Risk and resilience factors for specific and general psychopathology worsening in people with Eating Disorders during COVID-19 pandemic: a retrospective Italian multicentre study
Purpose The COVID-19 pandemic restrictions had negative impact on the psychopathology of people with Eating Disorders (EDs). Factors involved in the vulnerability to stressful events have been under-investigated in this population. We aimed to assess which factors contributed to COVID-19-induced wor...
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| Veröffentlicht in: | Eating and weight disorders 2021-12, Vol.26 (8), p.2443-2452 |
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| creator | Monteleone, Alessio Maria Cascino, Giammarco Marciello, Francesca Abbate-Daga, Giovanni Baiano, Monica Balestrieri, Matteo Barone, Eugenia Bertelli, Sara Carpiniello, Bernardo Castellini, Giovanni Corrivetti, Giulio De Giorgi, Serafino Favaro, Angela Gramaglia, Carla Marzola, Enrica Meneguzzo, Paolo Monaco, Francesco Oriani, Maria Ginevra Pinna, Federica Rania, Marianna Redaelli, Carolina Alberta Renna, Caterina Ricca, Valdo Salvo, Pierandrea Baldissera, Erika Segura-Garcia, Cristina Todisco, Patrizia Volpe, Umberto Zeppegno, Patrizia Monteleone, Palmiero |
| description | Purpose
The COVID-19 pandemic restrictions had negative impact on the psychopathology of people with Eating Disorders (EDs). Factors involved in the vulnerability to stressful events have been under-investigated in this population. We aimed to assess which factors contributed to COVID-19-induced worsening in both general and specific psychopathology.
Methods
Three-hundred and twelve people with a clinically defined diagnosis of an ED and undergoing a specialist ED treatment in different Italian ED services before the spreading of COVID-19 pandemic filled in an online survey. ED specific and general psychopathology changes after COVID-19 quarantine were retrospectively evaluated. Factors related to COVID-19 concerns (financial condition, fear of contagion, perceived social isolation/support, satisfaction in peer, family or sentimental relationships), illness duration and treatment-related variables (type of treatment provided, type of access to care, satisfaction with therapeutic relationships) were included as predicting factors in a structural equational model, which included latent variables consisting of general and ED psychopathology items as outcomes.
Results
A perceived low quality of therapeutic relationships, fear of contagion and increased isolation were positively associated with psychopathology worsening. Reduced satisfaction with family and with friends’ relationships and reduced perceived social support were associated with ED and general symptoms deterioration, respectively. No significant effect emerged for intimate relationships, illness duration, economic condition and type of treatment.
Conclusions
This study provides a comprehensive evaluation of clinical variables associated with psychopathological changes during the COVID-19 lockdown period highlighting potential risk and resilience factors and, possibly, informing treatment as well as prevention strategies for EDs.
