The impact of the COVID-19 pandemic on eating disorders and their treatment: an integrative literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i10.19015

Keywords:

Eating and Feeding Disorders; Mental Health; COVID-19; Coronavirus.

Abstract

The context of the pandemic caused by COVID-19 has generated profound changes in our living conditions and the way we interact, with an expressive potential impact on mental health, especially individuals with pre-existing mental disorders, including eating disorders. Thus, the aim was to investigate how the COVID-19 pandemic can impact the development, maintenance and treatment of eating disorders. Adopting a qualitative approach and a descriptive perspective, an integrative literature review was carried out by searching the LILACS, PUBMED and the SciELO electronic library databases. Intervention studies published since 2020 onwards and which related eating disorders to the COVID-19 pandemic were included. Fourteen studies were selected, analyzing the categorization in thematic axes. The results show that situational factors associated with the COVID-19 pandemic can significantly influence the precipitation of eating disorders, as well as the worsening of general and specific psychopathology, despite the great variability identified between studies. Furthermore, they can exacerbate barriers to accessing health care. The data presented can be useful in building possible ways to support the treatment of individuals with eating disorders and show the size of the challenge faced in carrying out treatments that associate the severity of eating disorders with a reality that leads to the deterioration of mental health of Brazilians on a daily basis.

References

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders DSM-5 Fifth Edition (Editorial Reviews (ed.)).

Baenas, I., Caravaca-Sanz, E., Granero, R., Sánchez, I., Riesco, N., Testa, G., Vintró-Alcaraz, C., Treasure, J., Jiménez-Murcia, S., & Fernández-Aranda, F. (2020). COVID-19 and eating disorders during confinement: Analysis of factors associated with resilience and aggravation of symptoms. European Eating Disorders Review, 28(6), 855–863. https://doi.org/10.1002/erv.2771

Becker, C. B., Middlemass, K., Taylor, B., Johnson, C., & Gomez, F. (2017). Food insecurity and eating disorder pathology. International Journal of Eating Disorders, 50(9), 1031–1040. https://doi.org/10.1002/eat.22735

Birman, J. (2020). O trauma na pandemia do coronavírus: suas dimensões políticas, sociais, econômicas, ecológicas, culturais, éticas e científicas. (C. Brasileira (ed.).

Bourouiba, L. (2020). Turbulent Gas Clouds and Respiratory Pathogen Emissions: Potential Implications for Reducing Transmission of COVID-19. JAMA - Journal of the American Medical Association, 323(18), 1837–1838. https://doi.org/10.1001/jama.2020.4756

Branley-Bell, D., & Talbot, C. V. (2020). Exploring the impact of the COVID-19 pandemic and UK lockdown on individuals with experience of eating disorders. Journal of Eating Disorders, 8(1), 1–12. https://doi.org/10.1186/s40337-020-00319-y

Brown, S. M., Opitz, M. C., Peebles, A. I., Sharpe, H., Duffy, F., & Newman, E. (2021). A qualitative exploration of the impact of COVID-19 on individuals with eating disorders in the UK. Appetite, 156. https://doi.org/10.1016/j.appet.2020.104977

Cao, W., Fang, Z., Hou, G., Han, M., Xu, X., Dong, J., & Zheng, J. (2020). The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research, 287. https://doi.org/10.1016/j.psychres.2020.112934

Castellini, G., Cassioli, E., Rossi, E., Innocenti, M., Gironi, V., Sanfilippo, G., Felciai, F., Monteleone, A. M., & Ricca, V. (2020). The impact of COVID-19 epidemic on eating disorders: A longitudinal observation of pre versus post psychopathological features in a sample of patients with eating disorders and a group of healthy controls. International Journal of Eating Disorders, 53(11), 1855–1862. https://doi.org/10.1002/eat.23368

Clark Bryan, D., Macdonald, P., Ambwani, S., Cardi, V., Rowlands, K., Willmott, D., & Treasure, J. (2020). Exploring the ways in which COVID-19 and lockdown has affected the lives of adult patients with anorexia nervosa and their carers. European Eating Disorders Review, 28(6), 826–835. https://doi.org/10.1002/erv.2762

Cooper, M., Reilly, E. E., Siegel, J. A., Coniglio, K., Sadeh-Sharvit, S., Pisetsky, E. M., & Anderson, L. M. (2020). Eating disorders during the COVID-19 pandemic and quarantine: an overview of risks and recommendations for treatment and early intervention. Eating Disorders, 1–23. https://doi.org/10.1080/10640266.2020.1790271

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., & Jiménez-Murcia, S. (2020). COVID Isolation Eating Scale (CIES): Analysis of the impact of confinement in eating disorders and obesity—A collaborative international study. European Eating Disorders Review, 28(6), 871–883. https://doi.org/10.1002/erv.2784

Fernández‐Aranda, F., Casas, M., Claes, L., Bryan, D. C., Favaro, A., Granero, R., Gudiol, C., Jiménez‐Murcia, S., Karwautz, A., Le Grange, D., Menchón, J. M., Tchanturia, K., & Treasure, J. (2020). COVID‐19 and implications for eating disorders. European Eating Disorders Review, 28(3), 239–245. https://doi.org/10.1002/erv.2738

Filgueiras, A., & Stults-Kolehmainen, M. (2020). The Relationship Between Behavioural and Psychosocial Factors Among Brazilians in Quarantine Due to COVID-19. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.3566245

Fiorillo, A., & Gorwood, P. (2020). The consequences of the COVID-19 pandemic on mental health and implications for clinical practice. European Psychiatry, 63(1). https://doi.org/10.1192/j.eurpsy.2020.35

Fundação Oswaldo Cruz. (2020). Saúde Mental e Atenção psicossocial na pandemia COVID-19 - Recomendações para gestores. Fiocruz/CEPEDES.

