COVID Isolation Eating Scale (CIES): Analysis of the impact of confinement in eating disorders and obesity-A collaborative international study.

Journal: European eating disorders review : the journal of the Eating Disorders Association

Volume: 28

Issue: 6

Year of Publication: 2020

Affiliated Institutions:  Department of Psychiatry, Bellvitge University Hospital-IDIBELL, Barcelona, Spain. Melbourne School of Psychological Sciences, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia. CIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Barcelona, Spain. Endocrinology and Nutrition Division, Hospital Clinic and Institut d'Investigacions Biomèdiques August Pi Sunyer (IDIBAPS), Barcelona, Spain. Eating Disorders Program, Department of Psychiatry, University of California, San Francisco, California, USA. Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. Eating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria. Department of Neuroscience, University of Padua and Neuroscience Center (PNC), Padua, Italy. Faculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium. Faculty of Medicine and Health Sciences, University Antwerp, Antwerp, Belgium. D. Uznadze Institute of Psychology, Ilia State University, Tbilisi, Georgia. Child and Adolescent Psychiatry and Psychology Department, Hospital Sant Joan de Déu and Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain. Department of Psychiatry, Germans Trias i Pujol University Hospital-IGTP, Barcelona, Spain. Department of Psychiatry, Hospital de la Santa Creu i Sant Pau e Institut d'Investigació Biomèdica Sant Pau (IIB-Sant Pau), Universitat Autònoma de Barcelona (UAB), Barcelona, Spain. Associació Contra l'Anorèxia i la Bulímia (ACAB), Barcelona, Spain. FITA Foundation, Barcelona, Spain. Department of Clinical Sciences, School of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain. Psychotherapy and Psychopathology Research Unit - Psychology Research Center, School of Psychology, University of Minho, Braga, Portugal. Department of Clinical Sciences Lund, Psychiatry, Faculty of Medicine, Lund University, Lund, Sweden. Institute of Behavioural Sciences, Semmelweis University, Budapest, Hungary. Safra Children's Hospital, Chaim Sheba Medical Center, Tel Hashomer, Israel. Department of Psychiatry, st Medical Faculty of Charles University, Prague, Czech Republic. Vilnius University Eating Disorders Center, Vilnius, Lithuania. Institute of Physiology Komi Science Center UB RAS, Syktyvkar, Russian Federation. Department of Psychiatry, Seoul Paik Hospital, Inje University, Seoul, South Korea. International University of Health and Welfare - Psychiatry, Narita, Japan. CESP, Univ. Paris-Sud, UVSQ, INSERM U , Université Paris-Saclay [Paris-Saclay University], Villejuif, France. Vytautas Magnus University, Kaunas, Lithuania. Institute of Psychiatry of Taras Shevchenko, National University of Kyiv, Kyiv, Ukraine. Department of Clinical Psychology, Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai, China.

Abstract summary 

Confinement during the COVID-19 pandemic is expected to have a serious and complex impact on the mental health of patients with an eating disorder (ED) and of patients with obesity. The present manuscript has the following aims: (1) to analyse the psychometric properties of the COVID Isolation Eating Scale (CIES), (2) to explore changes that occurred due to confinement in eating symptomatology; and (3) to explore the general acceptation of the use of telemedicine during confinement. The sample comprised 121 participants (87 ED patients and 34 patients with obesity) recruited from six different centres. Confirmatory Factor Analyses (CFA) tested the rational-theoretical structure of the CIES. Adequate goodness-of-fit was obtained for the confirmatory factor analysis, and Cronbach alpha values ranged from good to excellent. Regarding the effects of confinement, positive and negative impacts of the confinement depends of the eating disorder subtype. Patients with anorexia nervosa (AN) and with obesity endorsed a positive response to treatment during confinement, no significant changes were found in bulimia nervosa (BN) patients, whereas Other Specified Feeding or Eating Disorder (OSFED) patients endorsed an increase in eating symptomatology and in psychopathology. Furthermore, AN patients expressed the greatest dissatisfaction and accommodation difficulty with remote therapy when compared with the previously provided face-to-face therapy. The present study provides empirical evidence on the psychometric robustness of the CIES tool and shows that a negative confinement impact was associated with ED subtype, whereas OSFED patients showed the highest impairment in eating symptomatology and in psychopathology.

Authors & Co-authors:  Fernández-Aranda Fernando F Munguía Lucero L Mestre-Bach Gemma G Steward Trevor T Etxandi Mikel M Baenas Isabel I Granero Roser R Sánchez Isabel I Ortega Emilio E Andreu Alba A Moize Violeta L VL Fernández-Real Jose M JM Tinahones Francisco J FJ Diegüez Carlos C Frühbeck Gema G Le Grange Daniel D Tchanturia Kate K Karwautz Andreas A Zeiler Michael M Favaro Angela A Claes Laurence L Luyckx Koen K Shekriladze Ia I Serrano-Troncoso Eduardo E Rangil Teresa T Meler Maria Eulalia Loran MEL Soriano-Pacheco Jose J Carceller-Sindreu Mar M Bujalance-Arguijo Sara S Lozano Meritxell M Linares Raquel R Gudiol Carlota C Carratala Jordi J Sanchez-Gonzalez Jessica J Machado Paulo Pp PP Håkansson Anders A Túry Ferenc F Pászthy Bea B Stein Daniel D Papezová Hana H Bax Brigita B Borisenkov Mikhail F MF Popov Sergey V SV Kim Youl-Ri YR Nakazato Michiko M Godart Nathalie N van Voren Robert R Ilnytska Tetiana T Chen Jue J Rowlands Katie K Treasure Janet J Jiménez-Murcia Susana S

Study Outcome 

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Statistics
Citations :  Ahorsu, D. K. , Lin, C. Y. , Imani, V. , Saffari, M. , Griffiths, M. D. , & Pakpour, A. H. (2020). The fear of COVID‐19 scale: Development and initial validation. International Journal of Mental Health and Addiction, 27, 1–9. 10.1007/s11469-020-00270-8
Authors :  52
Identifiers
Doi : 10.1002/erv.2784
SSN : 1099-0968
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
COVID Isolation Eating Scale;COVID-19;eating disorders;obesity
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
England