ABSTRACT
Reports an error in "A qualitative evaluation of team and family perceptions of family-based treatment delivered by videoconferencing (FBT-V) for adolescent anorexia nervosa during the COVID-19 pandemic" by Jennifer Couturier, Danielle Pellegrini, Laura Grennan, Maria Nicula, Catherine Miller, Paul Agar, Cheryl Webb, Kristen Anderson, Melanie Barwick, Gina Dimitropoulous, Sheri Findlay, Melissa Kimber, Gail McVey, Rob Paularinne, Aylee Nelson, Karen DeGagne, Kerry Bourret, Shelley Restall, Jodi Rosner, Kim Hewitt-McVicker, Jessica Pereira, Martha McLeod, Caitlin Shipley, Sherri Miller, Ahmed Boachie, Marla Engelberg, Samantha Martin, Jennifer Holmes-Haronitis and James Lock (Journal of Eating Disorders, 2022[Jul][26], Vol 10[111]). In the original article, there was an error in co-author Gina Dimitropoulos's name: the name was incorrectly presented as "Gina Dimitropoulous". The correct name is included in the author list of this Correction and has been updated in the original article. (The following of the original article appeared in record 2022-86500-001). Background: During the COVID-19 pandemic, outpatient eating disorder care, including Family-Based Treatment (FBT), rapidly transitioned from in-person to virtual delivery in many programs. This paper reports on the experiences of teams and families with FBT delivered by videoconferencing (FBT-V) who were part of a larger implementation study. Methods: Four pediatric eating disorder programs in Ontario, Canada, including their therapists (n = 8), medical practitioners (n = 4), administrators (n = 6), and families (n = 5), participated in our study. We provided FBT-V training and delivered clinical consultation. Therapists recorded and submitted their first four FBT-V sessions. Focus groups were conducted with teams and families at each site after the first four FBT-V sessions. Focus group transcripts were transcribed verbatim and key concepts were identified through line-by-line reading and categorizing of the text. All transcripts were double-coded. Focus group data were analyzed using directed and summative qualitative content analysis. Results: Analysis of focus group data from teams and families revealed four overarching categories-pros of FBT-V, cons of FBT-V, FBT-V process, and suggestions for enhancing and improving FBT-V. Pros included being able to treat more patients and developing a better understanding of family dynamics by being virtually invited into the family's home (identified by teams), as well as convenience and comfort (identified by families). Both teams and families recognized technical difficulties as a potential con of FBT-V, yet teams also commented on distractions in family homes as a con, while families expressed difficulties in developing therapeutic rapport. Regarding FBT-V process, teams and families discussed the importance and challenge of patient weighing at home. In terms of suggestions for improvement, teams proposed assessing a family's suitability or motivation for FBT-V to ensure it would be appropriate, while families strongly suggested implementing hybrid models of FBT in the future which would include some in-person and some virtual sessions. Conclusion: Team and family perceptions of FBT-V were generally positive, indicating acceptability and feasibility of this treatment. Suggestions for improved FBT-V practices were made by both groups, and require future investigation, such as examining hybrid models of FBT that involve in-person and virtual elements. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
ABSTRACT
Background: Carer burden amongst carers of youth with an eating disorder is substantial and if not addressed can lead to negative outcomes for the patient, carer and family. The Coronavirus Disease 2019 (COVID-19) pandemic has made caring for youth with an ED even more onerous and preliminary research is beginning to emerge demonstrating the profound negative impact the pandemic is having upon individuals with EDs and their carers. Main: In this review, we briefly summarize what is known about carer burden in families where a young person has an ED, consider the additional impact consequent to COVID-19 and highlight the need for interventions aimed at alleviating this. Pre-COVID-19 research identifies high levels of psychological and physical strain amongst those caring for a child with an ED. Themes are beginning to emerge as to why COVID-19 may further exacerbate carer burden: (1) reduced access to ED services;(2) increased physical vulnerability and exacerbation of psychiatric co-morbidity amongst youth with EDs;(3) increased practical demands placed on carers;and (4) social isolation and decreased social support. Conclusion: The COVID-19 pandemic poses a specific threat to the mental health of youth with EDs and their carers. Given the salient role families play in caring for youth with an ED, attending to carer burden is imperative. Supporting carers through all phases of their child's ED journey by offering adaptive and flexible supportive services which accommodate time constraints, geographic barriers and possible COVID-19 spread is essential. Plain English summary: Caring for a child with an Eating Disorder (ED) can be difcult at the best of times. Research is beginning to emerge demonstrating the negative impact the Coronavirus Disease 2019 (COVID-19) pandemic is having both on youth with an ED and their carers. In this review, we briefy summarize what is known about carer burden in families where a young person has an ED, consider the additional impact of COVID-19 and highlight the need for further supportive interventions. This review indicates that carer burden is substantial amongst those caring for a loved one with an ED and additional strain has been placed on carers during the pandemic. Key themes have emerged likely contributing to an increase in carer burden during COVID-19: (1) reduced access to ED services;(2) increased physical vulnerability and exacerbation of psychiatric co-morbidity amongst youth with EDs;(3) increased practical demands placed on carers;and (4) social isolation and decreased social support. Findings from this review aim to inspire further research on how best we can support carers of youth with EDs during the pandemic and beyond. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