Level of evidence IV
Evidence obtained from multiple time series analysis such as case studies |
| doi_str_mv | 10.1007/s40519-020-01097-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7797193</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2476844917</sourcerecordid><originalsourceid>FETCH-LOGICAL-c425t-1baf28bd985aa73d859e1ef38c9f84cf5460e6d04257de72aeb48021c5315ae53</originalsourceid><addsrcrecordid>eNp9ks9u1DAQxiMEoqXwAhyQJS5cAv4TxzEHJLQtsFKlSgi4Wl5nsuvitYPttN3X4glxdkspHDjZmvnNNzP2V1XPCX5NMBZvUoM5kTWmuMYES1HfPKiOCZe4JrSlD-_dj6onKV1i3BDG8OPqiLGGti3Dx9XPzzZ9R9r3KEKyzoI3gAZtcogJDSGiNIKxgzV7Zg0eonZoTDuzCaPOm-DCeoeuCw3e-jWyHo0QRgfo2uYNOtN5jp7aFGIPRbKf4hxYXHxbntZEorHIwtaat0iXCXIMc79srwAts3ZWe7SdXLYGfI6AUp763dPq0aBdgme350n19cPZl8Wn-vzi43Lx_rw2DeW5Jis90G7Vy45rLVjfcQkEBtYZOXSNGXjTYmh7XGDRg6AaVk2HKTGcEa6Bs5Pq3UF3nFZb6PcjaKfGaLc67lTQVv2d8Xaj1uFKCSEFkawIvLoViOHHBCmrrU0GnNMewpQUbUTbNY0koqAv_0EvwxR9WU9RLruOMd52haIHypR3ShGGu2EIVrMl1MESqlhC7S2hbkrRi_tr3JX89kAB2AFI4_w3EP_0_o_sLy5hxy4</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2598833568</pqid></control><display><type>article</type><title>Risk and resilience factors for specific and general psychopathology worsening in people with Eating Disorders during COVID-19 pandemic: a retrospective Italian multicentre study</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Monteleone, Alessio Maria ; Cascino, Giammarco ; Marciello, Francesca ; Abbate-Daga, Giovanni ; Baiano, Monica ; Balestrieri, Matteo ; Barone, Eugenia ; Bertelli, Sara ; Carpiniello, Bernardo ; Castellini, Giovanni ; Corrivetti, Giulio ; De Giorgi, Serafino ; Favaro, Angela ; Gramaglia, Carla ; Marzola, Enrica ; Meneguzzo, Paolo ; Monaco, Francesco ; Oriani, Maria Ginevra ; Pinna, Federica ; Rania, Marianna ; Redaelli, Carolina Alberta ; Renna, Caterina ; Ricca, Valdo ; Salvo, Pierandrea ; Baldissera, Erika ; Segura-Garcia, Cristina ; Todisco, Patrizia ; Volpe, Umberto ; Zeppegno, Patrizia ; Monteleone, Palmiero</creator><creatorcontrib>Monteleone, Alessio Maria ; Cascino, Giammarco ; Marciello, Francesca ; Abbate-Daga, Giovanni ; Baiano, Monica ; Balestrieri, Matteo ; Barone, Eugenia ; Bertelli, Sara ; Carpiniello, Bernardo ; Castellini, Giovanni ; Corrivetti, Giulio ; De Giorgi, Serafino ; Favaro, Angela ; Gramaglia, Carla ; Marzola, Enrica ; Meneguzzo, Paolo ; Monaco, Francesco ; Oriani, Maria Ginevra ; Pinna, Federica ; Rania, Marianna ; Redaelli, Carolina Alberta ; Renna, Caterina ; Ricca, Valdo ; Salvo, Pierandrea ; Baldissera, Erika ; Segura-Garcia, Cristina ; Todisco, Patrizia ; Volpe, Umberto ; Zeppegno, Patrizia ; Monteleone, Palmiero</creatorcontrib><description>Purpose
The COVID-19 pandemic restrictions had negative impact on the psychopathology of people with Eating Disorders (EDs). Factors involved in the vulnerability to stressful events have been under-investigated in this population. We aimed to assess which factors contributed to COVID-19-induced worsening in both general and specific psychopathology.
Methods
Three-hundred and twelve people with a clinically defined diagnosis of an ED and undergoing a specialist ED treatment in different Italian ED services before the spreading of COVID-19 pandemic filled in an online survey. ED specific and general psychopathology changes after COVID-19 quarantine were retrospectively evaluated. Factors related to COVID-19 concerns (financial condition, fear of contagion, perceived social isolation/support, satisfaction in peer, family or sentimental relationships), illness duration and treatment-related variables (type of treatment provided, type of access to care, satisfaction with therapeutic relationships) were included as predicting factors in a structural equational model, which included latent variables consisting of general and ED psychopathology items as outcomes.
Results
A perceived low quality of therapeutic relationships, fear of contagion and increased isolation were positively associated with psychopathology worsening. Reduced satisfaction with family and with friends’ relationships and reduced perceived social support were associated with ED and general symptoms deterioration, respectively. No significant effect emerged for intimate relationships, illness duration, economic condition and type of treatment.
