{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T22:26:19Z","timestamp":1782944779604,"version":"3.54.5"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,7,9]],"date-time":"2020-07-09T00:00:00Z","timestamp":1594252800000},"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":["Euro Eating Disorders Rev"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This qualitative study explores the ways in which the coronavirus disease 2019 (COVID\u201019) pandemic and associated lockdown measures have affected the lives of adult patients with anorexia nervosa (AN) and their carers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Semi\u2010structured interviews were conducted with patients with AN (<jats:italic>n<\/jats:italic> =\u200921) and carers (<jats:italic>n<\/jats:italic> =\u200928) from the start of UK Government imposed lockdown. Data related directly to the impact of lockdown and COVID\u201019 were analysed using thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four broad themes were identified for patients and carers separately. Patients experienced: 1. reduced access to eating disorder (ED) services; 2. disruption to routine and activities in the community; 3. heightened psychological distress and ED symptoms; 4. increased attempts at self\u2010management in recovery. Carer themes included: 1. concern over provision of professional support for patients; 2. increased practical demands placed on carers in lockdown; 3. managing new challenges around patient wellbeing; 4. new opportunities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Reduced access to ED services, loss of routine and heightened anxieties and ED symptoms resulting from COVID\u201019 and lockdown measures presented challenges for patients and carers. Increased remote support by ED services enabled the continuation of treatment and self\u2010management resources and strategies promoted self\u2010efficacy in both groups.<\/jats:p><\/jats:sec>","DOI":"10.1002\/erv.2762","type":"journal-article","created":{"date-parts":[[2020,7,9]],"date-time":"2020-07-09T09:08:10Z","timestamp":1594285690000},"page":"826-835","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":75,"title":["Exploring the ways in which <scp>COVID<\/scp>\u201019 and lockdown has affected the lives of adult patients with anorexia nervosa and their carers"],"prefix":"10.1002","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6422-7306","authenticated-orcid":false,"given":"Danielle","family":"Clark Bryan","sequence":"first","affiliation":[{"name":"Institute of Psychiatry, Psychology and Neuroscience, Department of Psychological Medicine, Section of Eating Disorders King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Macdonald","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Psychology and Neuroscience, Department of Psychological Medicine, Section of Eating Disorders King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7975-1971","authenticated-orcid":false,"given":"Suman","family":"Ambwani","sequence":"additional","affiliation":[{"name":"Department of Psychology Dickinson College  Carlisle Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7763-7099","authenticated-orcid":false,"given":"Valentina","family":"Cardi","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Psychology and Neuroscience, Department of Psychological Medicine, Section of Eating Disorders King's College London  London UK"},{"name":"Department of General Psychology University of Padova  Padova Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9671-4344","authenticated-orcid":false,"given":"Katie","family":"Rowlands","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Psychology and Neuroscience, Department of Psychological Medicine, Section of Eating Disorders King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6972-4862","authenticated-orcid":false,"given":"Daniel","family":"Willmott","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Psychology and Neuroscience, Department of Psychological Medicine, Section of Eating Disorders King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0871-4596","authenticated-orcid":false,"given":"Janet","family":"Treasure","sequence":"additional","affiliation":[{"name":"Institute of Psychiatry, Psychology and Neuroscience, Department of Psychological Medicine, Section of Eating Disorders King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,7,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540261.2019.1588711"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2014.06.001"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30460-8"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2542"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2020.03.037"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2738"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/21662630.2014.894470"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1192\/j.eurpsy.2020.35"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2020.03.041"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjpo.bp.115.000273"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2540"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(20)30168-1"},{"key":"e_1_2_8_16_1","series-title":"A Guide for Students and Practitioners","first-page":"209","volume-title":"Qualitative Research Methods in Mental Health and Psychotherapy","author":"Joffe H.","year":"2012"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2019.05.001"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(20)30077-8"},{"key":"e_1_2_8_19_1","unstructured":"National Institute for Health and Care Excellence. 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