关键词: Adolescence COVID-19 Eating disorder Posttraumatic Psychopathology Siblings

来  源:   DOI:10.1186/s13034-023-00698-5   PDF(Pubmed)

Abstract:
BACKGROUND: Adolescence has emerged as a particularly vulnerable phase during the COVID-19 pandemic, with eating disorders (EDs) representing a prominent psychopathological challenge linked to the restrictions imposed by the pandemic. Emerging evidence suggests that not only individuals with EDs but also their healthy siblings (HS) may experience unique psychological effects in this context. However, the existing literature on this topic remains limited. This study seeks to examine and compare the effects of the pandemic on adolescents and adults, with a specific focus on the impact of containment measures, disruptions in daily routines, and alterations in life trajectories, for both individuals with EDs and their HS.
METHODS: We enrolled 273 individuals, including those diagnosed with EDs and their HS. Among the participants, 120 were under the age of 19. Multiple self-report questionnaires were administered to assess the psychological impact of 1 year of the COVID-19 pandemic. These assessments covered a range of psychological constructs, including posttraumatic symptoms, general psychopathology, and eating-related concerns.
RESULTS: Notably, adolescent patients with EDs demonstrated the highest psychopathological scores within our sample. They were the sole subgroup to surpass clinical cutoffs, exhibiting more pronounced issues concerning eating-related concerns and general psychological well-being. Our findings also shed light on the unique experiences of HS during the pandemic.
CONCLUSIONS: Our findings highlight the specific psychological burden endured by adolescents with EDs throughout the COVID-19 pandemic, emphasizing the vulnerability of this demographic. Moreover, the experiences of HS, often overlooked in the literature, warrant increased attention in future health programs and interventions.
摘要:
背景:在COVID-19大流行期间,青少年已成为一个特别脆弱的阶段,饮食失调(ED)代表了与大流行所施加的限制有关的突出的精神病理学挑战。新出现的证据表明,在这种情况下,不仅患有ED的个体,而且他们的健康兄弟姐妹(HS)也可能会经历独特的心理影响。然而,关于这一主题的现有文献仍然有限。这项研究旨在研究和比较大流行对青少年和成年人的影响,特别关注遏制措施的影响,日常生活中断,以及生命轨迹的改变,对于患有ED和他们的HS的人来说。
方法:我们注册了273名个人,包括那些被诊断为ED和他们的HS。在参与者中,120岁以下。进行了多项自我报告问卷,以评估COVID-19大流行1年的心理影响。这些评估涵盖了一系列的心理结构,包括创伤后症状,一般精神病理学,和饮食相关的问题。
结果:值得注意的是,在我们的样本中,患有ED的青少年患者的精神病理学评分最高.它们是唯一超过临床临界值的亚组,表现出更明显的问题,涉及饮食相关的问题和一般的心理健康。我们的发现还揭示了大流行期间HS的独特经历。
结论:我们的研究结果强调了在COVID-19大流行期间,患有ED的青少年所承受的特殊心理负担,强调这种人口的脆弱性。此外,HS的经验,在文献中经常被忽视,在未来的健康计划和干预措施中值得更多的关注。
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