COVID‐19 and eating disorders during confinement: Analysis of factors associated with resilience and aggravation of symptoms
Open accessAbstract
OBJECTIVES: To assess the level of deterioration in functioning of ED patients during confinement, due to COVID-19, and examine potential contributing factors (coping strategies, anxiety-depressive symptomatology and personality traits). METHODS: A total of 74 ED patients in treatment before the COVID-19 outbreak, contributed to this study. Baseline pre-treatment evaluation included the SCL-90R, TCI-R, EDI-2 and Y-FAS 2.0 questionnaires for general psychopathology, personality and ED severity indexes. ED symptoms, coping strategies, socio-demographic data and COVID-19 concerns were collected by clinicians through a semi-structured telephone survey during lockdown. RESULTS: A deterioration in ED symptoms and general psychopathology (anxiety and depression), during lockdown, was associated with low self-directedness. Higher ED symptomatology during confinement was associated with less-adaptive coping strategies to deal with lockdown situation leading to an increase in weight. CONCLUSIONS: These specific vulnerability factors to further confinement or stressful situations may help design personalized preventive and therapeutic approaches.
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In Baenas et al. (2020) sample of 74 patients with EDs, a significant proportion experienced worsening of ED symptoms, but this finding was only in 19 patients (25.7%).
“Thus, the authors concluded that a significant proportion of patients experienced the worsening of ED symptoms, even if this finding was only in 19 patients (25.7%).”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Baenas et al. (2020)
In Baenas et al. (2020), path analysis found a direct effect of the TCI-R dimension self-directedness on the worsening of EDs.
“However, performing a path analysis, they found a direct effect of the TCI-R dimension “self-directedness” on the worsening of EDs.”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Baenas et al. (2020)
In Baenas et al. (2020), the majority of the sample (n = 55) did not report a significant variation of their symptoms.
“Majority of the samples (n = 55) did not report a significant variation of their symptoms.”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Baenas et al. (2020)
The Baenas et al. study was focused on a small sample (n = 74) using 32 different domain/dimensions belonging to four different scales.
“However, this study was focused on the evaluation of a small sample (n = 74) using 32 different domain/dimensions, which belongs to four different scales.”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Baenas et al., 2020
In one study, TCI-R self-directedness was the only discriminating factor between patients with eating disorders who did and did not experience worsening of symptoms.
“In one study (Baenas et al., 2020), TCI-R self-directedness was found as the only discriminating factor between patients with EDs who did and did not experience the worsening of their symptoms.”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Baenas et al., 2020
Baenas et al. (2020) apparently found a worsening in patients with eating disorders who were already followed-up before the COVID-19 outbreak and evaluated by phone during lockdown.
“One study (Baenas et al., 2020) apparently found a worsening in patients with EDs who are already followed-up before the COVID-19 outbreak and evaluated by phone during a lockdown.”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Baenas et al., 2020
The Baenas et al. path analysis revealed a direct effect of TCI-R self-directedness on deterioration of eating disorder symptoms during lockdown.
“Interestingly, this study utilized a path analysis that revealed a direct effect of the TCI-R dimension of self-directedness on the deterioration of ED symptoms during lockdown.”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Baenas et al., 2020
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References 37 · Cited by 102
- Authors
- Baenas, I., Caravaca‐Sanz, E., Granero, R., Sánchez, I., Riesco, N., Testa, G., Vintró‐Alcaraz, C., Treasure, J., Jiménez‐Murcia, S., & Fernández‐Aranda, F.
- Affiliations
- Instituto de Salud Carlos III (ES)
- Department of Psychiatry Bellvitge University Hospital‐IDIBELL Barcelona Spain
- Universitat Autònoma de Barcelona (ES)
- King's College London (GB)
- Corresponding author
- Fernández‐Aranda, Fernando
- ORCID
- Venue
- European Eating Disorders Review
- Publisher
- Wiley
- Published
- 2020-08-20
- Volume
- 28
- Issue
- 6
- Pages
- 855-863
- ISSN
- 1072-4133 (ISSN-L)
- 1099-0968
- PMC
- PMC7461472
- OpenAlex
- W3066711470
- Cited by
- 102
- References
- 37
- Citations by year
- 2025: 3 · 2024: 14 · 2023: 18 · 2022: 16 · 2021: 46 · 2020: 5
- FWCI
- 8.51
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Eating Disorders Review (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Centro de Investigación Biomédica en Red-Fisiopatología de la Obesidad y Nutrición
- Instituto de Salud Carlos III (PI17/01167)
- 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
- COVID-19 pandemic, eating disorders, lockdown, resilience, symptom deterioration, coping strategies, self-direction, anxiety, depression, personality traits, weight gain, vulnerability factors
- MeSH terms
- COVID-19, Adaptation, Psychological, Adult, Feeding and Eating Disorders, Factor Analysis, Statistical, Female, Humans, Male, Quarantine, Risk Factors, Spain, Resilience, Psychological
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