新冠肺炎大流行对患有饮食失调的青少年的影响被转诊至意大利精神科。

Pietro Cappelletto MD, Lisa De Luca PsyD, Benedetta Taddei PsyD, Silvia Taddei PsyD, Annalaura Nocentini PhD, Tiziana Pisano MD
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引用次数: 0

摘要

问题:新冠肺炎大流行引发或加剧了饮食失调(ED),尤其是青少年。这项研究调查了从COVID-19大流行前到2023年3月,儿童和青少年精神病学科ED患者的入院率,并探讨了ED症状学各维度根据入院年份的差异。方法:我们纳入174名儿童和青少年,94.3%的女性和5.7%的男性,诊断为ED(Mage = 14.87;SD = 1.72)。评估饮食障碍量表-3(EDI-3)、身体不适测试(BUT)和青少年自我报告ASEBA(YSR)。进行了单因素方差分析检验。研究结果:与COVID-19前和2022年相比,2020年和2021年ED的住院率更高。考虑到ED精神病理学(EDI-3),研究结果显示,与疫情前相比,2021年在追求苗条、身体不满、禁欲主义和对成熟的恐惧方面的得分更高。关于与自身身体形象相关的不适(BUT),结果显示,与疫情前相比,2022年的全球严重程度指数有所上升,与2020年相比,2021年的体重恐惧症有所上升。关于内化症状(YSR),发现了戒断/抑郁的趋势,与2020年相比,2022年的戒断/抑郁水平更高,尤其是在意大利背景下。
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COVID-19 pandemic impact among adolescents with eating disorders referred to Italian psychiatric unit

Problem

The COVID-19 pandemic has triggered or exacerbated eating disorders (EDs), especially in adolescents. This study examined the prevalence of admissions of patients with EDs at the Child and Adolescent Psychiatry Unit from the pre-COVID-19 pandemic to March 2023 and explored the differences in dimensions of ED's symptomatology according to the year of access.

Methods

We included 174 children and adolescents, 94.3% females and 5.7% males, with a diagnosis of ED (Mage = 14.87; SD = 1.72). The Eating Disorder Inventory-3 (EDI-3), the Body Uneasiness Test (BUT) and Youth Self Report ASEBA (YSR) were assessed. A one-way analysis of variance test was performed.

Findings

EDs' hospitalization prevalence was higher in the years 2020 and 2021 compared to pre-COVID-19 and the year 2022. Considering the ED psychopathology (EDI-3), findings showed a higher score in the dimension of the push to thinness, body dissatisfaction, asceticism, and fear of maturity in the year 2021 compared to pre-pandemic. Regarding the discomfort related to the image of one's own body (BUT), results showed an increase in the global severity index in the year 2022 compared to pre-pandemic and in weight phobia in the year 2021 compared to the year 2020. Concerning the internalizing symptoms (YSR), a tendency was found for withdrawal/depression, with higher levels in the year 2022 compared to the year 2020.

Conclusions

Our study highlighted the increase of different types of EDs symptomatology related to concerns about weight, especially 2 and 3 years after the outbreak of the pandemic, on which the literature is still scarce, especially in the Italian context.

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来源期刊
CiteScore
2.90
自引率
6.70%
发文量
41
期刊介绍: Journal of Child and Adolescent Psychiatric Nursing (JCAPN) is the only nursing journal to focus exclusively on issues of child and adolescent mental health around the world. As a primary resource for nurses and other healthcare professionals in clinical practice, educator roles, and those conducting research in mental health and psychiatric care, the journal includes peer-reviewed, original articles from a wide range of contributors in a broad variety of settings.
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