The impact of the COVID-19 pandemic on intensive cognitive behavioral therapy outcomes in patients with anorexia nervosa-A cohort study.

Autor: Dalle Grave R; Department of Eating and Weight Disorders, Villa Garda Hospital, Garda, Italy., Dalle Grave A; Department of Eating and Weight Disorders, Villa Garda Hospital, Garda, Italy., Bani E; Department of Eating and Weight Disorders, Villa Garda Hospital, Garda, Italy., Oliosi A; Department of Eating and Weight Disorders, Villa Garda Hospital, Garda, Italy., Conti M; Department of Eating and Weight Disorders, Villa Garda Hospital, Garda, Italy., Dametti L; Department of Eating and Weight Disorders, Villa Garda Hospital, Garda, Italy., Calugi S; Department of Eating and Weight Disorders, Villa Garda Hospital, Garda, Italy.
Jazyk: angličtina
Zdroj: The International journal of eating disorders [Int J Eat Disord] 2023 Jan; Vol. 56 (1), pp. 216-224. Date of Electronic Publication: 2022 Jun 25.
DOI: 10.1002/eat.23765
Abstrakt: Objective: This study aimed to assess the impact of the COVID-19 pandemic on the efficacy of an intensive treatment based on enhanced cognitive behavioral therapy (CBT-E) in patients with anorexia nervosa.
Methods: This cohort study analyzed 57 patients with anorexia nervosa who experienced the COVID-19 pandemic during intensive CBT-E, comparing their outcomes (body mass index [BMI], eating-disorder and general psychopathology, and clinical impairment) with those of patients with anorexia nervosa matched by gender, age, and BMI given the same treatment before the COVID-19 outbreak as controls. Patients were assessed at baseline, at the end of treatment and after 20 weeks of follow-up.
Results: More than 75% of patients during the pandemic versus 85% of controls completed the treatment, a difference that was not significant. BMI, eating disorder and general psychopathology and clinical impairment scores improved significantly from baseline to 20-week follow-up in both groups. However, the improvement was more marked in controls than in those treated during the COVID-19 pandemic.
Conclusion: Patients with anorexia nervosa given intensive CBT-E during the COVID-19 pandemic had significantly improved psychopathology, albeit to a lesser extent than patients given the same treatment before the COVID-19 pandemic.
Public Significance Statement: In this study, the outcome of 57 patients with anorexia treated with intensive enhanced cognitive behavior therapy during the COVID-19 pandemic was compared with a matched group treated before the pandemic hit. The rate of remission from anorexia nervosa was similar between the two groups. However, patients exposed to the COVID-19 pandemic showed lesser improvement than those not exposed.
(© 2022 Wiley Periodicals LLC.)
Databáze: MEDLINE
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