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    COVID Isolation Eating Scale (CIES): Analysis of the impact of confinement in eating disorders and obesity-A collaborative international study

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    Author
    Fernandez-Aranda, F; Munguia, L; Mestre-Bach, G; Steward, T; Etxandi, M; Baenas, I; Granero, R; Sanchez, I; Ortega, E; Andreu, A; ...
    Date
    2020-09-20
    Source Title
    European Eating Disorders Review
    Publisher
    WILEY
    University of Melbourne Author/s
    Steward, Trevor
    Affiliation
    Melbourne School of Psychological Sciences
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Fernandez-Aranda, F., Munguia, L., Mestre-Bach, G., Steward, T., Etxandi, M., Baenas, I., Granero, R., Sanchez, I., Ortega, E., Andreu, A., Moize, V. L., Fernandez-Real, J. M., Tinahones, F. J., Dieguez, C., Fruhbeck, G., Le Grange, D., Tchanturia, K., Karwautz, A., Zeiler, M. ,... Jimenez-Murcia, S. (2020). COVID Isolation Eating Scale (CIES): Analysis of the impact of confinement in eating disorders and obesity-A collaborative international study. EUROPEAN EATING DISORDERS REVIEW, 28 (6), pp.871-883. https://doi.org/10.1002/erv.2784.
    Access Status
    Access this item via the Open Access location
    URI
    http://hdl.handle.net/11343/254606
    DOI
    10.1002/erv.2784
    Open Access URL
    https://europepmc.org/articles/PMC7537123?pdf=render
    Abstract
    Confinement during the COVID-19 pandemic is expected to have a serious and complex impact on the mental health of patients with an eating disorder (ED) and of patients with obesity. The present manuscript has the following aims: (1) to analyse the psychometric properties of the COVID Isolation Eating Scale (CIES), (2) to explore changes that occurred due to confinement in eating symptomatology; and (3) to explore the general acceptation of the use of telemedicine during confinement. The sample comprised 121 participants (87 ED patients and 34 patients with obesity) recruited from six different centres. Confirmatory Factor Analyses (CFA) tested the rational-theoretical structure of the CIES. Adequate goodness-of-fit was obtained for the confirmatory factor analysis, and Cronbach alpha values ranged from good to excellent. Regarding the effects of confinement, positive and negative impacts of the confinement depends of the eating disorder subtype. Patients with anorexia nervosa (AN) and with obesity endorsed a positive response to treatment during confinement, no significant changes were found in bulimia nervosa (BN) patients, whereas Other Specified Feeding or Eating Disorder (OSFED) patients endorsed an increase in eating symptomatology and in psychopathology. Furthermore, AN patients expressed the greatest dissatisfaction and accommodation difficulty with remote therapy when compared with the previously provided face-to-face therapy. The present study provides empirical evidence on the psychometric robustness of the CIES tool and shows that a negative confinement impact was associated with ED subtype, whereas OSFED patients showed the highest impairment in eating symptomatology and in psychopathology.

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