{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T04:08:40Z","timestamp":1741838920622,"version":"3.38.0"},"reference-count":47,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,12,6]],"date-time":"2024-12-06T00:00:00Z","timestamp":1733443200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004359","name":"Vetenskapsr\u00e5det","doi-asserted-by":"publisher","award":["538\u20102013\u20108864"],"award-info":[{"award-number":["538\u20102013\u20108864"]}],"id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01MH120170"],"award-info":[{"award-number":["R01MH120170"]}],"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":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The COVID\u201019 pandemic caused millions of deaths worldwide and significantly impacted people with eating disorders, exacerbating symptoms and limiting access to care. This study examined the association between COVID\u201019 death\u2010related loss\u2014defined as the death of a family member, friend, or acquaintance due to COVID\u201019\u2014and mental health among people with preexisting eating disorders in the United States (US), the Netherlands, and Sweden.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Participants with a history of eating disorders completed a baseline survey early in the pandemic (US: <jats:italic>N<\/jats:italic>\u2009=\u2009511; Netherlands: <jats:italic>N<\/jats:italic>\u2009=\u2009510; Sweden: <jats:italic>N<\/jats:italic>\u2009=\u2009982) and monthly (US, the Netherlands) or biannual (Sweden) follow\u2010ups from April 2020 to May 2021. The surveys assessed pandemic impact on eating disorder\u2010related behaviors and concerns, anxiety, depression, sleep disturbances, and COVID\u201019\u2010related deaths. A matched nested case\u2013control design was used to compare individuals experiencing a death\u2010related loss with matched controls.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A substantial proportion experienced a COVID\u201019 death\u2010related loss (US: 33%; Netherlands: 39%; Sweden:\u00a017%).\u00a0No\u00a0significant differences were found between cases and controls on eating disorder, anxiety, depression, or sleep outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Despite the expected influence of COVID\u201019 death\u2010related loss on mental health, our study found no significant association. Reactions to pandemics may be highly individual, and practitioners may want to consider broader losses\u2014such as bereavement, missed educational experiences, relationship disruptions, financial instability, and employment challenges\u2014when addressing patients' needs. Future research should continue to explore how death\u2010related loss impacts eating disorder risk and progression.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24347","type":"journal-article","created":{"date-parts":[[2024,12,6]],"date-time":"2024-12-06T12:50:26Z","timestamp":1733489426000},"page":"427-439","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mental Health After <scp>COVID<\/scp>\u201019 Death\u2010Related Loss in Individuals With Eating Disorders: A Multi\u2010Country Nested\u00a0Matched Case\u2013Control Study"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5486-9647","authenticated-orcid":false,"given":"Kayla","family":"Costello","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"},{"name":"Department of Psychology State University of New York, University at Albany  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Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1358-3917","authenticated-orcid":false,"given":"Rachel W.","family":"Goode","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"},{"name":"School of Social Work University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5912-3975","authenticated-orcid":false,"given":"Jet D.","family":"Termorshuizen","sequence":"additional","affiliation":[{"name":"Department of Medical Epidemiology and Biostatistics Karolinska Institutet  Stockholm Sweden"},{"name":"Rivierduinen Eating Disorders Ursula  Leiden The 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