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The pandemic is deeply affecting many people with eating disorders – Boston, Massachusetts

Boston, Massachusetts 2021-11-26 04:40:12 –

NSAll Americans are accustomed to discussing how pandemic blockades and remote involvement have changed our lives. Conversations tend to be mechanical and superficial, like discussing the weather, to dietary and joke changes about “Pandemic 15” to reflect weight gain from sitting or getting too close to homemade bread. Often includes references to.

But for one segment of the population, pandemic-related dietary changes are no joke.As a few colleagues with us Reported at JAMA Network OpenHospitalizations for people with other eating disorders such as anorexia nervosa, bulimia nervosa, and bulimia nervosa increased significantly from the second half of 2020, according to data from a major national health insurance company. .. Hospitalization rates for these conditions have almost doubled. For the last two years. Also, hospitalized individuals tended to stay about 50% longer, suggesting that the disability was more serious.

There was no change in outpatient visits or hospitalizations for other common mental health conditions such as depression, alcohol use, opioid use, and pandemics have a specific impact on people susceptible to eating disorders. It suggests that.

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It’s not entirely clear why this happened, but understanding some of the reasons can help families and clinicians recognize these issues early and provide appropriate service.

First, a message about the link between Obesity and severity of Covid-19 About the connection between Self-quarantine and weight gain It seems that people who are prone to eating disorders are having a hard time.These messages may have prompted some Engage in restricted dietary behaviorPeople with anorexia nervosa lose more weight, such as refusing to consume certain foods or labeling foods as “good” or “bad”, and overeating such as vomiting and laxative use. Symptoms and compensatory behavior can be even more serious. People with bulimia.

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Second, due to concerns about getting Covid-19 in public places such as grocery stores, restrictions on the availability of some food and household items, and strict rules and rituals, especially in the early days of the pandemic. Shopping for groceries has become a more complex and difficult task. Shoppers. Shopping for groceries, which is already an anxiety-inducing job for individuals who are prone to eating disorders, has become even more difficult.

Third, during the pandemic, Many people bought in large quantities Use pre-processed, pre-packaged comfort food to minimize the frequency of shopping and worry about food shortages. Being trapped in a house in the immediate vicinity of these foods increases unconscious meals and snacks for many, especially for people who are prone to eating disorders because of their distractions and distance from food. May lead to episodes of.

Fourth, exercise was one of the few activities advertised as safe and healthy during a pandemic.For many people with eating disorders, exercise is Control out-of-control situations or Compensatory mechanism for eating..of One recent studyThe majority of anorexia nervosa patients who attended treatment in 2019 reported increased concerns about diet, body shape, and weight during the pandemic. Higher motivation for physical activity; and more loneliness, sadness, and inner restlessness.

Fifth, social anxiety, stress, and depressed mood are often closely associated with eating disorders and everything. Deteriorated during this time..

These five factors may have increased the symptoms of eating disorders. However, a collection of other situations has made eating disorders easier to detect and perhaps more difficult to treat.

Outing bans, distance learning, and university campus closures help families better identify unhealthy rapid weight loss and bulimia, or help them better understand their psychological burden. , The family will seek treatment for their loved ones. At the same time, outpatient facilities struggling to adapt surgery during a pandemic may not have the additional ability to see these patients when their symptoms require lower levels of care. It delays treatment and exacerbates eating disorders. Similarly, the fear of becoming infected with Covid-19 may have affected the delay in seeking treatment for individuals and families until the symptoms are severe enough to require inpatient treatment.

Food is a big part of life. Food and its rituals are also a source of great anxiety for people with eating disorders. Many people living with these disabilities are even more struggling during a pandemic.As it changes and society adapts New normalIt is important to be aware of the ongoing burden that pandemics impose on people with eating disorders. In societies where appearance is very important, eating disorders are less important than other mental health disorders and are often considered to be under the control of an experienced person. Pandemics highlight the need to understand the specific triggers of individuals with eating disorders, identify their symptoms, and provide appropriate and early treatment.

David A. Asch is a physician, senior fellow at the Leonard Davis Institute of Health Economics at the University of Pennsylvania, and executive director of the Penn Medicine Center for Health Care Innovation. Kelly C. Allison is a psychologist and professor of psychiatry at the University of Pennsylvania’s Perelman School of Medicine and director of the Center for Weight and Eating Disorders at the University of Pennsylvania.



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