Associations between COVID-19 pandemic impact, dimensions of behavior and eating disorders: A longitudinal UK-based study.
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Authors
Ioannidis, Konstantinos
Hook, Roxanne W
Bhatti, Junaid
Czabanowska, Katarzyna
Roman-Urrestarazu, Andres
Grant, Jon E
Goodyer, Ian M
Fonagy, Peter
Bullmore, Edward T
Jones, Peter B
Chamberlain, Samuel R
Publication Date
2022-05Journal Title
Compr Psychiatry
ISSN
0010-440X
Publisher
Elsevier BV
Volume
115
Language
eng
Type
Article
This Version
VoR
Metadata
Show full item recordCitation
Ioannidis, K., Hook, R. W., Wiedemann, A., Bhatti, J., Czabanowska, K., Roman-Urrestarazu, A., Grant, J. E., et al. (2022). Associations between COVID-19 pandemic impact, dimensions of behavior and eating disorders: A longitudinal UK-based study.. Compr Psychiatry, 115 https://doi.org/10.1016/j.comppsych.2022.152304
Description
Funder: UCLH Biomedical Research Centre
Funder: GlaxoSmithKline
Funder: Medical Research Council
Funder: Australian Research Council
Funder: National Institute for Health Research (NIHR)
Abstract
BACKGROUND: There is growing concern about how people with eating disorders are impacted by the widespread societal restructuring during the COVID-19 crisis. AIMS: We aimed to examine how factors relating to the impact of the pandemic associate with eating disorders and quantify this relationship while adjusting for concurrent and longitudinal parameters of risk. METHODS: We gathered demographic, behavioral and clinical data pre- and mid-pandemic as well as childhood trauma history from a longitudinal online survey of 489 adults (mean age 23.4 years) recruited from the Neuroscience in Psychiatry Network (NSPN). Using pre-pandemic (T1) and concurrent (T2) data we aimed to predict eating disorders at mid-pandemic (T2). We deployed hierarchical generalized logistic regression to ascertain the strength of longitudinal and concurrent associations. RESULTS: Pre-pandemic eating disorder scores strongly associated with concurrent eating disorder (z = 5.93). More conflict at home mid-pandemic (z = 2.03), pre- (lower sensation seeking z = -2.58) and mid-pandemic (higher lack of perseverance z = 2.33) impulsivity traits also associated with mid-pandemic eating disorder. CONCLUSION: Conflict at home mid-pandemic and specific aspects of impulsiveness significantly associated with concurrent eating disorder when adjusted for pre-pandemic eating disorder symptoms, baseline demographics, behavioral traits, history of traumatic experiences and concurrent psychopathology. These results provide insight into the struggles of those suffering with eating disorders during the COVID-19 pandemic and highlight the importance of impulsiveness traits and the immediate family environment in their experience of illness during the pandemic.
Keywords
Pandemic, Anorexia Nervosa, Impulsivity, Bulimia Nervosa, Eating Disorder, Covid-19, Conflict At Home
Sponsorship
Wellcome Trust (110049/Z/15/Z)
Wellcome Trust (095844/Z/11/Z)
Identifiers
35306448, PMC8916988
External DOI: https://doi.org/10.1016/j.comppsych.2022.152304
This record's URL: https://www.repository.cam.ac.uk/handle/1810/336298
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