BACKGROUND Lockdown implemented to prevent the COVID-19 spread resulted in marked changes in the lifestyle. The objective of the current study was to assess the impact of lockdown measures on a cohort of eating disorder (ED) patients being followed as part of an ongoing naturalistic treatment study. METHODS Ninety-nine patients aged 18 or older, currently or previously, in treatment at a Portuguese specialized hospital unit were contacted by phone and invited to participate in the current survey. Fifty-nine agreed to be interviewed by phone, and 43 agreed to respond to a set of self-report measures of ED symptoms, emotion regulation difficulties, clinical impairment, negative urgency, and COVID-19 impact, during the week after the end of the lockdown period. RESULTS Data showed that of the 26 patients currently in treatment: 8 remained unchanged (31%), 7 deteriorated (27%), and 11 reliably improved (42%). Of the 17 participants not currently in treatment: 3 deteriorated (18%), 9 remained unchanged (53%), and 5 (29%) improved after the lockdown period. The Coronavirus Impact Scale showed that most patients considered their routines moderately or extremely impacted, experienced stress related to coronavirus, and showed difficulty in maintaining physical exercise and feeding routines. Results suggest that higher impact of COVID-19 lockdown was significantly correlated with eating disorder symptoms and associated psychopathology, impulsivity, difficulties in emotion regulation and clinical impairment measured at post-lockdown. In addition, the impact of COVID-19 and lockdown measures on clinical impairment was mediated by difficulties in emotion regulation. CONCLUSIONS Findings suggest that some ED patients may experience worsening of their condition, especially if associated with difficulties in emotion regulation, and these difficulties might be exacerbated in the context of a stressful crisis and lockdown measures, highlighting the need for intervention strategies to mitigate its negative impact.

中文翻译：

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COVID-19 封锁措施对一组饮食失调患者的影响

背景 为防止 COVID-19 传播而实施的封锁导致生活方式发生显着变化。当前研究的目的是评估锁定措施对一组饮食失调 (ED) 患者的影响，作为正在进行的自然治疗研究的一部分。方法 通过电话联系了 99 名 18 岁或以上、目前或以前在葡萄牙专科医院接受治疗的患者，并邀请他们参加当前的调查。59 人同意通过电话采访，43 人同意在结束后的一周内回应一套关于 ED 症状、情绪调节困难、临床障碍、负面紧迫感和 COVID-19 影响的自我报告措施。锁定期。结果 数据显示，在目前接受治疗的 26 名患者中：8 个保持不变 (31%)，7 个恶化 (27%)，11 个可靠改善 (42%)。在目前未接受治疗的 17 名参与者中：3 人恶化（18%），9 人保持不变（53%），5 人（29%）在锁定期后有所改善。冠状病毒影响量表显示，大多数患者认为他们的日常生活受到中度或极度影响，经历了与冠状病毒相关的压力，并且难以维持体育锻炼和饮食习惯。结果表明，COVID-19 封锁的更大影响与饮食失调症状和相关的精神病理学、冲动、情绪调节困难和封锁后测量的临床损伤显着相关。此外，COVID-19 和封锁措施对临床损伤的影响是由情绪调节困难介导的。