{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T12:39:53Z","timestamp":1781008793734,"version":"3.54.1"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T00:00:00Z","timestamp":1663632000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"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>There is a growing body of literature suggesting the novel coronavirus pandemic (COVID\u201019) negatively impacts mental health in individuals self\u2010reporting an eating disorder (ED); however, limited pediatric data is available about the impact COVID\u201019 has had on youth with EDs, specifically Anorexia Nervosa (AN). Our study uses a cross\u2010sectional design to explore differences in ED symptoms between adolescents diagnosed with AN during the COVID\u201019 pandemic compared to a retrospective cohort of adolescents for whom these measures were previously collected, prior to the pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We report cross\u2010sectional data assessing differences between AN behaviors and cognitions during the COVID\u201019 pandemic compared to a retrospective cohort (<jats:italic>n<\/jats:italic>\u00a0=\u200925 per cohort) assessed before the pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Results suggest that individuals with a first\u2010time diagnosis of AN during the pandemic had lower percent expected body weight, and more compulsive exercise behaviors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These data support existing pediatric findings in exercise and body weight differences in adolescents with AN before and during the pandemic. Findings may be helpful in informing considerations for providers treating ED patients amidst and after the pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public Significance<\/jats:title><jats:p>This manuscript compares a retrospective cohort of adolescents diagnosed with AN prior to the pandemic to a cohort of adolescents diagnosed with AN during the pandemic. Results report that adolescents diagnosed with AN during the pandemic have lower weights and increased compensatory exercise behavior compared to adolescents diagnosed with AN before the pandemic despite no difference in length of illness. Findings may be helpful in informing considerations for providers treating ED patients amidst and after the pandemic.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23817","type":"journal-article","created":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T10:44:32Z","timestamp":1663670672000},"page":"263-268","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["The <scp>COVID<\/scp>\u201019 pandemic and youth with anorexia nervosa: A retrospective comparative cohort design"],"prefix":"10.1002","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6109-7385","authenticated-orcid":false,"given":"Nandini","family":"Datta","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eliza","family":"Van Wye","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyra","family":"Citron","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8607-5019","authenticated-orcid":false,"given":"Brittany","family":"Matheson","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5169-1484","authenticated-orcid":false,"given":"James D.","family":"Lock","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,9,20]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.37395"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_4_1","volume-title":"Beck anxiety inventory manual","author":"Beck A.","year":"1993"},{"key":"e_1_2_9_5_1","volume-title":"Manual for the Beck depression inventory\u2010II","author":"Beck A.","year":"1996"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00844722"},{"key":"e_1_2_9_7_1","first-page":"S1937","article-title":"The exercise dependence at the time of COVID\u201019 pandemic: The role of psychological stress among adolescents","volume":"16","author":"De Candia M.","year":"2021","journal-title":"Journal of Human Sport and Exercise"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23704"},{"key":"e_1_2_9_9_1","volume-title":"The eating disorder examination (16.0D)","author":"Fairburn C. 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