Reports an error in "Medical admissions among adolescents with eating disorders during the COVID-19 pandemic" by Alana K. Otto, Jessica M. Jary, Julie Sturza, Catherine A. Miller, Natalie Prohaska, Terrill Bravender and Jessica Van Huysse (Pediatrics, 2021[Oct], Vol 148[4][e2021052201]). In the original article, On page 2, under Methods, and in Table 1, column 1, row 2, "sex" should have been "gender." On Table 1, column 2, "8.1" should have been "80.1." On Table 1, column 3, "9.2" should have been "90.2" The online article has been corrected. (The following of the original article appeared in record 2021-91971-001). Background and Objectives: Emerging data suggest the coronavirus disease 2019 (COVID-19) pandemic has been associated with worsening symptoms of eating disorders (EDs) among both adults and adolescents. With this study, we sought to determine if medical admission patterns among adolescents admitted to our institution for restrictive EDs changed during the pandemic, relative to prepandemic counts of admissions per month. Methods: We performed a chart review of patients aged 10 to 23 years admitted to our children's hospital for restrictive EDs from March 2017 through March 2021 and completed an interrupted time series analysis of admission counts per month. Demographic variables for admitted patients were compared by using x2, Fisher's exact, and 2-sample t tests. Results: ED-related medical admissions at our institution increased significantly during the COVID-19 pandemic. The total number of admissions during the first 12 months of the COVID- 19 pandemic (April 1, 2020, through March 31, 2021, n = 125) was more than double the mean number of admissions per year for the same time frame (April 1 through March 31) for the previous 3 years (mean = 56). Patient demographics were similar before and during the pandemic, with the exception that patients admitted during the COVID-19 pandemic were less likely than those admitted before the pandemic to have public insurance. Conclusions: Medical admissions related to restrictive EDs among adolescents increased significantly during the COVID-19 pandemic. Pediatric providers in a variety of settings should be prepared to care for adolescents with restrictive EDs during the pandemic. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
The lockdowns due to Covid-19 led to a sharp increase in hospitalizations of adolescents for severe anorexia. Though the clinical profile was typical, the investment of hospitalization and treatment was quite unusual. The investment of a space of one's own enabled a resumption of boundary-work, restoring the differentiation between fantasy and reality, allowing a process of subjectal appropriation to resume, and putting at a distance the traumatic invasion and the oral regression provoked by the pandemic. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (French) Les confinements lies au Covid-19 ont entraine une forte augmentation des hospitalisations pour anorexie severe chez des adolescents. Si le tableau clinique etait typique, l'investissement de l'hospitalisation et des soins etait tres inhabituel. L'investissement d'un espace a soi, a permis la reprise d'un travail de frontiere entrainant la restauration de la differenciation realite/fantasme, la reprise d'un processus d'appropriation subjectale et la mise a distance de l'effraction traumatique et la regression orale induites par la pandemie. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Spanish) Los confinamientos vinculados al covid-19 han ocasionado una fuerte aumentacion de hospitalizaciones por anorexia severa de adolescentes. Si el cuadro clinico era tipico, el manejo de la hospitalizacion y de la cura resulto muy inhabitual. La ocupacion de un espacio para si mismo, ha permitido de retomar un trabajo de frontera permitiendo asi, la restauracion de la diferenciacion realidad/fantasia pero tambien de relanzar el proceso de apropiacion subjetiva y la distanciacion de la efraccion traumatica y la regresion oral que fue inducida por la pandemia. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
Purpose: The COVID-19 pandemic restrictions had negative impact on the psychopathology of people with Eating Disorders (EDs). Factors involved in the vulnerability to stressful events have been under-investigated in this population. We aimed to assess which factors contributed to COVID-19-induced worsening in both general and specific psychopathology. Methods: Three-hundred and twelve people with a clinically defined diagnosis of an ED and undergoing a specialist ED treatment in different Italian ED services before the spreading of COVID-19 pandemic filled in an online survey. ED specific and general psychopathology changes after COVID-19 quarantine were retrospectively evaluated. Factors related to COVID-19 concerns (financial condition, fear of contagion, perceived social isolation/support, satisfaction in peer, family or sentimental relationships), illness duration and treatment-related variables (type of treatment provided, type of access to care, satisfaction with therapeutic relationships) were included as predicting factors in a structural equational model, which included latent variables consisting of general and ED psychopathology items as outcomes. Results: A perceived low quality of therapeutic relationships, fear of contagion and increased isolation were positively associated with psychopathology worsening. Reduced satisfaction with family and with friends' relationships and reduced perceived social support were associated with ED and general symptoms deterioration, respectively. No significant effect emerged for intimate relationships, illness duration, economic condition and type of treatment. Conclusions: This study provides a comprehensive evaluation of clinical variables associated with psychopathological changes during the COVID-19 lockdown period highlighting potential risk and resilience factors and, possibly, informing treatment as well as prevention strategies for EDs. Level of evidence IV: Evidence obtained from multiple time series analysis such as case studies. (PsycInfo Database Record (c) 2022 APA, all rights reserved)