Graell, M., Morón-Nozaleda, M. G., Camarneiro, R., Villaseñor, Á., Yáñez, S., Muñoz, R., Martínez-Núñez, B., Miguélez-Fernández, C., Muñoz, M., & Faya, M. (2020). Children and adolescents with eating disorders during COVID-19 confinement: Difficulties and future challenges. European Eating Disorders Review, 28(6), 864–870. https://doi.org/10.1002/erv.2763

Holt-Lunstad, J., Smith, T. B., Baker, M., Harris, T., & Stephenson, D. (2015). Loneliness and Social Isolation as Risk Factors for Mortality: A Meta-Analytic Review. Perspectives on Psychological Science, 10(2), 227–237. https://doi.org/10.1177/1745691614568352

Karsay, K., Knoll, J., & Matthes, J. (2018). Sexualizing Media Use and Self-Objectification: A Meta-Analysis. Psychology of Women Quarterly, 42(1), 9–28. https://doi.org/10.1177/0361684317743019

Koeze, E., & Popper, N. (2020). The Virus Changed the Way We Internet - The New York Times. The New York Times.

Levine, M. P. (2012). Loneliness and eating disorders. Journal of Psychology: Interdisciplinary and Applied, 146(1–2), 243–257. https://doi.org/10.1080/00223980.2011.606435

Lydecker, J. A., & Grilo, C. M. (2019). Food insecurity and bulimia nervosa in the United States. International Journal of Eating Disorders, 52(6), 735–739. https://doi.org/10.1002/eat.23074

Machado, P. P. P., Pinto-Bastos, A., Ramos, R., Rodrigues, T. F., Louro, E., Gonçalves, S., Brandão, I., & Vaz, A. (2020). Impact of COVID-19 lockdown measures on a cohort of eating disorders patients. Journal of Eating Disorders, 8(1), 4–11. https://doi.org/10.1186/s40337-020-00340-1

McCombie, C., Austin, A., Dalton, B., Lawrence, V., & Schmidt, U. (2020). “Now It’s Just Old Habits and Misery”–Understanding the Impact of the Covid-19 Pandemic on People With Current or Life-Time Eating Disorders: A Qualitative Study. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.589225

Monteleone, A. M., Cascino, G., Marciello, F., Abbate-Daga, G., Baiano, M., Balestrieri, M., Barone, E., Bertelli, S., Carpiniello, B., Castellini, G., Corrivetti, G., De Giorgi, S., Favaro, A., Gramaglia, C., Marzola, E., Meneguzzo, P., Monaco, F., Oriani, M. G., Pinna, F., Monteleone, P. (2021). Risk and resilience factors for specific and general psychopathology worsening in people with Eating Disorders during COVID-19 pandemic: a retrospective Italian multicentre study. Eating and Weight Disorders, 1, 3. https://doi.org/10.1007/s40519-020-01097-x

Morawska, L., & Cao, J. (2020). Airborne transmission of SARS-CoV-2: The world should face the reality. Environment International, 139. https://doi.org/10.1016/j.envint.2020.105730

Nguyen, H. C., Nguyen, M. H., Do, B. N., Tran, C. Q., Nguyen, T. T. P., Pham, K. M., Pham, L. V., Tran, K. V., Duong, T. T., Tran, T. V., Duong, T. H., Nguyen, T. T., Nguyen, Q. H., Hoang, T. M., Nguyen, K. T., Pham, T. T. M., Yang, S.-H., Chao, J. C.-J., & Duong, T. Van. (2020). People with Suspected COVID-19 Symptoms Were More Likely Depressed and Had Lower Health-Related Quality of Life: The Potential Benefit of Health Literacy. Journal of Clinical Medicine, 9(4), 965. https://doi.org/10.3390/jcm9040965

Pfefferbaum, B., & North, C. S. (2020). Mental Health and the Covid-19 Pandemic. New England Journal of Medicine, 383(6), 510–512. https://doi.org/10.1056/nejmp2008017

Phillipou, A., Meyer, D., Neill, E., Tan, E. J., Toh, W. L., Van Rheenen, T. E., & Rossell, S. L. (2020). Eating and exercise behaviors in eating disorders and the general population during the COVID-19 pandemic in Australia: Initial results from the COLLATE project. International Journal of Eating Disorders, 53(7), 1158–1165. https://doi.org/10.1002/eat.23317

