Children and adolescents with eating disorders during COVID‐19 confinement: Difficulties and future challenges
| Autor: | Montserrat Graell, Rudiger Muñoz, Silvia Yáñez, Ricardo Camarneiro, Angel Villaseñor, Mar Faya, M. Goretti Morón-Nozaleda, María Muñoz, Carolina Miguélez-Fernández, Beatriz Martínez-Núñez |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Mental Health Services 050103 clinical psychology medicine.medical_specialty Adolescent Coronavirus disease 2019 (COVID-19) Telehealth Feeding and Eating Disorders 03 medical and health sciences 0302 clinical medicine Pandemic Ambulatory Care Humans Medicine Outpatient clinic 0501 psychology and cognitive sciences Child Retrospective Studies Inpatient care business.industry Medical record 05 social sciences COVID-19 medicine.disease 030227 psychiatry Hospitalization Psychiatry and Mental health Clinical Psychology Eating disorders Quarantine Emergency medicine Female Day hospital business Day Care Medical |
| Zdroj: | European Eating Disorders Review |
| ISSN: | 1099-0968 1072-4133 |
| DOI: | 10.1002/erv.2763 |
| Popis: | Objective To present the adaptations to treatment protocols made in a child and adolescent eating disorders (ED) unit during the eight-week confinement period mandated in response to the COVID-19 pandemic and examine clinical and treatment variables in the outpatient, day hospital, and inpatient care programs. Method Description of the implementation of a combined teletherapy program for outpatient and day-hospital patients and the adaptations made to the inpatient protocol. Retrospective review of medical records and analysis of general and specific variables related to the pandemic and confinement. Results We held 1,329 (73.10%) telehealth consultations and 489 (26.9%) face-to-face outpatient visits with 365 patients undergoing treatment in the outpatient clinic or day hospital. Twenty-eight (7.67%) were initial evaluations. Twenty-two patients were newly admitted and 68 ED-related emergencies were attended. Almost half of the children and adolescents studied experienced reactivation of ED symptoms despite treatment, and severe patients (25%) presented self-harm and suicide risk. Conclusions The implementation of a combined teletherapy program has enabled continuity of care during confinement for children and adolescents with ED. Delivery of treatment to adolescents in the day hospital program posed the biggest challenge due to their greater degrees of severity and higher hospitalization rates. An adapted inpatient program should be maintained throughout confinement, as the need for hospitalization of children and adolescents with ED does not decrease with lockdown. |
| Databáze: | OpenAIRE |
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