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At one\u2010year follow\u2010up, we added questions addressing retrospective changes in ED symptoms, treatment, and anxiety\/depression since the start of the COVID\u201019 pandemic. We present descriptive statistics and assess change in ED symptomatology, treatment, and anxiety\/depression among those with an active or lingering ED.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants (US <jats:italic>n<\/jats:italic>\u00a0=\u00a0132; NL <jats:italic>n<\/jats:italic>\u00a0=\u00a0219; SE <jats:italic>n<\/jats:italic>\u00a0=\u00a0702) were mostly young and female with a history of anorexia nervosa (&gt;60% in all three countries). Across countries, respondents reported impact of COVID\u201019 on ED symptoms at both time points, with improvement in US and NL at one\u2010year follow\u2010up, and stable but less impact on ED symptoms in SE. Furthermore, at one\u2010year follow\u2010up, roughly half of those in treatment reported reduced treatment access and quality, and the majority of the sample reported increased anxiety and depressive mood since the start of the pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Our findings suggest that the self\u2010perceived impact of COVID\u201019 changed over time but remained concerning even one year after the start of the pandemic. Clinicians, community organizations, and policy makers are encouraged to address potentially changing treatment needs in the face of public health emergency events.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public Significance<\/jats:title><jats:p>Our findings suggest that the impact of COVID\u201019 on individuals with eating disorders decreased over time but remained concerning even one year after the start of the pandemic and that the impact differed across countries. Clinicians, community organizations, and policy makers are encouraged to incorporate this knowledge to address potentially changing treatment needs in the face of public health emergency events.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23824","type":"journal-article","created":{"date-parts":[[2022,10,14]],"date-time":"2022-10-14T05:56:28Z","timestamp":1665726988000},"page":"80-90","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Longer\u2010term impact of <scp>COVID<\/scp>\u201019 among individuals with self\u2010reported eating disorders in the United States, the Netherlands, and Sweden"],"prefix":"10.1002","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5912-3975","authenticated-orcid":false,"given":"Jet D.","family":"Termorshuizen","sequence":"first","affiliation":[{"name":"Department of Medical Epidemiology and Biostatistics Karolinska Institutet  Stockholm Sweden"},{"name":"GGZ Rivierduinen 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