Qiu, J., Shen, B., Zhao, M., Wang, Z., Xie, B., & Xu, Y. (2020). A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. General Psychiatry, 33(2), e100213. https://doi.org/10.1136/gpsych-2020-100213

Rasmusson, G., Lydecker, J. A., Coffino, J. A., White, M. A., & Grilo, C. M. (2019). Household food insecurity is associated with binge-eating disorder and obesity. International Journal of Eating Disorders, 52(1), 28–35. https://doi.org/10.1002/eat.22990

Reger, M. A., Stanley, I. H., & Joiner, T. E. (2020). Suicide Mortality and Coronavirus Disease 2019-A Perfect Storm? JAMA Psychiatry, 77(11), 1093–1094. https://doi.org/10.1001/jamapsychiatry.2020.1060

Richardson, C., Patton, M., Phillips, S., & Paslakis, G. (2020). The impact of the COVID-19 pandemic on help-seeking behaviors in individuals suffering from eating disorders and their caregivers. General Hospital Psychiatry, 67, 136–140. https://doi.org/10.1016/j.genhosppsych.2020.10.006

Sabik, N. J., Falat, J., & Magagnos, J. (2020). When Self-Worth Depends on Social Media Feedback: Associations with Psychological Well-Being. Sex Roles, 82(7–8), 411–421. https://doi.org/10.1007/s11199-019-01062-8

Saunders, J. F., Eaton, A. A., & Fitzsimmons-Craft, E. E. (2019). Body-, Eating-, and Exercise-Related Comparisons During Eating Disorder Recovery and Validation of the BEECOM-R. Psychology of Women Quarterly, 43(4), 494–508. https://doi.org/10.1177/0361684319851718

Schlegl, S., Maier, J., Meule, A., & Voderholzer, U. (2020). Eating disorders in times of the COVID-19 pandemic—Results from an online survey of patients with anorexia nervosa. International Journal of Eating Disorders, 53(11), 1791–1800. https://doi.org/10.1002/eat.23374

Slater, A., Varsani, N., & Diedrichs, P. C. (2017). #fitspo or #loveyourself? The impact of fitspiration and self-compassion Instagram images on women’s body image, self-compassion, and mood. Body Image, 22, 87–96. https://doi.org/10.1016/j.bodyim.2017.06.004

Souza, M. T., Silva, M. D., & Carvalho, R. (2010). Integrative review: what is it? How to do it? Einstein (São Paulo), 8(1), 102–106. https://doi.org/10.1590/s1679-45082010rw1134

Termorshuizen, J. D., Watson, H. J., Thornton, L. M., Borg, S., Flatt, R. E., MacDermod, C. M., Harper, L. E., van Furth, E. F., Peat, C. M., & Bulik, C. M. (2020). Early impact of COVID-19 on individuals with self-reported eating disorders: A survey of ~1,000 individuals in the United States and the Netherlands. International Journal of Eating Disorders, 53(11), 1780–1790. https://doi.org/10.1002/eat.23353

Torales, J., O’Higgins, M., Castaldelli-Maia, J. M., & Ventriglio, A. (2020). The outbreak of COVID-19 coronavirus and its impact on global mental health. International Journal of Social Psychiatry, 66(4), 317–320. https://doi.org/10.1177/0020764020915212

Vindegaard, N., & Benros, M. E. (2020). COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain, Behavior, and Immunity, 89, 531–542. https://doi.org/10.1016/j.bbi.2020.05.048

Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health, 17(5). https://doi.org/10.3390/ijerph17051729

Watson, R. J., Veale, J. F., & Saewyc, E. M. (2017). Disordered eating behaviors among transgender youth: Probability profiles from risk and protective factors. International Journal of Eating Disorders, 50(5), 515–522. https://doi.org/10.1002/eat.22627

World Health Organization. (2020a). Considerations for quarantine of individuals in the context of containment for coronavirus disease (COVID-19). In Who (Issue February).

World Health Organization. (2020b). General’s Opening Remarks at the Media Briefing on COVID‐19–11 March 2020. World Health Organization. https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---20-march-2020

World Health Organization. (2020c). Responding to community spread of COVID-19 Interim guidance 7 March 2020 Background.

World Health Organization. (2020d). WHO Director-General’s statement on IHR Emergency Committee on Novel Coronavirus. WHO Director-General | Speeches. https://www.who.int/director-general/speeches/detail/who-director-general-s-statement-on-ihr-emergency-committee-on-novel-coronavirus

World Health Organization. (2021). WHO Coronavirus (COVID-19) Dashboard. WHO Coronavirus (COVID-19). https://covid19.who.int/

Published

15/08/2021

How to Cite

COUTINHO, C. de O.; MOTA, T. M. L.; SANTOS, L. P.; SILVA, T. S. da; CONDE, T. N.; MULDER, A. da R. P. .; SEIXAS, C. M. The impact of the COVID-19 pandemic on eating disorders and their treatment: an integrative literature review. Research, Society and Development, [S. l.], v. 10, n. 10, p. e418101019015, 2021. DOI: 10.33448/rsd-v10i10.19015. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/19015. Acesso em: 18 oct. 2021.

Issue

Section

Review Article