Conclusions
This study provides a comprehensive evaluation of clinical variables associated with psychopathological changes during the COVID-19 lockdown period highlighting potential risk and resilience factors and, possibly, informing treatment as well as prevention strategies for EDs.
Level of evidence IV
Evidence obtained from multiple time series analysis such as case studies</description><identifier>ISSN: 1590-1262</identifier><identifier>ISSN: 1124-4909</identifier><identifier>EISSN: 1590-1262</identifier><identifier>DOI: 10.1007/s40519-020-01097-x</identifier><identifier>PMID: 33426630</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Communicable Disease Control ; Coronaviruses ; COVID-19 ; Disease transmission ; Eating disorders ; Feeding and Eating Disorders ; Humans ; Italy ; Medicine ; Medicine & Public Health ; Original ; Original Article ; Pandemics ; Psychiatry ; Psychopathology ; Retrospective Studies ; SARS-CoV-2</subject><ispartof>Eating and weight disorders, 2021-12, Vol.26 (8), p.2443-2452</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Switzerland AG part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Nature Switzerland AG part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer Nature Switzerland AG part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c425t-1baf28bd985aa73d859e1ef38c9f84cf5460e6d04257de72aeb48021c5315ae53</cites><orcidid>0000-0002-6786-4458</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40519-020-01097-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s40519-020-01097-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33426630$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Monteleone, Alessio Maria</creatorcontrib><creatorcontrib>Cascino, Giammarco</creatorcontrib><creatorcontrib>Marciello, Francesca</creatorcontrib><creatorcontrib>Abbate-Daga, Giovanni</creatorcontrib><creatorcontrib>Baiano, Monica</creatorcontrib><creatorcontrib>Balestrieri, Matteo</creatorcontrib><creatorcontrib>Barone, Eugenia</creatorcontrib><creatorcontrib>Bertelli, Sara</creatorcontrib><creatorcontrib>Carpiniello, Bernardo</creatorcontrib><creatorcontrib>Castellini, Giovanni</creatorcontrib><creatorcontrib>Corrivetti, Giulio</creatorcontrib><creatorcontrib>De Giorgi, Serafino</creatorcontrib><creatorcontrib>Favaro, Angela</creatorcontrib><creatorcontrib>Gramaglia, Carla</creatorcontrib><creatorcontrib>Marzola, Enrica</creatorcontrib><creatorcontrib>Meneguzzo, Paolo</creatorcontrib><creatorcontrib>Monaco, Francesco</creatorcontrib><creatorcontrib>Oriani, Maria Ginevra</creatorcontrib><creatorcontrib>Pinna, Federica</creatorcontrib><creatorcontrib>Rania, Marianna</creatorcontrib><creatorcontrib>Redaelli, Carolina Alberta</creatorcontrib><creatorcontrib>Renna, Caterina</creatorcontrib><creatorcontrib>Ricca, Valdo</creatorcontrib><creatorcontrib>Salvo, Pierandrea</creatorcontrib><creatorcontrib>Baldissera, Erika</creatorcontrib><creatorcontrib>Segura-Garcia, Cristina</creatorcontrib><creatorcontrib>Todisco, Patrizia</creatorcontrib><creatorcontrib>Volpe, Umberto</creatorcontrib><creatorcontrib>Zeppegno, Patrizia</creatorcontrib><creatorcontrib>Monteleone, Palmiero</creatorcontrib><title>Risk and resilience factors for specific and general psychopathology worsening in people with Eating Disorders during COVID-19 pandemic: a retrospective Italian multicentre study</title><title>Eating and weight disorders</title><addtitle>Eat Weight Disord</addtitle><addtitle>Eat Weight Disord</addtitle><description>Purpose
The COVID-19 pandemic restrictions had negative impact on the psychopathology of people with Eating Disorders (EDs). Factors involved in the vulnerability to stressful events have been under-investigated in this population. We aimed to assess which factors contributed to COVID-19-induced worsening in both general and specific psychopathology.
