{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T06:32:15Z","timestamp":1783837935592,"version":"3.55.0"},"reference-count":58,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T00:00:00Z","timestamp":1759104000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Child Psychol Psychiatry"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Published research on the effects of the COVID-19 pandemic reveals increased eating disorders (EDs), exacerbated conditions, and the reduction in accessibility of already inadequate supports available.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the perspectives of healthcare professionals on the impact of COVID-19 on EDs and ED treatment and service provision for the paediatric population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Semi-structured interviews were completed with participants, and data were analysed using code-book thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>\n                      Participants included 13 healthcare professionals from Ireland with experience working with EDs ranging from 5-21 years (\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      = 11.46,\n                      <jats:italic toggle=\"yes\">SD<\/jats:italic>\n                      = 2.94).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Six themes and fourteen subthemes were established. The first three themes, \u2018Increased severity and frequency of paediatric EDs', \u2018Psychological impact and coping mechanisms\u2019, and \u2018Shifts in epidemiological trends\u2019, identify the impact of the pandemic on the severity and frequency of EDs. The second three themes, \u2018Challenges in accessing ED services\u2019, \u2018Adaptions and innovations in ED treatment\u2019, and \u2018Implication for service provision and healthcare systems\u2019, identify how the pandemic affected treatment and service provision.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications<\/jats:title>\n                    <jats:p>The results emphasise the need for increased funding for ED services, grants for further professional training, and medical practitioners\u2019 education on psychiatric conditions. This study also discovered increased comorbid OCD and ASD presentations since the onset of the pandemic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13591045251385271","type":"journal-article","created":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T18:20:46Z","timestamp":1759170046000},"page":"281-300","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A Qualitative Study of Healthcare Professionals\u2019 Experiences of the Impact of the COVID-19 Pandemic on the Severity of Eating Disorders, and Eating Disorder Treatment and Service Provision in the Paediatric Population"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7059-5378","authenticated-orcid":false,"given":"Sarah","family":"Ford","sequence":"first","affiliation":[{"name":"University College Dublin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4563-8852","authenticated-orcid":false,"given":"Alan","family":"Carr","sequence":"additional","affiliation":[{"name":"University College Dublin"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,29]]},"reference":[{"key":"e_1_3_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.2723"},{"issue":"1","key":"e_1_3_10_3_1","first-page":"233","article-title":"Eating disorders during the COVID-19 pandemic","volume":"114","author":"Barrett E.","year":"2021","unstructured":"Barrett E., Richardson S. C. (2021). Eating disorders during the COVID-19 pandemic. Irish Medical Journal, 114(1), 233. https:\/\/pubmed.ncbi.nlm.nih.gov\/37555843\/","journal-title":"Irish Medical Journal"},{"key":"e_1_3_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4939-7868-7_1"},{"key":"e_1_3_10_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu14091739"},{"key":"e_1_3_10_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-020-00319-y"},{"key":"e_1_3_10_7_1","volume-title":"Thematic analysis: A practical guide","author":"Braun V.","year":"2021","unstructured":"Braun V., Clarke V. (2021). Thematic analysis: A practical guide. Sage."},{"key":"e_1_3_10_8_1","doi-asserted-by":"crossref","unstructured":"Brown S. Opitz M.