Adherence
Pandemic-related lockdown measures and loss of structure exacerbate eating disorder symptoms, specifically increasing dietary restriction in anorexia nervosa and binge-eating urges in bulimia nervosa and binge-eating disorder.
If you have an eating disorder, the removal of daily structure (meals, therapy, exercise) is a major trigger for symptom worsening. To mitigate this, you must proactively recreate external structures: schedule meals, maintain therapy contact (even via telehealth), and establish a daily routine, as the absence of these is directly linked to increased restriction or bingeing.
Individuals with anorexia nervosa (US 62% of sample; NL 69%) reported increased restriction and fears about being able to find foods consistent with their meal plan. Individuals with bulimia nervosa and binge-eating disorder (US 30% of sample; NL 15%) reported increases in their binge-eating episodes and urges to binge.
Why this rating
Cross-sectional survey with self-reported diagnoses and convenience sampling; not a controlled trial.
Source
Early impact of <scp>COVID</scp> ‐19 on individuals with <scp>self‐reported</scp> eating disorders: A survey of ~1,000 individuals in the United States and the Netherlands
Jet D. Termorshuizen et al. · International Journal of Eating Disorders · 2020
DOI 10.1002/eat.23353
Related findings · Adherence
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This is one finding among thousands. Every one is graded and traced to its source, so you can see what the evidence actually supports. Browse the research →