Wittek, T., Kahlenberg, L., Auer‐Welsbach, E., Schöfbeck, G., Mairhofer, D., Merl, E., et al. (2023) · European Eating Disorders Review · doi:10.1002/erv.2976 · Cited by 5 · see citing works
Cerolini, S., D’Amico, M., Zagaria, A., Mocini, E., Monda, G., Donini, L. M., & Lombardo, C. (2024) · Nutrients · doi:10.3390/nu16162696 · Cited by 4 · see citing works
Miskovic‐Wheatley, J., Schlage, J., Pehlivan, M., Simone, R., Koreshe, E., Hunt, C. J., & Maguire, S. (2023) · International Journal of Eating Disorders · doi:10.1002/eat.24112 · Cited by 4 · see citing works
Li, J., Wilczyńska, D. M., Lipowska, M., Łada‐Maśko, A., Radtke, B. M., Sajewicz‐Radtke, U., Izydorczyk, B., Liu, T., Wang, Z., Lu, J., et al. (2024) · Nutrients · doi:10.3390/nu16132065 · Cited by 4 · see citing works
McNamara, N., Wakefield, J. R. H., Cruwys, T., Potter, A., Jones, B. A., & McDevitt, S. (2020) · doi:10.31234/osf.io/xpjfh · Cited by 4 · see citing works
Eating Disorders in the Time of the COVID-19 Pandemic: A Perspective
Marucci, S., Almerighi, G., Cerutti, N., Corbo, F., Zupo, R., Iaco, G. D., Lisco, G., Triggiani, V., & Pergola, G. D. (2022) · Endocrine Metabolic & Immune Disorders - Drug Targets · doi:10.2174/1871530322666220422104009 · Cited by 3 · see citing works
COVID ‐19 induced anorexia nervosa: A case series and brief review of literature
Esmaeeli, S. T., Rahimi, Z., Saeed, F., & Shoib, S. (2023) · Clinical Case Reports · doi:10.1002/ccr3.7534 · Cited by 3 · see citing works
Filling a gap: virtual clinician-led support groups for disordered eating
Hunsicker, M. J., Maloul, E. K., Greene, A. K., Gilady, D., & Brownstone, L. M. (2023) · Counselling Psychology Quarterly · doi:10.1080/09515070.2023.2192461 · Cited by 2 · see citing works
Couturier, J. L., Nicula, M., Webb, C., Dimitropoulos, G., Obeid, N., Kimber, M., Loewen, T., Coolen, A., Crews, E., Jones, S., et al. (2025) · Journal of Eating Disorders · doi:10.1186/s40337-025-01347-2 · Cited by 2 · see citing works
The Influences of COVID-19 Pandemic on Patient with Eating Disorders - A Literature Review
Priyanka, R. A., Nayan, M. I. H., Alam, M. M., & Nandi, T. (2022) · Journal of Pharmaceutical Research International · doi:10.9734/jpri/2022/v34i567252 · Cited by 2 · see citing works
The relationship between change in routine and student mental wellbeing during a nationwide lockdown
Kiltie, J. T., Satchell, L. P., Childs, M. J., Daniels, M., Gould, C., Sparrowe, K., Hudson, C. A., & Husted, M. (2023) · The Journal of General Psychology · doi:10.1080/00221309.2023.2241949 · Cited by 2 · see citing works
Clinical Outcomes Among Adolescents Diagnosed With Anorexia Nervosa During the COVID ‐19 Pandemic
Coret, A., Burstein, B., & Agostino, H. (2025) · International Journal of Eating Disorders · doi:10.1002/eat.24387 · Cited by 2 · see citing works
López, J. R. C., Villarreal, J. C. M., Méndez, E. N. F., de León, E. M., Montalvo, H. I. M., Treviño, J. G. S., Charles, F. M. A., Cantú, G. D., Hernandez, V., Ballesteros, L. A. A., et al. (2022) · Ediciones Comunicación Científica eBooks · doi:10.52501/cc.069 · Cited by 2 · see citing works
The impact of COVID-19 on Black women who binge-eat: a qualitative study
Goode, R. W., Malian, H. M., Samuel‐Hodge, C. D., Noem, T., Coan, D., Takgbajouah, M., Bahena, L., & Bulik, C. M. (2022) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-022-01472-w · Cited by 2 · see citing works
Penna, P. M., Oliveira, N. M. C. E., Castro, L. C. V., & Hermsdorff, H. H. M. (2021) · Research Square · doi:10.21203/rs.3.rs-953160/v1 · Cited by 2 · see citing works
Pegram, G., Craddock, N., & Lewis‐Smith, H. (2023) · Current Psychology · doi:10.1007/s12144-023-04353-2 · Cited by 1 · see citing works
Ford, S. K., & Carr, A. (2025) · Clinical Child Psychology and Psychiatry · doi:10.1177/13591045251385271 · Cited by 1 · see citing works
Alanazi, M., Fellas, A., Bridge, P., Acharya, S., Santos, D., Sculley, D., Gironès, X., & Coda, A. (2025) · BMJ Open · doi:10.1136/bmjopen-2025-103328 · Cited by 1 · see citing works
Anorexia in times of Covid-19: what can we learn from thematic analysis of Twitter posts
Zarchi, R. K., & Bar-Gil, O. (2025) · Current Psychology · doi:10.1007/s12144-025-07617-1 · Cited by 1 · see citing works
Deuxième vague : quid des patients atteints d’anorexie mentale hospitalisés en pédopsychiatrie ?
