Background The coronavirus disease 2019 (COVID-19) pandemic may raise unique challenges for individuals with experience of eating disorders. Many factors have potential for detrimental impacts on psychological wellbeing and eating disorder recovery, including: Disruption to living situations, ‘social distancing’ restrictions, difficult access to healthcare, and societal changes to food behaviours and technology usage. To date, little is known on the impact of the pandemic on this population, particularly within the UK. Method A mixed-methods online survey was developed for the purpose of this study. Data was collected from 129 individuals currently experiencing, or in recovery from, an eating disorder during the early stages of the UK pandemic lockdown. Participants were aged between 16 and 65 years, with 121 participants identifying as female, 7 male and 1 participant preferring not to disclose their gender. Results Findings suggest that the pandemic is having a profound, negative impact upon individuals with experience of eating disorders. Eight key themes were generated: Disruption to living situation, increased social isolation and reduced access to usual support networks, changes to physical activity rates, reduced access to healthcare services, disruption to routine and perceived control, changes to relationship with food, increased exposure to triggering messages, and positive outcomes. The results suggest detrimental impacts on psychological wellbeing including decreased feelings of control, increased feelings of social isolation, increased rumination about disordered eating, and low feelings of social support. Conclusions Individuals with eating disorders are at significant risk of negative impacts of the pandemic. There is a vital need for interventions to support this population. Inequalities in healthcare provision were identified, emphasising a need for a more cohesive approach to remote treatment across UK healthcare services. Positive aspects of technology use were identified but the results suggest a need to address and/or limit the potential for negative impacts of public messages around food and exercise behaviours, and to co-design technologies with end-users to facilitate effective treatment.

中文翻译：

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探索 COVID-19 大流行和英国封锁对有饮食失调经历的个人的影响

背景 2019 年冠状病毒病 (COVID-19) 大流行可能会给有饮食失调经历的个人带来独特的挑战。许多因素可能对心理健康和饮食失调的恢复产生不利影响，包括：生活环境中断、“社交距离”限制、难以获得医疗保健，以及饮食行为和技术使用的社会变化。迄今为止，人们对这一流行病对这一人群的影响知之甚少，尤其是在英国。方法 为了本研究的目的，开发了一种混合方法的在线调查。在英国大流行封锁的早期阶段，从目前正在经历或正在恢复饮食失调的 129 个人中收集了数据。参与者年龄在 16 至 65 岁之间，有 121 名参与者确定为女性，7 名男性和 1 名参与者不愿透露其性别。结果 调查结果表明，大流行对有饮食失调经历的个人产生了深远的负面影响。产生了八个关键主题：生活状况的破坏、社会孤立的增加和对通常支持网络的访问减少、身体活动率的变化、获得医疗服务的机会减少、日常和感知控制的破坏、与食物关系的变化、增加接触触发信息和积极成果。结果表明，对心理健康的不利影响包括控制感下降、社会孤立感增加、对饮食失调的反刍增加以及社会支持感低下。结论 饮食失调的个体面临大流行负面影响的重大风险。迫切需要采取干预措施来支持这一人群。确定了医疗保健提供方面的不平等，强调需要在英国医疗保健服务中采用更具凝聚力的远程治疗方法。确定了技术使用的积极方面，但结果表明需要解决和/或限制有关食物和锻炼行为的公共信息的潜在负面影响，并与最终用户共同设计技术以促进有效治疗。强调需要在英国医疗保健服务中采用更具凝聚力的远程治疗方法。确定了技术使用的积极方面，但结果表明需要解决和/或限制有关食物和锻炼行为的公共信息的潜在负面影响，并与最终用户共同设计技术以促进有效治疗。强调需要在英国医疗保健服务中采用更具凝聚力的远程治疗方法。确定了技术使用的积极方面，但结果表明需要解决和/或限制有关食物和锻炼行为的公共信息的潜在负面影响，并与最终用户共同设计技术以促进有效治疗。