{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T14:23:50Z","timestamp":1775571830186,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,7,30]],"date-time":"2022-07-30T00:00:00Z","timestamp":1659139200000},"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":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>We aimed to identify trends of patients with eating disorders (EDs) requiring hospitalization before and during the pandemic at a children's hospital in the southeastern United States.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A retrospective chart review was completed for 71 adolescents and young adults (ages 10\u201321\u2009years; M\u00a0=\u00a014.61, <jats:italic>SD<\/jats:italic>\u00a0=\u00a02.121).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Results indicated a 188% increase in ED hospital admissions since the pandemic, with patients presenting with increased rates of comorbid mental health diagnoses (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.009). During COVID\u201019, the development of temporary outpatient multidisciplinary discharge plans (i.e., \u201cbridge plans\u201d) were utilized more often due to difficulties accessing the appropriate level of care (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.039).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Results suggest a significant increase in youth requiring medical stabilization for EDs since the start of the COVID\u201019 pandemic (2.9 times more than prepandemic), as well as a need for greater advocacy to increase specialized mental health services along the full continuum of care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public Significance Statement<\/jats:title><jats:p>This study brings awareness to the significant increase in patients needing medical stabilization secondary to restrictive EDs and increased rates of comorbid mental health diagnoses in this patient population since the onset of the COVID\u201019 pandemic. Patients during COVID\u201019 were less likely to directly transition to treatment likely secondary to the strain COVID\u201019 placed on mental health systems\/treatment centers. Increased advocacy for specialized care for eating disorder patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23788","type":"journal-article","created":{"date-parts":[[2022,7,30]],"date-time":"2022-07-30T20:52:29Z","timestamp":1659214349000},"page":"257-262","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["The impact of <scp>COVID<\/scp>\u201019 on adolescents with eating disorders: Increased need for medical stabilization and decreased access to care"],"prefix":"10.1002","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0981-250X","authenticated-orcid":false,"given":"Marissa A.","family":"Feldman","sequence":"first","affiliation":[{"name":"Division of Psychology Johns Hopkins All Children's Hospital  St. Petersburg Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3995-2020","authenticated-orcid":false,"given":"Callie K.","family":"King","sequence":"additional","affiliation":[{"name":"Division of Psychology Johns Hopkins All Children's Hospital  St. Petersburg Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6207-4492","authenticated-orcid":false,"given":"Sarah","family":"Vitale","sequence":"additional","affiliation":[{"name":"Division of Behavioral Medicine and Clinical Psychology Cincinnati Children's Hospital Medical Center  Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2844-1153","authenticated-orcid":false,"given":"Brenna","family":"Denhardt","sequence":"additional","affiliation":[{"name":"Division of Nutrition, Johns Hopkins All Children's Hospital  St. Petersburg Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Stroup","sequence":"additional","affiliation":[{"name":"Division of Social Work, Johns Hopkins All Children's Hospital  St. Petersburg Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4176-263X","authenticated-orcid":false,"given":"Jasmine","family":"Reese","sequence":"additional","affiliation":[{"name":"Division of General Pediatrics and Adolescent Medicine, Johns Hopkins All Children's Hospital  St. Petersburg Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0097-6199","authenticated-orcid":false,"given":"Sarah","family":"Stromberg","sequence":"additional","affiliation":[{"name":"Division of Psychology Johns Hopkins All Children's Hospital  St. Petersburg Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,7,30]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"American Academy of Pediatrics(2021).AAP AACAP CHA declare national emergency in children's mental health.https:\/\/publications.aap.org\/aapnews\/news\/17718\/AAP-AACAP-CHA-declare-national-emergency-in?autologincheck=redirected"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/0-387-23864-6_5"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2014.10.259"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2763"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(20)30168-1"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2234"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpa.2020.11.009"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2021.05.019"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23640"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-020-01332-9"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2021-052201"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-017-0134-6"},{"key":"e_1_2_9_14_1","doi-asserted-by":"crossref","unstructured":"Spettigue W. Obeid N. Erbach M. Feder S. Finner N. Harrison M. E. Isserlin L. Robinson A. &Norris M. L.(2021).The impact of COVID\u201019 on adolescents with eating disorders: A cohort study.https:\/\/doi.org\/10.21203\/rs.3.rs-232482\/v1","DOI":"10.21203\/rs.3.rs-232482\/v1"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1037\/trm0000345"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/pediatric14010010"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-021-00437-1"},{"key":"e_1_2_9_18_1","unstructured":"World Health Organization. (2020).WHO director\u2010General's opening remarks at the media briefing on COVID\u201019\u201011 March 2020."}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.23788","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/eat.23788","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.23788","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T15:54:12Z","timestamp":1692546852000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.23788"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,30]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1002\/eat.23788"],"URL":"https:\/\/doi.org\/10.1002\/eat.23788","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,30]]},"assertion":[{"value":"2022-06-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-07-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}