Methods
Three-hundred and twelve people with a clinically defined diagnosis of an ED and undergoing a specialist ED treatment in different Italian ED services before the spreading of COVID-19 pandemic filled in an online survey. ED specific and general psychopathology changes after COVID-19 quarantine were retrospectively evaluated. Factors related to COVID-19 concerns (financial condition, fear of contagion, perceived social isolation/support, satisfaction in peer, family or sentimental relationships), illness duration and treatment-related variables (type of treatment provided, type of access to care, satisfaction with therapeutic relationships) were included as predicting factors in a structural equational model, which included latent variables consisting of general and ED psychopathology items as outcomes.
Results
A perceived low quality of therapeutic relationships, fear of contagion and increased isolation were positively associated with psychopathology worsening. Reduced satisfaction with family and with friends’ relationships and reduced perceived social support were associated with ED and general symptoms deterioration, respectively. No significant effect emerged for intimate relationships, illness duration, economic condition and type of treatment.
Conclusions
This study provides a comprehensive evaluation of clinical variables associated with psychopathological changes during the COVID-19 lockdown period highlighting potential risk and resilience factors and, possibly, informing treatment as well as prevention strategies for EDs.
Level of evidence IV
Evidence obtained from multiple time series analysis such as case studies</description><subject>Communicable Disease Control</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Disease transmission</subject><subject>Eating disorders</subject><subject>Feeding and Eating Disorders</subject><subject>Humans</subject><subject>Italy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original</subject><subject>Original Article</subject><subject>Pandemics</subject><subject>Psychiatry</subject><subject>Psychopathology</subject><subject>Retrospective Studies</subject><subject>SARS-CoV-2</subject><issn>1590-1262</issn><issn>1124-4909</issn><issn>1590-1262</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9ks9u1DAQxiMEoqXwAhyQJS5cAv4TxzEHJLQtsFKlSgi4Wl5nsuvitYPttN3X4glxdkspHDjZmvnNNzP2V1XPCX5NMBZvUoM5kTWmuMYES1HfPKiOCZe4JrSlD-_dj6onKV1i3BDG8OPqiLGGti3Dx9XPzzZ9R9r3KEKyzoI3gAZtcogJDSGiNIKxgzV7Zg0eonZoTDuzCaPOm-DCeoeuCw3e-jWyHo0QRgfo2uYNOtN5jp7aFGIPRbKf4hxYXHxbntZEorHIwtaat0iXCXIMc79srwAts3ZWe7SdXLYGfI6AUp763dPq0aBdgme350n19cPZl8Wn-vzi43Lx_rw2DeW5Jis90G7Vy45rLVjfcQkEBtYZOXSNGXjTYmh7XGDRg6AaVk2HKTGcEa6Bs5Pq3UF3nFZb6PcjaKfGaLc67lTQVv2d8Xaj1uFKCSEFkawIvLoViOHHBCmrrU0GnNMewpQUbUTbNY0koqAv_0EvwxR9WU9RLruOMd52haIHypR3ShGGu2EIVrMl1MESqlhC7S2hbkrRi_tr3JX89kAB2AFI4_w3EP_0_o_sLy5hxy4</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Monteleone, Alessio Maria</creator><creator>Cascino, Giammarco</creator><creator>Marciello, Francesca</creator><creator>Abbate-Daga, Giovanni</creator><creator>Baiano, Monica</creator><creator>Balestrieri, Matteo</creator><creator>Barone, Eugenia</creator><creator>Bertelli, Sara</creator><creator>Carpiniello, Bernardo</creator><creator>Castellini, Giovanni</creator><creator>Corrivetti, Giulio</creator><creator>De Giorgi, Serafino</creator><creator>Favaro, Angela</creator><creator>Gramaglia, Carla</creator><creator>Marzola, Enrica</creator><creator>Meneguzzo, Paolo</creator><creator>Monaco, Francesco</creator><creator>Oriani, Maria Ginevra</creator><creator>Pinna, Federica</creator><creator>Rania, Marianna</creator><creator>Redaelli, Carolina Alberta</creator><creator>Renna, Caterina</creator><creator>Ricca, Valdo</creator><creator>Salvo, Pierandrea</creator><creator>Baldissera, Erika</creator><creator>Segura-Garcia, Cristina</creator><creator>Todisco, Patrizia</creator><creator>Volpe, Umberto</creator><creator>Zeppegno, Patrizia</creator><creator>Monteleone, Palmiero</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PKEHL</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6786-4458</orcidid></search><sort><creationdate>20211201</creationdate><title>Risk