El impacto de la pandemia de COVID-19 en los trastornos alimentarios y su tratamiento: una revisión integradora de la literatura
DOI:
https://doi.org/10.33448/rsd-v10i10.19015Palabras clave:
Trastornos de la Conducta Alimentaria y de la Ingesta de Alimentos; Salud Mental; COVID-19; Coronavirus.Resumen
El contexto de la pandemia provocada por el COVID-19 ha generado cambios profundos en nuestras condiciones de vida y en la forma en que interactuamos, con un potencial expresivo de impacto en la salud mental, especialmente entre las personas con trastornos mentales preexistentes, entre los que se encuentran los trastornos alimentarios. Por lo tanto, el objetivo fue investigar cómo la pandemia de COVID-19 puede afectar el desarrollo, mantenimiento y tratamiento de los trastornos alimentarios. Adoptando un enfoque cualitativo y una perspectiva descriptiva, se realizó una revisión integradora de la literatura mediante la búsqueda en las bases de datos LILACS y PUBMED y en la biblioteca electrónica SciELO. Se incluyeron los estudios de intervención publicados a partir de 2020 y que relacionaron los trastornos alimentarios con la pandemia de COVID-19. Se seleccionaron catorce estudios, analizados a partir de la categorización en ejes temáticos. Los resultados muestran que los factores situacionales asociados a la pandemia de COVID-19 pueden influir significativamente en la precipitación de los trastornos alimentarios, así como en el agravamiento de la psicopatología general y específica, a pesar de la gran variabilidad identificada entre estudios. Además, pueden exacerbar las barreras para acceder a la atención médica. Los datos presentados pueden ser útiles para construir posibles formas de apoyar el tratamiento de las personas con trastornos alimentarios y mostrar la magnitud del desafío al que se enfrenta la realización de tratamientos que asocian la gravedad de los trastornos alimentarios con una realidad que a diario conduce al deterioro de la salud mental de los brasileños.
Citas
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/
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2021 Carolina de Oliveira Coutinho; Thamires Monteiro Laranjeira Mota; Larissa Pereira Santos; Thainá Santana da Silva; Thais Nascimento Conde; Alessandra da Rocha Pinheiro Mulder; Cristiane Marques Seixas
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Los autores que publican en esta revista concuerdan con los siguientes términos:
1) Los autores mantienen los derechos de autor y conceden a la revista el derecho de primera publicación, con el trabajo simultáneamente licenciado bajo la Licencia Creative Commons Attribution que permite el compartir el trabajo con reconocimiento de la autoría y publicación inicial en esta revista.
2) Los autores tienen autorización para asumir contratos adicionales por separado, para distribución no exclusiva de la versión del trabajo publicada en esta revista (por ejemplo, publicar en repositorio institucional o como capítulo de libro), con reconocimiento de autoría y publicación inicial en esta revista.
3) Los autores tienen permiso y son estimulados a publicar y distribuir su trabajo en línea (por ejemplo, en repositorios institucionales o en su página personal) a cualquier punto antes o durante el proceso editorial, ya que esto puede generar cambios productivos, así como aumentar el impacto y la cita del trabajo publicado.