{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T19:33:10Z","timestamp":1774467190793,"version":"3.50.1"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2024,3,16]],"date-time":"2024-03-16T00:00:00Z","timestamp":1710547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,16]],"date-time":"2024-03-16T00:00:00Z","timestamp":1710547200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001631","name":"University College Dublin","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001631","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ir J Med Sci"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>COVID-19 saw an increase in child mental health presentations internationally. Clinicians analogised the exponential increase in anorexia nervosa to a \u2018tsunami\u2019 or \u2018outbreak\u2019, raising parallel concerns regarding medical and psychological risks (Marsh in The Guardian, 2021; Leask in NZ Herald, 2021; Monteleone et al. in Eat Weight Disord 26(8):2443\u20132452, 2021)\u00a0. It is unclear whether Ireland emulated this picture of increased referrals with increased medical compromise.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Aims<\/jats:title>\n                <jats:p>This paper examines both rates and clinical profiles of child eating disorder presentations in the Republic of Ireland (ROI), across different clinical settings.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Following ethical approval, retrospective chart reviews were conducted in a community eating disorder service and in two paediatric hospital settings. The time frame of the different studies ranged from January 2016 to December 2022.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Community eating disorder services saw significantly higher referral rates post COVID-19 (3.78\/month vs. 2.31\/month, <jats:italic>p<\/jats:italic>\u2009=\u20090.02), with a shorter duration of illness (4.8\u00a0months vs. 7.4\u00a0months, <jats:italic>p<\/jats:italic>\u2009=\u20090.001), but no significant difference in ideal body weight % (IBW%) at referral (85.32% vs. 83.7%, <jats:italic>p<\/jats:italic>\u2009=\u20090.1). Both paediatric hospitals witnessed significantly increased referrals post-COVID-19 (hospital 1; 4.38\/month vs. 1.93\/month, <jats:italic>p<\/jats:italic>\u2009=\u20090.0001; hospital 2; 2.8\/month vs. 0.92\/month, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001), but no significant difference in IBW% at assessment (hospital 1; 82.7% vs. 81.39%, <jats:italic>p<\/jats:italic>\u2009=\u20090.673; hospital 2; 81.5% vs. 83%, <jats:italic>p<\/jats:italic>\u2009=\u20090.563). There was no significant difference in clinical profile, management, or duration of hospital stay.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This study supports the growing consensus of a pandemic specific increase in eating disorder referrals to both medical and psychiatry services. However, there was little to indicate a change in clinical profile or severity. Ongoing monitoring of referrals is necessary to ensure adequate service availability and expertise.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s11845-024-03649-x","type":"journal-article","created":{"date-parts":[[2024,3,16]],"date-time":"2024-03-16T06:02:11Z","timestamp":1710568931000},"page":"1939-1944","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Eating disorders and COVID-19 - different or just more?"],"prefix":"10.1007","volume":"193","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0217-527X","authenticated-orcid":false,"given":"Cathal","family":"Rafferty","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"O\u2019Donnell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sally","family":"Campbell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bohan","family":"Sun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenny","family":"King","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zeinab","family":"Ali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diarmuid","family":"Lynch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Barrett","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Richardson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Clifford","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiona","family":"McNicholas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,3,16]]},"reference":[{"key":"3649_CR1","unstructured":"Marsh S (2021) Doctors warn of \u201ctsunami\u201d of pandemic eating disorders. 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The collection of data from the CAMHS Specialist ED Service received ethical approval from the St John of God Hospitaller Services Group Research Ethics Committee (ID 827). The collection of data from CHI Crumlin received approval from the CHI Ethics (Medical Research) Committee (Ref: GEN\/918\/21). The collection of data from CHI Temple St received approval from the CHI Ethics (Medical Research) Committee.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}