Eating disorders during lockdown: the transcultural influence on eating and mood disturbances in Ibero-Brazilian population

Plain English Summary Adverse consequences on mental health derived from COVID-19 pandemic and lockdown particularly affected people with mental illness, including eating disorders (EDs), being the involvement of socio-cultural features poorly studied. We aimed to assess eating and mood changes in E...

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Main Authors: Isabel Baenas, Carmem Beatriz Neufeld, Rita Ramos, Lucero Munguía, Rosane P. Pessa, Tânia Rodrigues, Susana Jiménez-Murcia, Sónia Gonçalves, Marília C. Teodoro, Ana Pinto-Bastos, Nazaré O. Almeida, Roser Granero, Mikel Etxandi, Shauana R. S. Soares, Fernando Fernández-Aranda, Paulo P. P. Machado
Format: Article
Language:English
Published: BMC 2023-03-01
Series:Journal of Eating Disorders
Subjects:
Online Access:https://doi.org/10.1186/s40337-023-00762-7
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author Isabel Baenas
Carmem Beatriz Neufeld
Rita Ramos
Lucero Munguía
Rosane P. Pessa
Tânia Rodrigues
Susana Jiménez-Murcia
Sónia Gonçalves
Marília C. Teodoro
Ana Pinto-Bastos
Nazaré O. Almeida
Roser Granero
Mikel Etxandi
Shauana R. S. Soares
Fernando Fernández-Aranda
Paulo P. P. Machado
author_facet Isabel Baenas
Carmem Beatriz Neufeld
Rita Ramos
Lucero Munguía
Rosane P. Pessa
Tânia Rodrigues
Susana Jiménez-Murcia
Sónia Gonçalves
Marília C. Teodoro
Ana Pinto-Bastos
Nazaré O. Almeida
Roser Granero
Mikel Etxandi
Shauana R. S. Soares
Fernando Fernández-Aranda
Paulo P. P. Machado
author_sort Isabel Baenas
collection DOAJ
description Plain English Summary Adverse consequences on mental health derived from COVID-19 pandemic and lockdown particularly affected people with mental illness, including eating disorders (EDs), being the involvement of socio-cultural features poorly studied. We aimed to assess eating and mood changes in EDs during lockdown regarding ED subtypes, age, provenance, and considering socio-cultural aspects. 264 females with EDs linked to specialized ED units in Brazil, Portugal, and Spain were evaluated using the COVID-19 Isolation Eating Scale (CIES). A global impairment in mood symptoms and emotion regulation was reported regardless ED subtype, age, and country. Spanish and Portuguese individuals seemed more resilient than Brazilian ones, who reported a more adverse socio-cultural context. A global trend to eating symptoms worsening was observed, regardless of the ED subtype, age, and country, but without statistical significance. Patients with anorexia nervosa and binge eating disorder (BED) described eating style worsening. Moreover, the BED group significantly increased weight and body mass index, similarly to bulimia nervosa, and in contrast to the other subtypes. In sum, a psychopathological impairment was observed in EDs during lockdown, suggesting that socio-cultural aspects could be considered as potential modulatory factors. Nevertheless, these are preliminary results, being longitudinal studies and long-term follow-ups still needed. This work also highlights the importance of more personalized therapeutic approaches.