and resilience factors for specific and general psychopathology worsening in people with Eating Disorders during COVID-19 pandemic: a retrospective Italian multicentre study</title><author>Monteleone, Alessio Maria ; Cascino, Giammarco ; Marciello, Francesca ; Abbate-Daga, Giovanni ; Baiano, Monica ; Balestrieri, Matteo ; Barone, Eugenia ; Bertelli, Sara ; Carpiniello, Bernardo ; Castellini, Giovanni ; Corrivetti, Giulio ; De Giorgi, Serafino ; Favaro, Angela ; Gramaglia, Carla ; Marzola, Enrica ; Meneguzzo, Paolo ; Monaco, Francesco ; Oriani, Maria Ginevra ; Pinna, Federica ; Rania, Marianna ; Redaelli, Carolina Alberta ; Renna, Caterina ; Ricca, Valdo ; Salvo, Pierandrea ; Baldissera, Erika ; Segura-Garcia, Cristina ; Todisco, Patrizia ; Volpe, Umberto ; Zeppegno, Patrizia ; Monteleone, Palmiero</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c425t-1baf28bd985aa73d859e1ef38c9f84cf5460e6d04257de72aeb48021c5315ae53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Communicable Disease Control</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Disease transmission</topic><topic>Eating disorders</topic><topic>Feeding and Eating Disorders</topic><topic>Humans</topic><topic>Italy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original</topic><topic>Original Article</topic><topic>Pandemics</topic><topic>Psychiatry</topic><topic>Psychopathology</topic><topic>Retrospective Studies</topic><topic>SARS-CoV-2</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Monteleone, Alessio Maria</creatorcontrib><creatorcontrib>Cascino, Giammarco</creatorcontrib><creatorcontrib>Marciello, Francesca</creatorcontrib><creatorcontrib>Abbate-Daga, Giovanni</creatorcontrib><creatorcontrib>Baiano, Monica</creatorcontrib><creatorcontrib>Balestrieri, Matteo</creatorcontrib><creatorcontrib>Barone, Eugenia</creatorcontrib><creatorcontrib>Bertelli, Sara</creatorcontrib><creatorcontrib>Carpiniello, 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Umberto</creatorcontrib><creatorcontrib>Zeppegno, Patrizia</creatorcontrib><creatorcontrib>Monteleone, Palmiero</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Eating and weight disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Monteleone, Alessio Maria</au><au>Cascino, Giammarco</au><au>Marciello, Francesca</au><au>Abbate-Daga, Giovanni</au><au>Baiano, Monica</au><au>Balestrieri, Matteo</au><au>Barone, Eugenia</au><au>Bertelli, Sara</au><au>Carpiniello, Bernardo</au><au>Castellini, Giovanni</au><au>Corrivetti, Giulio</au><au>De Giorgi, Serafino</au><au>Favaro, Angela</au><au>Gramaglia, Carla</au><au>Marzola, Enrica</au><au>Meneguzzo, Paolo</au><au>Monaco, Francesco</au><au>Oriani, Maria Ginevra</au><au>Pinna, Federica</au><au>Rania, Marianna</au><au>Redaelli, Carolina Alberta</au><au>Renna, Caterina</au><au>Ricca, Valdo</au><au>Salvo, Pierandrea</au><au>Baldissera, Erika</au><au>Segura-Garcia, Cristina</au><au>Todisco, Patrizia</au><au>Volpe, Umberto</au><au>Zeppegno, Patrizia</au><au>Monteleone, Palmiero</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk and resilience factors for specific and general psychopathology worsening in people with Eating Disorders during COVID-19 pandemic: a retrospective Italian multicentre study</atitle><jtitle>Eating and weight disorders</jtitle><stitle>Eat Weight Disord</stitle><addtitle>Eat Weight Disord</addtitle><date>2021-12-01</date><risdate>2021</risdate><volume>26</volume><issue>8</issue><spage>2443</spage><epage>2452</epage><pages>2443-2452</pages><issn>1590-1262</issn><issn>1124-4909</issn><eissn>1590-1262</eissn><abstract>Purpose
The COVID-19 pandemic restrictions had negative impact on the psychopathology of people with Eating Disorders (EDs). Factors involved in the vulnerability to stressful events have been under-investigated in this population. We aimed to assess which factors contributed to COVID-19-induced worsening in both general and specific psychopathology.
