{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T03:57:58Z","timestamp":1784606278329,"version":"3.55.0"},"reference-count":32,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2020,8,28]],"date-time":"2020-08-28T00:00:00Z","timestamp":1598572800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>the aim of this longitudinal study was to evaluate the impact of COVID\u201019 epidemic on Eating Disorders (EDs) patients, considering the role of pre\u2010existing vulnerabilities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>74 patients with Anorexia Nervosa (AN) or Bulimia Nervosa (BN) and 97 healthy controls (HCs) were evaluated before lockdown (T1) and during lockdown (T2). Patients were also evaluated at the beginning of treatment (T0). Questionnaires were collected to assess psychopathology, childhood trauma, attachment style, and COVID\u201019\u2010related post\u2010traumatic symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A different trend between patients and HCs was observed only for pathological eating behaviors. Patients experienced increased compensatory exercise during lockdown; BN patients also exacerbated binge eating. Lockdown interfered with treatment outcomes: the descending trend of ED\u2010specific psychopathology was interrupted during the epidemic in BN patients. Previously remitted patients showed re\u2010exacerbation of binge eating after lockdown. Household arguments and fear for the safety of loved ones predicted increased symptoms during the lockdown. BN patients reported more severe COVID\u201019\u2010related post\u2010traumatic symptomatology than AN and HCs, and these symptoms were predicted by childhood trauma and insecure attachment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>COVID\u201019 epidemic significantly impacted on EDs, both in terms of post\u2010traumatic symptomatology and interference with the recovery process. Individuals with early trauma or insecure attachment were particularly vulnerable.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23368","type":"journal-article","created":{"date-parts":[[2020,8,28]],"date-time":"2020-08-28T15:59:31Z","timestamp":1598630371000},"page":"1855-1862","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":184,"title":["The impact of <scp>COVID<\/scp>\u201019 epidemic on eating disorders: A longitudinal observation of pre versus post psychopathological features in a sample of patients with eating disorders and a group of healthy controls"],"prefix":"10.1002","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1265-491X","authenticated-orcid":false,"given":"Giovanni","family":"Castellini","sequence":"first","affiliation":[{"name":"Psychiatry Unit, Department of Health Sciences University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3623-7096","authenticated-orcid":false,"given":"Emanuele","family":"Cassioli","sequence":"additional","affiliation":[{"name":"Psychiatry Unit, Department of Health Sciences University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4755-3879","authenticated-orcid":false,"given":"Eleonora","family":"Rossi","sequence":"additional","affiliation":[{"name":"Psychiatry Unit, Department of Health Sciences University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Innocenti","sequence":"additional","affiliation":[{"name":"Psychiatry Unit, Department of Health Sciences University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica","family":"Gironi","sequence":"additional","affiliation":[{"name":"Psychiatry Unit, Department of Health Sciences University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Sanfilippo","sequence":"additional","affiliation":[{"name":"Psychiatry Unit, Department of Health Sciences University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"Felciai","sequence":"additional","affiliation":[{"name":"Psychiatry Unit, Department of Health Sciences University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6786-4458","authenticated-orcid":false,"given":"Alessio M.","family":"Monteleone","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Campania \u201cLuigi Vanvitelli\u201d  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valdo","family":"Ricca","sequence":"additional","affiliation":[{"name":"Psychiatry Unit, Department of Health Sciences University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,28]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0145-2134(02)00541-0"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/10538710802329973"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30460-8"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-018-0477-2"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.112934"},{"key":"e_1_2_8_7_1","unstructured":"Dalle Grave R.(2020). 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