Objective: To document the impact of the COVI-19 pandemic on the health and well-being of individuals with past and current eating disorders in Sweden. Method: We re-contacted participants from two previous Swedish studies who had a known lifetime history of an eating disorder. Participants completed an online questionnaire about their health and functioning at baseline early in the pandemic (Wave 1; N=982) and six months later (Wave 2); N=646). Results: Three important patterns emerged: 1) higher current eating disorder symptom levels were associated with greater anxiety, worry, and pandemic-related eating disorder symptom increase; 2) patterns were fairly stable across time, although a concerning number who reported being symptom-free at Wave 1 reported re-emergence of symptoms at Wave 2; and 3) only a minority of participants with current eating disorders were in treatment, and of those who were in treatment, many reported fewer treatment sessions than pre-pandemic and decreased quality of care. Conclusions: The COVID-19 pandemic is posing serious health challenges for individuals with eating disorders, whether currently symptomatic or in remission. We encourage health service providers and patient advocates to be alert to the needs of individuals with eating disorders and to take active measures to ensure access to appropriate evidence-based care both during and following the pandemic.

中文翻译：

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瑞典过去或现在饮食失调的人的纵向经历和COVID-19大流行的影响

目的：记录COVI-19大流行对瑞典过去和现在饮食失调患者的健康和幸福的影响。方法：我们重新联系了之前两项瑞典研究的参与者，这些研究都有饮食失调的终生史。参与者在大流行初期（波动1； N = 982）和六个月后（波动2）完成了有关基线时其健康和功能的在线调查表。N = 646）。结果：出现了三种重要的模式：1）进食障碍症状水平升高与焦虑，忧虑和大流行相关的进食障碍症状增加有关。2）时间跨度相当稳定，尽管在第1浪中报告无症状的相关人数报告在第2浪中症状再次出现；（3）只有少数患有当前饮食失调的参与者正在接受治疗，而在接受治疗的参与者中，许多人报告的治疗时间少于大流行前，并且护理质量下降。结论：COVID-19大流行对目前有症状或处于缓解状态的饮食失调患者构成了严重的健康挑战。我们鼓励卫生服务提供者和患者倡导者对饮食失调症患者的需求保持警惕，并采取积极措施，确保在大流行期间和大流行期间获得适当的循证护理。COVID-19大流行对目前有症状或处于缓解状态的饮食失调患者构成了严重的健康挑战。我们鼓励卫生服务提供者和患者倡导者对饮食失调症患者的需求保持警惕，并采取积极措施，确保在大流行期间和大流行期间获得适当的循证护理。COVID-19大流行对目前有症状或处于缓解状态的饮食失调患者构成了严重的健康挑战。我们鼓励卫生服务提供者和患者倡导者对饮食失调症患者的需求保持警惕，并采取积极措施，确保在大流行期间和大流行期间获得适当的循证护理。