{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T12:17:12Z","timestamp":1780316232055,"version":"3.54.1"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,9,27]],"date-time":"2021-09-27T00:00:00Z","timestamp":1632700800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100014607","name":"Royal Children's Hospital Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014607","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004752","name":"State Government of Victoria","doi-asserted-by":"publisher","award":["Operational Infrastructure Support Program"],"award-info":[{"award-number":["Operational Infrastructure Support Program"]}],"id":[{"id":"10.13039\/501100004752","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>The coronavirus (COVID\u201019) pandemic has led to increased concerns about adolescent mental health. This study aimed to determine the effect of the pandemic on adolescent eating disorders (EDs) by measuring changes in the number and severity of presentations to an Australian paediatric ED service that utilises a standardised approach to triage and assessment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A 4\u2010year retrospective chart review (2017\u20132020) of all patients (<jats:italic>n<\/jats:italic>\u00a0=\u00a0457) presenting to the Royal Children's Hospital Eating Disorder Service, Melbourne, was undertaken. The incidence of each diagnosis and measures of condition severity were extracted from the database and patient medical records. Clinical comments relating to the impact of COVID\u201019, on both ED behaviours and treatment, were also noted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Annual presentations increased from a mean of 98.7 per annum from 2017 to 2019 to 161 in 2020 (63% increase). COVID\u201019 restrictions were reported to be a trigger for ED behaviours in 40.4% of adolescents diagnosed with anorexia nervosa in 2020. There was no significant difference in severity across years despite increased cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The dramatic increase in presentations has implications for primary health and paediatric care as well as specialist ED services. Increased support is needed for EDs during this time.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.15755","type":"journal-article","created":{"date-parts":[[2021,9,28]],"date-time":"2021-09-28T01:20:31Z","timestamp":1632792031000},"page":"491-496","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["Impact of the coronavirus pandemic on anorexia nervosa and atypical anorexia nervosa presentations to an Australian tertiary paediatric hospital"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9060-4876","authenticated-orcid":false,"given":"Gabriella","family":"Springall","sequence":"first","affiliation":[{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"},{"name":"Clinical Sciences Murdoch Children's Research Institute  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Cheung","sequence":"additional","affiliation":[{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"},{"name":"Clinical Sciences Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Department of Cardiology Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan M","family":"Sawyer","sequence":"additional","affiliation":[{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"},{"name":"Clinical Sciences Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Department of Adolescent Medicine Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Centre for Adolescent Health Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Yeo","sequence":"additional","affiliation":[{"name":"Department of Adolescent Medicine Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9,27]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"World Health Organisation. Statement on the Second Meeting of the International Health Regulations (2005) Emergency Committee Regarding the Outbreak of Novel Coronavirus (2019\u2010nCoV). 2020. Available from:www.who.int\/news\u2010room\/detail\/30\u201001\u20102020\u2010statement\u2010on\u2010the\u2010second\u2010meeting\u2010of\u2010theinternational\u2010healthregulations\u2010(2005)\u2010emergency\u2010committeeregarding\u2010the\u2010outbreak\u2010ofnovel\u2010coronavirus\u2010(2019\u2010ncov)[accessed 30 October 2020]."},{"key":"e_1_2_8_3_1","unstructured":"Victorian State Government Department of Health and Human Services. Victoria's COVID\u201019 restrictions. 2020. Available from:https:\/\/www.dhhs.vic.gov.au\/victorias-restriction-levels-covid-19[accessed 12 January 2021]."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17062032"},{"key":"e_1_2_8_5_1","first-page":"2076","article-title":"The outbreak of COVID\u201019 coronavirus and its impact on global mental health","volume":"16","author":"Torales J","year":"2020","journal-title":"Int. J. Soc. 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Experts say it's putting those with a history of eating disorders at risk","volume":"26","author":"Greenspan R","year":"2020","journal-title":"Insider."},{"key":"e_1_2_8_20_1","first-page":"191","article-title":"How to curb emotional eating during the COVID\u201019 pandemic","volume":"36","author":"Warren CS","year":"2020","journal-title":"Psychol. Today"},{"key":"e_1_2_8_21_1","unstructured":"Australian Institute of Health and Welfare. COVID\u201019: looking back on health in 2020. 2021. 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