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Associations between COVID-19 pandemic impact, dimensions of behavior and eating disorders: a longitudinal UK-based study

Associations between COVID-19 pandemic impact, dimensions of behavior and eating disorders: a longitudinal UK-based study
Associations between COVID-19 pandemic impact, dimensions of behavior and eating disorders: a longitudinal UK-based study

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.

Anorexia nervosa, Bulimia nervosa, COVID-19, Conflict at home, Eating disorder, Impulsivity, Pandemic
0010-440X
Ioannidis, Konstantinos
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Hook, Roxanne W
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Wiedemann, Anna
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Bhatti, Junaid
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Czabanowska, Katarzyna
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Roman-Urrestarazu, Andres
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Grant, Jon E
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Goodyer, Ian M
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Fonagy, Peter
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Bullmore, Edward T
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Jones, Peter B
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Chamberlain, Samuel R
8a0e09e6-f51f-4039-9287-88debe8d8b6f
Ioannidis, Konstantinos
82240a24-3153-45bb-bfaf-c6df9cd4f261
Hook, Roxanne W
6d6193c6-bc38-4593-9d00-aaf098078b5e
Wiedemann, Anna
54f7185b-ff25-4eaa-bd6d-328346312520
Bhatti, Junaid
25782328-6543-458e-ab9e-66882ca052c0
Czabanowska, Katarzyna
4960688f-abfc-424e-8b9b-17eec890acc6
Roman-Urrestarazu, Andres
17d0d3cf-e054-498b-b6a9-2a9f63aabd07
Grant, Jon E
07372bd5-8a0d-42b4-b41b-e376c652acf3
Goodyer, Ian M
b61b8ae9-a305-462b-9fe5-66f8d3fb6312
Fonagy, Peter
943c9f89-f1a8-4c24-86b0-a5201e2fc63e
Bullmore, Edward T
f2fa4f13-15e7-4d71-a4ca-f66d291a31a8
Jones, Peter B
dbfb9f77-3a12-4178-9059-b476a511a864
Chamberlain, Samuel R
8a0e09e6-f51f-4039-9287-88debe8d8b6f

Ioannidis, Konstantinos, Hook, Roxanne W, Wiedemann, Anna, Bhatti, Junaid, Czabanowska, Katarzyna, Roman-Urrestarazu, Andres, Grant, Jon E, Goodyer, Ian M, Fonagy, Peter, Bullmore, Edward T, Jones, Peter B and Chamberlain, Samuel R (2022) Associations between COVID-19 pandemic impact, dimensions of behavior and eating disorders: a longitudinal UK-based study. Comprehensive Psychiatry, 115, [152304]. (doi:10.1016/j.comppsych.2022.152304).

Record type: Article

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.

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e-pub ahead of print date: 12 March 2022
Published date: 1 May 2022
Additional Information: The original recruitment and establishment of NSPN was supported by the Neuroscience in Psychiatry Network, a strategic award from the Wellcome Trust to the University of Cambridge and University College London (095844/Z/11/Z). Funding to collect pre– and intra-pandemic data was provided by the Wellcome Trust [Grant numbers 110049/Z/ 15/Z and 110049/Z/15/A] through a clinical fellowship to SRC. Addi- tional support was provided by the National Institute for Health Research (NIHR) Cambridge Biomedical Research Centre, the NIHR Collaboration for Leadership in Applied Health Research & Care East of England, and the Medical Research Council (MRC)/Wellcome Trust Behavioral and Clinical Neuroscience Institute. Dr. Chamberlain's involvement in this research was funded by a Wellcome Trust Clinical Fellowship (110049/Z/15/Z). Dr. Chamberlain consults for Promentis; and receives stipends from Elsevier for journal editorial work. Authors received no funding for the preparation of this manuscript. Edward T Bullmore is supported by an NIHR Senior Inves- tigator award and serves as a member of the scientific advisory board for Sosei Heptares and as a consultant for GlaxoSmithKline. Dr. Grant re- ports grants from the National Center for Responsible Gaming, Forest Pharmaceuticals, Takeda, Brainsway, and Roche, and others from Ox- ford Press, Norton, McGraw-Hill, and American Psychiatric Publishing outside of the submitted work. Dr. Roman-Urrestarazu's work received funding from the Gillings Fellowship in Global Public Health Grant Award YOG054 and the Commonwealth Fund with a Harkness Fellow- ships in Health Care Policy and Practice 2020–2021. Anna Wiedemann's and Peter Jones' involvement in this research was supported by the National Institute for Health Research (NIHR) Applied Research Collaboration (ARC) East of England at Cambridgeshire and Peter- borough NHS Foundation Trust. The other authors report no financial relationships with commercial interest. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care.
Keywords: Anorexia nervosa, Bulimia nervosa, COVID-19, Conflict at home, Eating disorder, Impulsivity, Pandemic

Identifiers

Local EPrints ID: 456577
URI: http://eprints.soton.ac.uk/id/eprint/456577
ISSN: 0010-440X
PURE UUID: 42a963be-2c3e-4bd5-a863-d3ce3141f0dc
ORCID for Samuel R Chamberlain: ORCID iD orcid.org/0000-0001-7014-8121

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Date deposited: 05 May 2022 16:38
Last modified: 30 Aug 2024 02:00

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Contributors

Author: Konstantinos Ioannidis
Author: Roxanne W Hook
Author: Anna Wiedemann
Author: Junaid Bhatti
Author: Katarzyna Czabanowska
Author: Andres Roman-Urrestarazu
Author: Jon E Grant
Author: Ian M Goodyer
Author: Peter Fonagy
Author: Edward T Bullmore
Author: Peter B Jones
Author: Samuel R Chamberlain ORCID iD

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