{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T01:34:22Z","timestamp":1784770462132,"version":"3.55.0"},"reference-count":26,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,6,30]],"date-time":"2024-06-30T00:00:00Z","timestamp":1719705600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>An unprecedented rise in eating disorder presentations has been documented in several countries during the COVID\u201019 pandemic. We explored this phenomenon by analyzing nationwide psychiatric admissions over 5\u2009years, controlling for demographic variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively analyzed all hospitalizations in New Zealand with a primary psychiatric diagnosis from 2017 to 2021, using Poisson regression to calculate admission rates by diagnosis, before and during the pandemic. Using Fisher's exact test and Poisson modeling, national data were validated against a manually collected sample of eating disorder admissions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eating disorder admissions rose significantly during the pandemic (RR 1.48, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001), while other diagnoses remained unchanged or decreased slightly. Anorexia nervosa in 10 to 19\u2010year\u2010old females drove increases, with persistent elevations noted in the 10\u201314 age group. Pandemic\u2010associated increases were more striking for M\u0101ori (RR 2.55), the indigenous Polynesian population, compared with non\u2010M\u0101ori (RR 1.43).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Eating disorder hospital presentations increased during the COVID\u201019 pandemic, while other psychiatric presentations to hospital remained relatively unchanged. Possible drivers include disrupted routines, barriers to healthcare access, altered social networks, and increased social media use. Clinical services require additional resources to manage the increased disease burden, especially in vulnerable pediatric and indigenous populations. Ongoing monitoring will be required to establish the time\u2010course of pandemic\u2010related clinical demand.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24237","type":"journal-article","created":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T05:30:03Z","timestamp":1719811803000},"page":"1890-1898","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Eating Disorder and Other Psychiatric Hospitalizations in New Zealand During the <scp>COVID<\/scp>\u201019 Pandemic"],"prefix":"10.1002","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2441-6938","authenticated-orcid":false,"given":"Sara J.","family":"Hansen","sequence":"first","affiliation":[{"name":"Faculty of Medical and Health Sciences, Department of Psychological Medicine University of Auckland  Auckland New Zealand"},{"name":"Te Whatu Ora  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4106-1435","authenticated-orcid":false,"given":"Jessica","family":"McLay","sequence":"additional","affiliation":[{"name":"Department of Statistics University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3760-7896","authenticated-orcid":false,"given":"David B.","family":"Menkes","sequence":"additional","affiliation":[{"name":"Faculty of Medical and Health Sciences, Department of Psychological Medicine University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.37395"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(23)00113-X"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.74"},{"key":"e_1_2_11_5_1","volume-title":"Hauora: M\u0101ori Standards of Health IV: A Study of the Years 2000\u20132005","author":"Baxter J.","year":"2007"},{"issue":"16","key":"e_1_2_11_6_1","doi-asserted-by":"crossref","DOI":"10.3390\/jcm11164787","article-title":"Hospitalizations for Anorexia Nervosa During the COVID\u201019 Pandemic in France: A Nationwide Population\u2010Based Study","volume":"11","author":"Chauvet\u2010Gelinier J. 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S.","year":"2022","journal-title":"International Journal of Environmental Research and Public Health"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20810"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-022-04773-5"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2022.01.033"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23372"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.926709"},{"key":"e_1_2_11_21_1","unstructured":"New Zealand Doctor.2023.\u201cTimeline \u2010 Coronavirus.\u201dhttps:\/\/www.nzdoctor.co.nz\/timeline\u2010coronavirus."},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22949"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/acps.13369"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2016.03.021"},{"key":"e_1_2_11_25_1","unstructured":"StatsNZ.2023.\u201cEstimated Population of NZ: New Zealand Government.\u201dhttps:\/\/www.stats.govt.nz\/indicators\/population\u2010of\u2010nz\/."},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.22079"},{"key":"e_1_2_11_27_1","first-page":"262","article-title":"Incidence and Outcomes of Eating Disorders During the COVID\u201019 Pandemic","volume":"1","author":"Taquet M.","year":"2021","journal-title":"British Journal of Psychiatry"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.24237","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T13:27:19Z","timestamp":1729085239000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.24237"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,30]]},"references-count":26,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1002\/eat.24237"],"URL":"https:\/\/doi.org\/10.1002\/eat.24237","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,30]]},"assertion":[{"value":"2024-01-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}