COVID Isolation Eating Scale (CIES): Analysis of the impact of confinement in eating disorders and obesity—A collaborative international study
Open accessAbstract
Confinement during the COVID-19 pandemic is expected to have a serious and complex impact on the mental health of patients with an eating disorder (ED) and of patients with obesity. The present manuscript has the following aims: (1) to analyse the psychometric properties of the COVID Isolation Eating Scale (CIES), (2) to explore changes that occurred due to confinement in eating symptomatology; and (3) to explore the general acceptation of the use of telemedicine during confinement. The sample comprised 121 participants (87 ED patients and 34 patients with obesity) recruited from six different centres. Confirmatory Factor Analyses (CFA) tested the rational-theoretical structure of the CIES. Adequate goodness-of-fit was obtained for the confirmatory factor analysis, and Cronbach alpha values ranged from good to excellent. Regarding the effects of confinement, positive and negative impacts of the confinement depends of the eating disorder subtype. Patients with anorexia nervosa (AN) and with obesity endorsed a positive response to treatment during confinement, no significant changes were found in bulimia nervosa (BN) patients, whereas Other Specified Feeding or Eating Disorder (OSFED) patients endorsed an increase in eating symptomatology and in psychopathology. Furthermore, AN patients expressed the greatest dissatisfaction and accommodation difficulty with remote therapy when compared with the previously provided face-to-face therapy. The present study provides empirical evidence on the psychometric robustness of the CIES tool and shows that a negative confinement impact was associated with ED subtype, whereas OSFED patients showed the highest impairment in eating symptomatology and in psychopathology.
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In Fernández-Aranda et al. (2020), patients with AN reported a decrease in ED symptoms and in emotion dysregulation.
“Surprisingly, patients with AN reported a decrease in ED symptoms and in emotion dysregulation;”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Fernández-Aranda et al. (2020)
In Fernández-Aranda et al. (2020), patients with obesity showed a significant decrease in BMI and in eating symptomatology.
“patients with obesity showed a significant decrease in BMI and in eating symptomatology;”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Fernández-Aranda et al. (2020)
In Fernández-Aranda et al. (2020), patients with AN expressed the greatest dissatisfaction and difficulties with online treatments.
“Concerning the use of telemedicine, patients with AN expressed the greatest dissatisfactions and difficulties with online treatments.”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Fernández-Aranda et al. (2020)
In Fernández-Aranda et al. (2020), patients with BN and OSFED exhibited no significant changes before and after the confinement.
“and patients with BN and OSFED exhibited no significant changes before and after the confinement.”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Fernández-Aranda et al. (2020)
In Fernández-Aranda et al. (2020) sample of 87 patients with EDs and 34 with obesity, disordered eating improved in almost all participants during confinement.
“In contrast with previous studies, the disordered eating improved in almost all participants during confinement.”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Fernández-Aranda et al. (2020)
In Fernández-Aranda et al. (2020), patients with OSFED reported the highest impairment in psychopathology although changes between pre- and post-confinement did not reach statistical significance.
“Patients with OSFED deserved special attention: although the changes between pre- and post-confinement did not reach the statistical significance, they reported the highest impairment in psychopathology.”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Fernández-Aranda et al. (2020)
Fernández-Aranda et al. (2020) studied a sample of patients with eating disorders and subjects with obesity, with limitations including retrospective design, wide age range (13 to 77 years), and gender distribution (104 women vs. 17 men).
“Fernández-Aranda et al. (2020) studied on a sample of patients with EDs and subjects with obesity, with several limitations, such as the retrospective design, the wide age range (from 13 to 77 years), and the gender distribution (104 women vs. 17 men).”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Fernández-Aranda et al., 2020
There were online surveys or retrospective studies in which variables were compared between pre- and post-pandemic.
“There were online surveys or retrospective studies (see, for example, Ammar et al., 2020; Fernández-Aranda et al., 2020) in which the variables were compared between pre- vs. post-pandemic.”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Fernández-Aranda et al., 2020
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Eating Disorders and Pandemics
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- Authors
- Fernández‐Aranda, F., Munguía, L., Mestre‐Bach, G., Steward, T., Etxandi, M., Baenas, I., Granero, R., Sánchez, I., Ortega, E., Andreu, A., Moize, V. L., Fernández‐Real, J. M., Tinahones, F. J., Diegüez, C., Frühbeck, G., Le Grange, D., Tchanturia, K., Karwautz, A., Zeiler, M., Favaro, A., Claes, L., Luyckx, K., Shekriladze, I., Serrano‐Troncoso, E., Rangil, T., Meler, M. E. L., Soriano‐Pacheco, J., Carceller‐Sindreu, M., Bujalance‐Arguijo, S., Lozano, M., Linares, R., Gudiol, C., Carratala, J., Sanchez‐Gonzalez, J., Machado, P. P., Håkansson, A., Túry, F., Pászthy, B., Stein, D., Papezová, H., Bax, B., Borisenkov, M. F., Popov, S. V., Kim, Y., Nakazato, M., Godart, N., van Voren, R., Ilnytska, T., Chen, J., Rowlands, K., Treasure, J., & Jiménez‐Murcia, S.
