We received rapid ethical permission to evaluate the early impact of COVID-19 on people with eating disorders. Participants in the United States (US, N=511) and the Netherlands (NL, N=510), recruited through ongoing studies and social media, completed an online baseline survey that included both quantitative measures and free-text responses assessing the impact of COVID-19 on situational circumstances, eating disorder symptoms, eating disorder treatment, and general well-being. Results revealed strong and wide-ranging effects on eating disorder concerns and illness behaviors that were consistent with diagnoses. Participants with anorexia nervosa (US 62% of sample; NL 69%) reported increased restriction and fears about being able to find foods consistent with their meal plan. Individuals with bulimia nervosa and binge-eating disorder (US 30% of sample; NL 15%) reported increases in their binge-eating episodes and urges to binge. Respondents noted marked increases in anxiety since 2019 and reported greater concerns about the impact of COVID-19 on their mental health than physical health. Although many participants acknowledged and appreciated the transition to telehealth, limitations of this treatment modality for this population were raised. Individuals with past histories of eating disorders noted concerns about relapse related to COVID-19 circumstances. Encouragingly, respondents also noted positive effects including greater connection with family, more time for self-care, and motivation to recover.

中文翻译：

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COVID-19 对饮食失调个体的早期影响：对美国和荷兰约 1000 人的调查。

我们获得了快速的伦理许可，以评估 COVID-19 对饮食失调患者的早期影响。通过正在进行的研究和社交媒体招募的美国（US，N=511）和荷兰（NL，N=510）的参与者完成了一项在线基线调查，其中包括定量测量和评估影响的自由文本回复COVID-19 关于情境情况、饮食失调症状、饮食失调治疗和总体健康状况。结果揭示了对饮食失调问题和与诊断一致的疾病行为的强烈而广泛的影响。患有神经性厌食症的参与者（美国 62% 的样本；荷兰 69%）报告说限制增加，并且担心能够找到符合他们膳食计划的食物。患有神经性贪食症和暴食症的个体（占样本的 30%；荷兰 15%）报告说他们的暴食发作和暴食冲动有所增加。受访者注意到自 2019 年以来焦虑症显着增加，并报告称，他们更担心 COVID-19 对其心理健康的影响比对身体健康的影响更大。尽管许多参与者承认并赞赏向远程医疗的过渡，但这种治疗方式对这一人群的限制也有所增加。有饮食失调病史的人对与 COVID-19 情况相关的复发表示担忧。令人鼓舞的是，受访者还注意到积极影响，包括与家人建立更多联系、更多时间进行自我护理和恢复动力。受访者注意到自 2019 年以来焦虑症显着增加，并报告称，他们更担心 COVID-19 对其心理健康的影响比对身体健康的影响更大。尽管许多参与者承认并赞赏向远程医疗的过渡，但这种治疗方式对这一人群的限制也有所增加。有饮食失调病史的人对与 COVID-19 情况相关的复发表示担忧。令人鼓舞的是，受访者还注意到积极影响，包括与家人建立更多联系、更多时间进行自我护理和恢复动力。受访者注意到自 2019 年以来焦虑症显着增加，并报告称，他们更担心 COVID-19 对其心理健康的影响比对身体健康的影响更大。尽管许多参与者承认并赞赏向远程医疗的过渡，但这种治疗方式对这一人群的限制也有所增加。有饮食失调病史的人对与 COVID-19 情况相关的复发表示担忧。令人鼓舞的是，受访者还注意到积极影响，包括与家人建立更多联系、更多时间进行自我护理和恢复动力。提出了针对该人群的这种治疗方式的局限性。有饮食失调病史的人对与 COVID-19 情况相关的复发表示担忧。令人鼓舞的是，受访者还注意到积极影响，包括与家人建立更多联系、更多时间进行自我护理和恢复动力。提出了针对该人群的这种治疗方式的局限性。有饮食失调病史的人对与 COVID-19 情况相关的复发表示担忧。令人鼓舞的是，受访者还注意到积极影响，包括与家人建立更多联系、更多时间进行自我护理和恢复动力。