{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T12:18:22Z","timestamp":1780316302496,"version":"3.54.1"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T00:00:00Z","timestamp":1738540800000},"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":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The COVID\u201019 pandemic was associated with a significant rise in the incidence of anorexia nervosa (AN) and atypical anorexia nervosa (AAN), longer wait times and reduced opportunities for in\u2010person medical services. How these changes affected clinical outcomes among adolescents newly diagnosed with AN\/AAN remains largely unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective analysis of standardized intake and follow\u2010up data from a pediatric eating disorder program to compare clinical outcomes among adolescents newly diagnosed with AN\/AAN during pre\u2010pandemic (July\/2017\u2013December\/2018) and pandemic (July\/2020\u2013December\/2021) periods. Clinical data were collected at the time of diagnosis and at 1\u2010, 3\u2010, 6\u2010, and 12\u2010month intervals. The primary outcomes were unscheduled AN\/AAN\u2010related emergency department visits and need for medical hospitalization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 253 patients were included (pre\u2010pandemic\u2009=\u200977; pandemic\u2009=\u2009176). By 12\u2010months following diagnosis, 18.8% (95% CI 13.3%\u201325.3%) of patients diagnosed during the pandemic had unscheduled AN\/AAN\u2010related emergency department visits, compared to 7.8% (95% CI 2.9%\u201316.2%, <jats:italic>p<\/jats:italic>\u2009=\u20090.03) of those diagnosed pre\u2010pandemic. Medical hospitalization was required more frequently in the pandemic group (35.8%; 95% CI 28.7%\u201343.4%) compared to pre\u2010pandemic (15.6%; 95% CI 8.3%\u201325.6%, <jats:italic>p<\/jats:italic>\u2009=\u20090.001). Mean weight gain at 12\u2010months did not differ between groups (8.1\u2009kg pre\u2010pandemic vs. 8.8\u2009kg pandemic; <jats:italic>p<\/jats:italic>\u2009=\u20090.35) however the mean time to target weight was longer in the pandemic group (2.7 vs. 4.4\u2009months; <jats:italic>p<\/jats:italic>\u2009=\u20090.002).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients newly diagnosed with AN\/AAN during the pandemic had significantly more AN\/AAN\u2010related emergency department visits and hospitalizations and took longer to achieve target weight than those diagnosed pre\u2010pandemic. These findings suggest a more complicated treatment course among adolescents diagnosed with AN\/AAN during the pandemic.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24387","type":"journal-article","created":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T11:59:11Z","timestamp":1738583951000},"page":"802-807","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical Outcomes Among Adolescents Diagnosed With Anorexia Nervosa During the <scp>COVID<\/scp>\u201019 Pandemic"],"prefix":"10.1002","volume":"58","author":[{"given":"Alon","family":"Coret","sequence":"first","affiliation":[{"name":"Division of Adolescent Medicine, Montreal Children's Hospital McGill University Health Centre  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1107-9514","authenticated-orcid":false,"given":"Brett","family":"Burstein","sequence":"additional","affiliation":[{"name":"Division of Pediatric Emergency Medicine, Montreal Children's Hospital McGill University Health Centre  Montreal Quebec Canada"},{"name":"Department of Biostatistics, Epidemiology and Occupational Health McGill University  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3114-3170","authenticated-orcid":false,"given":"Holly","family":"Agostino","sequence":"additional","affiliation":[{"name":"Division of Adolescent Medicine, Montreal Children's Hospital McGill University Health Centre  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,3]]},"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":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.2458"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2745"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjb.2021.73"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2023.115082"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-021-00418-4"},{"key":"e_1_2_11_9_1","unstructured":"Canda PHAo.2021.\u201cCOVID 19 Daily Epidemiology Update.\u201dwww.health\u2010infobase.canada.ca."},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1092852920002011"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11164787"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2762"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20224"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-022-00631-9"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-021-00394-9"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinthera.2020.12.003"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23704"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39335.541782.AD"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23788"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1556\/2006.2020.00053"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-2339"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13034-022-00482-x"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.202303"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-021-01164-x"},{"key":"e_1_2_11_25_1","first-page":"141","article-title":"The Prevalence of Mental Health Outcomes Among Eating Disorder Patients During the COVID\u201019 Pandemic: A Meta\u2010Analysis","volume":"48","author":"Khraisat B. 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