Verley, J.-B., Ayrolles, A., Guigonis, V., & Olliac, B. (2021) · Neuropsychiatrie de l Enfance et de l Adolescence · doi:10.1016/j.neurenf.2021.01.006 · Cited by 1 · see citing works
Coutinho, C. D. O., Mota, T. M. L., Santos, L. P., da Silva, T. S., Conde, T. N., Mulder, A. D. R. P., & Seixas, C. M. (2021) · Research Society and Development · doi:10.33448/rsd-v10i10.19015 · Cited by 4 · see citing works
Edwards-Bailey, L., Smyth, N., Cartwright, T., & Mackenzie, J. (2023) · International Journal of Care and Caring · doi:10.1332/239788221x16890865425257 · Cited by 1 · see citing works
Access to Care and Worsening Eating Disorder Symptomatology during the COVID-19 PandemicPreprint
Spigel, R., Lin, J., Milliren, C. E., Freizinger, M., Vitagliano, J. A., Woods, E. R., Forman, S. F., & Richmond, T. K. (2021) · Research Square · doi:10.21203/rs.3.rs-293019/v1 · Cited by 1 · see citing works
Exploring the impact of Covid-19 on those living with an eating disorder in the UKPreprint
Foye, U., Raby, S., Elson, E., Parkinson, K., Baker, S., & Kelly, J. (2022) · Research Square · doi:10.21203/rs.3.rs-1920819/v1 · Cited by 1 · see citing works
Akafekwa, T., Dalgarno, E., & Verma, A. (2021) · medRxiv · doi:10.1101/2021.08.20.21262375
Mannino, G., Salerno, L., Bonfanti, R. C., Albano, G., & Coco, G. L. (2021) · Research Square · doi:10.21203/rs.3.rs-622603/v1
Пичиков, А. А., Popov, Y. V., Yakovleva, Y. A., & Salomatina, T. A. (2021) · V M BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY · doi:10.31363/2313-7053-2021-57-4-106-112
COVID-19’s Impact on Eating Disorder and Mental Health Concerns in Patients with Eating DisordersPreprint
Vitagliano, J. A., Jhe, G., Milliren, C. E., Lin, J., Spigel, R., Freizinger, M., Woods, E. R., Forman, S. F., & Richmond, T. K. (2021) · Research Square · doi:10.21203/rs.3.rs-314541/v1
Attitude to Body-Risk Factor or Health Factor in Psychopathology
Izydorczyk, B., Enea, V., Lipowski, M., & Sitnik‐Warchulska, K. (2022) · Frontiers research topics · doi:10.3389/978-2-88976-289-7
Physical and mental health of 40,000 older women in England during the COVID-19 pandemic (2020–2021)
Floud, S., Hermon, C., & REEVES, G. K. (2024) · PLoS ONE · doi:10.1371/journal.pone.0307106
Shaw, H., Ranceva, N., & Langdon, D. W. (2025) · Journal of Eating Disorders · doi:10.1186/s40337-025-01278-y
Lee, J., Rojas, N. K., Pereira, S. M. P., Stephenson, T. J., McGowan, J., Chalder, T., Dalrymple, E., Ford, T. J., Heyman, I., Ladhani, S. N., et al. (2025) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-025-01788-3
Grennan, L., Nicula, M., Pellegrini, D., Giuliani, K., Crews, E., Webb, C., Gouveia, M.-R., Loewen, T., & Couturier, J. L. (2023) · Figshare · doi:10.6084/m9.figshare.22603618
Webb, H., Dalton, B., Irish, M., Mercado, D., McCombie, C., Peachey, G., Arcelus, J., Au, K., Himmerich, H., Johnston, A. L., et al. (2022) · Figshare · doi:10.6084/m9.figshare.19234282
Latzer, Y., & Stein, D. (2026) · Healthcare · doi:10.3390/healthcare14131908
- Authors
- Clark Bryan, D., Macdonald, P., Ambwani, S., Cardi, V., Rowlands, K., Willmott, D., & Treasure, J.
- Affiliations
- Institute of Psychiatry, Psychology and Neuroscience, Department of Psychological Medicine, Section of Eating Disorders King's College London London UK
- King's College London (GB)
- Dickinson College (US)
- University of Padua (IT)
- ORCID
- Venue
- European Eating Disorders Review
- Publisher
- Wiley
- Published
- 2020-07-09
- Volume
- 28
- Issue
- 6
- Pages
- 826-835
- ISSN
- 1072-4133 (ISSN-L)
- 1099-0968
- PMC
- PMC7362064
- OpenAlex
- W3041334734
- Cited by
- 93
- References
- 26
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 6 · 2023: 12 · 2022: 25 · 2021: 36 · 2020: 6
- FWCI
- 7.91
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- European Eating Disorders Review (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion, other-oa)
- Padua Research Archive (University of Padova) (submittedVersion, cc-by)
- Funders
- South London and Maudsley NHS Foundation Trust
- Dipartimenti di Eccellenza (DM 11/05/2017, DM 11/05/2017 n. 262, Dipartimenti di Eccellenza DM 11/05/2017 n. 262)
- National Institute for Health and Care Research (14/68/09)
- King's College London
- Ministero dell’Istruzione, dell’Università e della Ricerca (DM 11/05/2017 n.262, DM 11/05/2017 n, Dipartimenti di Eccellenza DM 11/05/2017 n.262, DM 11/05/2017)
- Health Technology Assessment Programme (14/68/09)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- anorexia nervosa, COVID-19 pandemic, lockdown, adult patients, caregivers, eating disorder services, health care access, psychological distress, self-management, remote support, self-efficacy, routine disruption
- MeSH terms
- Self-Management, COVID-19, Adult, Anorexia Nervosa, Anxiety, Female, United Kingdom, Health Services Accessibility, Humans, Male, Middle Aged, Quarantine, Caregivers, Qualitative Research, Young Adult, Pandemics
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
