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COVID Isolation Eating Scale ( CIES ): Analysis of the impact of confinement in eating disorders and obesity—A collaborative international study
Author(s) -
FernándezAranda Fernando,
Munguía Lucero,
MestreBach Gemma,
Steward Trevor,
Etxandi Mikel,
Baenas Isabel,
Granero Roser,
Sánchez Isabel,
Ortega Emilio,
Andreu Alba,
Moize Violeta L.,
FernándezReal Jose M,
Tinahones Francisco J.,
Diegüez Carlos,
Frühbeck Gema,
Le Grange Daniel,
Tchanturia Kate,
Karwautz Andreas,
Zeiler Michael,
Favaro Angela,
Claes Laurence,
Luyckx Koen,
Shekriladze Ia,
SerranoTroncoso Eduardo,
Rangil Teresa,
Meler Maria Eulalia Loran,
SorianoPacheco Jose,
CarcellerSindreu Mar,
BujalanceArguijo Sara,
Lozano Meritxell,
Linares Raquel,
Gudiol Carlota,
Carratala Jordi,
SanchezGonzalez Jessica,
Machado Paulo PP,
Håkansson Anders,
Túry Ferenc,
Pászthy Bea,
Stein Daniel,
Papezová Hana,
Bax Brigita,
Borisenkov Mikhail F.,
Popov Sergey V.,
Kim YoulRi,
Nakazato Michiko,
Godart Nathalie,
Voren Robert,
Ilnytska Tetiana,
Chen Jue,
Rowlands Katie,
Treasure Janet,
JiménezMurcia Susana
Publication year - 2020
Publication title -
european eating disorders review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.511
H-Index - 67
eISSN - 1099-0968
pISSN - 1072-4133
DOI - 10.1002/erv.2784
Subject(s) - eating disorders , psychopathology , bulimia nervosa , anorexia nervosa , clinical psychology , confirmatory factor analysis , cronbach's alpha , psychology , covid-19 , obesity , disordered eating , psychiatry , medicine , psychometrics , structural equation modeling , statistics , mathematics , disease , infectious disease (medical specialty)
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.