Methods
Three-hundred and twelve people with a clinically defined diagnosis of an ED and undergoing a specialist ED treatment in different Italian ED services before the spreading of COVID-19 pandemic filled in an online survey. ED specific and general psychopathology changes after COVID-19 quarantine were retrospectively evaluated. Factors related to COVID-19 concerns (financial condition, fear of contagion, perceived social isolation/support, satisfaction in peer, family or sentimental relationships), illness duration and treatment-related variables (type of treatment provided, type of access to care, satisfaction with therapeutic relationships) were included as predicting factors in a structural equational model, which included latent variables consisting of general and ED psychopathology items as outcomes.
Results
A perceived low quality of therapeutic relationships, fear of contagion and increased isolation were positively associated with psychopathology worsening. Reduced satisfaction with family and with friends’ relationships and reduced perceived social support were associated with ED and general symptoms deterioration, respectively. No significant effect emerged for intimate relationships, illness duration, economic condition and type of treatment.
Conclusions
This study provides a comprehensive evaluation of clinical variables associated with psychopathological changes during the COVID-19 lockdown period highlighting potential risk and resilience factors and, possibly, informing treatment as well as prevention strategies for EDs.
Level of evidence IV
Evidence obtained from multiple time series analysis such as case studies</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>33426630</pmid><doi>10.1007/s40519-020-01097-x</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-6786-4458</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1590-1262 |
| ispartof | Eating and weight disorders, 2021-12, Vol.26 (8), p.2443-2452 |
| issn | 1590-1262 1124-4909 1590-1262 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7797193 |
| source | MEDLINE; SpringerLink Journals |
| subjects | Communicable Disease Control Coronaviruses COVID-19 Disease transmission Eating disorders Feeding and Eating Disorders Humans Italy Medicine Medicine & Public Health Original Original Article Pandemics Psychiatry Psychopathology Retrospective Studies SARS-CoV-2 |
| title | Risk and resilience factors for specific and general psychopathology worsening in people with Eating Disorders during COVID-19 pandemic: a retrospective Italian multicentre study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-18T07%3A16%3A18IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Risk%20and%20resilience%20factors%20for%20specific%20and%20general%20psychopathology%20worsening%20in%20people%20with%20Eating%20Disorders%20during%20COVID-19%20pandemic:%20a%20retrospective%20Italian%20multicentre%20study&rft.jtitle=Eating%20and%20weight%20disorders&rft.au=Monteleone,%20Alessio%20Maria&rft.date=2021-12-01&rft.volume=26&rft.issue=8&rft.spage=2443&rft.epage=2452&rft.pages=2443-2452&rft.issn=1590-1262&rft.eissn=1590-1262&rft_id=info:doi/10.1007/s40519-020-01097-x&rft_dat=%3Cproquest_pubme%3E2476844917%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2598833568&rft_id=info:pmid/33426630&rfr_iscdi=true |