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spelling doaj.art-e4880e1152c84cada1c54d27243a18fa2023-03-22T10:01:46ZengBMCJournal of Eating Disorders2050-29742023-03-0111111110.1186/s40337-023-00762-7Eating disorders during lockdown: the transcultural influence on eating and mood disturbances in Ibero-Brazilian populationIsabel Baenas0Carmem Beatriz Neufeld1Rita Ramos2Lucero Munguía3Rosane P. Pessa4Tânia Rodrigues5Susana Jiménez-Murcia6Sónia Gonçalves7Marília C. Teodoro8Ana Pinto-Bastos9Nazaré O. Almeida10Roser Granero11Mikel Etxandi12Shauana R. S. Soares13Fernando Fernández-Aranda14Paulo P. P. Machado15Eating Disorders Unit, Department of Psychology, Bellvitge University Hospital-IDIBELLDepartment of Psychology, Faculty of Philosophy, Sciences and Languages of Ribeirão Preto, University of São PauloPsychotherapy and Psychopathology Lab—Psychology Research Center, School of Psychology, University of MinhoEating Disorders Unit, Department of Psychology, Bellvitge University Hospital-IDIBELLDepartment of Maternal-Infant and Public Health Nursing, University of São Paulo at Ribeirão Preto College of NursingPsychotherapy and Psychopathology Lab—Psychology Research Center, School of Psychology, University of MinhoEating Disorders Unit, Department of Psychology, Bellvitge University Hospital-IDIBELLPsychotherapy and Psychopathology Lab—Psychology Research Center, School of Psychology, University of MinhoDepartment of Psychology, Faculty of Philosophy, Sciences and Languages of Ribeirão Preto, University of São PauloPsychotherapy and Psychopathology Lab—Psychology Research Center, School of Psychology, University of MinhoDepartment of Psychology, Faculty of Philosophy, Sciences and Languages of Ribeirão Preto, University of São PauloEating Disorders Unit, Department of Psychology, Bellvitge University Hospital-IDIBELLEating Disorders Unit, Department of Psychology, Bellvitge University Hospital-IDIBELLProgram Public Health Nursing, University of São Paulo at Ribeirão Preto College of NursingEating Disorders Unit, Department of Psychology, Bellvitge University Hospital-IDIBELLPsychotherapy and Psychopathology Lab—Psychology Research Center, School of Psychology, University of MinhoPlain English Summary Adverse consequences on mental health derived from COVID-19 pandemic and lockdown particularly affected people with mental illness, including eating disorders (EDs), being the involvement of socio-cultural features poorly studied. We aimed to assess eating and mood changes in EDs during lockdown regarding ED subtypes, age, provenance, and considering socio-cultural aspects. 264 females with EDs linked to specialized ED units in Brazil, Portugal, and Spain were evaluated using the COVID-19 Isolation Eating Scale (CIES). A global impairment in mood symptoms and emotion regulation was reported regardless ED subtype, age, and country. Spanish and Portuguese individuals seemed more resilient than Brazilian ones, who reported a more adverse socio-cultural context. A global trend to eating symptoms worsening was observed, regardless of the ED subtype, age, and country, but without statistical significance. Patients with anorexia nervosa and binge eating disorder (BED) described eating style worsening. Moreover, the BED group significantly increased weight and body mass index, similarly to bulimia nervosa, and in contrast to the other subtypes. In sum, a psychopathological impairment was observed in EDs during lockdown, suggesting that socio-cultural aspects could be considered as potential modulatory factors. Nevertheless, these are preliminary results, being longitudinal studies and long-term follow-ups still needed. This work also highlights the importance of more personalized therapeutic approaches.https://doi.org/10.1186/s40337-023-00762-7Eating disordersLockdownCOVID-19 isolation eating scale (CIES)Mood disturbancesTranscultural study
spellingShingle Isabel Baenas
Carmem Beatriz Neufeld
Rita Ramos
Lucero Munguía
Rosane P. Pessa
Tânia Rodrigues
Susana Jiménez-Murcia
Sónia Gonçalves
Marília C. Teodoro
Ana Pinto-Bastos
Nazaré O. Almeida
Roser Granero
Mikel Etxandi
Shauana R. S. Soares
Fernando Fernández-Aranda
Paulo P. P. Machado
Eating disorders during lockdown: the transcultural influence on eating and mood disturbances in Ibero-Brazilian population
Journal of Eating Disorders
Eating disorders
Lockdown
COVID-19 isolation eating scale (CIES)
Mood disturbances
Transcultural study
title Eating disorders during lockdown: the transcultural influence on eating and mood disturbances in Ibero-Brazilian population
title_full Eating disorders during lockdown: the transcultural influence on eating and mood disturbances in Ibero-Brazilian population
title_fullStr Eating disorders during lockdown: the transcultural influence on eating and mood disturbances in Ibero-Brazilian population
title_full_unstemmed Eating disorders during lockdown: the transcultural influence on eating and mood disturbances in Ibero-Brazilian population
title_short Eating disorders during lockdown: the transcultural influence on eating and mood disturbances in Ibero-Brazilian population
title_sort eating disorders during lockdown the transcultural influence on eating and mood disturbances in ibero brazilian population
topic Eating disorders
Lockdown
COVID-19 isolation eating scale (CIES)
Mood disturbances
Transcultural study
url https://doi.org/10.1186/s40337-023-00762-7
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