- Affiliations
- Instituto de Salud Carlos III (ES)
- Bellvitge University Hospital (ES)
- The University of Melbourne (AU)
- Universitat Autònoma de Barcelona (ES)
- Centro de Investigación Biomédica en Red Diabetes y Enfermedades Metabólicas Asociadas (ES)
- Hospital Clínic de Barcelona (ES)
- CIBER Fisiopatología Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Barcelona Spain
- Eating Disorders Program, Department of Psychiatry University of California San Francisco California USA
- Ilia State University (GE)
- Medical University of Vienna (AT)
- University of Padua (IT)
- University of Antwerp (BE)
- Institut de Recerca Sant Joan de Déu (ES)
- Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol (ES)
- Associació Contra l'Anorèxia i la Bulímia (ACAB) Barcelona Spain
- FITA Foundation Barcelona Spain
- Department of Clinical Sciences, School of Medicine and Health Sciences University of Barcelona Barcelona Spain
- Department of Psychiatry Bellvitge University Hospital‐IDIBELL Barcelona Spain
- University of Minho (PT)
- Lund University (SE)
- Semmelweis University (HU)
- Safra Children's Hospital Chaim Sheba Medical Center Tel Hashomer Israel
- Department of Psychiatry 1st Medical Faculty of Charles University Prague Czech Republic
- Vilnius University (LT)
- Russian Academy of Sciences (RU)
- Inje University (KR)
- International University of Health and Welfare (JP)
- Inserm (FR)
- Vytautas Magnus University Kaunas Lithuania
- Taras Shevchenko National University of Kyiv (UA)
- Shanghai Jiao Tong University (CN)
- King's College London (GB)
- Corresponding author
- Fernández‐Aranda, Fernando
- ORCID
- Fernández‐Aranda, Fernando
- Munguía, Lucero
- Mestre‐Bach, Gemma
- Steward, Trevor
- Etxandi, Mikel
- Baenas, Isabel
- Granero, Roser
- Sánchez, Isabel
- Ortega, Emilio
- Andreu, Alba
- Moize, Violeta L.
- Fernández‐Real, Jose M
- Tinahones, Francisco J.
- Diegüez, Carlos
- Frühbeck, Gema
- Le Grange, Daniel
- Tchanturia, Kate
- Karwautz, Andreas
- Zeiler, Michael
- Favaro, Angela
- Claes, Laurence
- Luyckx, Koen
- Shekriladze, Ia
- Serrano‐Troncoso, Eduardo
- Soriano‐Pacheco, Jose
- Carceller‐Sindreu, Mar
- Gudiol, Carlota
- Carratala, Jordi
- Machado, Paulo PP
- Håkansson, Anders
- Túry, Ferenc
- Pászthy, Bea
- Papezová, Hana
- Borisenkov, Mikhail F.
- Popov, Sergey V.
- Kim, Youl‐Ri
- Nakazato, Michiko
- Godart, Nathalie
- van Voren, Robert
- Ilnytska, Tetiana
- Chen, Jue
- Rowlands, Katie
- Treasure, Janet
- Jiménez‐Murcia, Susana
- Venue
- European Eating Disorders Review
- Publisher
- Wiley
- Published
- 2020-09-20
- Volume
- 28
- Issue
- 6
- Pages
- 871-883
- ISSN
- 1072-4133 (ISSN-L)
- 1099-0968
- PMC
- PMC7537123
- OpenAlex
- W3087587114
- Cited by
- 74
- References
- 63
- Citations by year
- 2024: 9 · 2023: 22 · 2022: 16 · 2021: 26 · 2020: 1
- FWCI
- 6.49
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Eating Disorders Review (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Dipòsit Digital de Documents de la UAB (Universitat Autònoma de Barcelona) (submittedVersion, cc-by-nc)
- eScholarship (California Digital Library) (submittedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, other-oa)
- RISalud Institutional Health Repository of Andalucía (submittedVersion, other-oa)
- HAL (submittedVersion)
- Minerva Access (University of Melbourne) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Lirias (submittedVersion, other-oa)
- Lund University Publications (Lund University) (submittedVersion)
- Re-Unir (International University of La Rioja) (submittedVersion, other-oa)
- Vytautas Magnus University (submittedVersion)
- Padua Research Archive (University of Padova) (submittedVersion)
- Funders
- Ministerio de Economía y Competitividad (PSI2015‐68701‐R)
- Consejo Nacional de Ciencia y Tecnología
- Generalitat de Catalunya
- European Regional Development Fund
- 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 lockdown, eating disorders, obesity, anorexia nervosa, bulimia nervosa, other specified feeding or eating disorder, psychopathology, telemedicine, remote therapy, psychometric properties, eating disorder subtypes
- MeSH terms
- COVID-19, Adolescent, Adult, Aged, Feeding and Eating Disorders, Factor Analysis, Statistical, Female, Humans, Male, Middle Aged, Obesity, Psychiatric Status Rating Scales, Psychometrics, Social Isolation, Spain, Young Adult
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