-C. Peebles A. I. Sharpe H. Duffy F. Newman E. (2021). A qualitative exploration of the impact of COVID-19 on individuals with eating disorders in the UK. Appetite 156 Article 104977. https:\/\/doi.org\/10.1016\/j.appet.2020.104977","DOI":"10.1016\/j.appet.2020.104977"},{"key":"e_1_3_10_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/sgd0000519"},{"key":"e_1_3_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2018.10.005"},{"key":"e_1_3_10_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0706743721994408"},{"key":"e_1_3_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2762"},{"key":"e_1_3_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00103-019-03005-w"},{"issue":"1","key":"e_1_3_10_14_1","first-page":"1","article-title":"Eating disorders during the COVID-19 pandemic and quarantine: An overview of risks and recommendations for treatment and early intervention","volume":"30","author":"Cooper M.","year":"2020","unstructured":"Cooper M., Reilly E. E., Siegel J. A., Coniglio K., Sadeh-Sharvit S., Pisetsky E. M., Anderson L. M. (2020). Eating disorders during the COVID-19 pandemic and quarantine: An overview of risks and recommendations for treatment and early intervention. Eating Disorders, 30(1), 1\u201323. https:\/\/doi.org\/10.1080\/10640266.2020.1790271","journal-title":"Eating Disorders"},{"key":"e_1_3_10_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11162245"},{"issue":"1","key":"e_1_3_10_16_1","first-page":"23704","article-title":"The impact of the COVID\u201019 pandemic on eating disorders: A systematic review","volume":"56","author":"Devoe D.","year":"2022","unstructured":"Devoe D., Han A., Anderson A., Katzman D. K., Patten S. B., Soumbasis A., Flanagan J., Paslakis G., Vyver E., Marcoux G., Dimitropoulos G. (2022). The impact of the COVID\u201019 pandemic on eating disorders: A systematic review. International Journal of Eating Disorders, 56(1), 23704. https:\/\/doi.org\/10.1002\/eat.23704","journal-title":"International Journal of Eating Disorders"},{"key":"e_1_3_10_17_1","volume-title":"Eating disorders model of care - HSE.ie","author":"Eating Disorders Model of Care - HSE","year":"2018","unstructured":"Eating Disorders Model of Care - HSE. (2018). Eating disorders model of care - HSE.ie. HSE.ie. https:\/\/www.hse.ie\/eng\/about\/who\/cspd\/ncps\/mental-health\/eating-disorders\/moc\/"},{"key":"e_1_3_10_18_1","doi-asserted-by":"publisher","DOI":"10.1515\/ijamh-2014-0059"},{"key":"e_1_3_10_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2763"},{"key":"e_1_3_10_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1525822X05279903"},{"key":"e_1_3_10_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.14691"},{"key":"e_1_3_10_22_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu11081932"},{"key":"e_1_3_10_23_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu12040972"},{"key":"e_1_3_10_24_1","volume-title":"The national healthy childhood programme","author":"HSE","unstructured":"HSE. (n.d.). The national healthy childhood programme. HSE.ie. https:\/\/www.hse.ie\/eng\/about\/who\/healthwellbeing\/our-priority-programmes\/child-health-and-wellbeing\/national-healthy-childhood-programmenew.html"},{"key":"e_1_3_10_25_1","doi-asserted-by":"crossref","unstructured":"Hunter R. Gibson C. (2021). Narratives from within \u201clockdown\u201d: A qualitative exploration of the impact of COVID-19 confinement on individuals with anorexia nervosa. Appetite 166 Article 105451. https:\/\/doi.org\/10.1016\/j.appet.2021.105451","DOI":"10.1016\/j.appet.2021.105451"},{"key":"e_1_3_10_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638237.2020.1757052"},{"key":"e_1_3_10_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23575"},{"key":"e_1_3_10_28_1","doi-asserted-by":"publisher","DOI":"10.2147\/AHMT.S148050"},{"key":"e_1_3_10_29_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.926709"},{"key":"e_1_3_10_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-015-0044-4"},{"key":"e_1_3_10_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-016-0766-4"},{"key":"e_1_3_10_32_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1754470X17000162"},{"key":"e_1_3_10_33_1","doi-asserted-by":"publisher","DOI":"10.2196\/26011"},{"key":"e_1_3_10_34_1","unstructured":"Psychiatric nurses association of Ireland. (2023). Hse recruitment freeze will deepen existing nursing staffing crisis in mental health services - The PNA - The psychiatric nurses association of Ireland. https:\/\/www.pna.ie\/index.php\/news\/press-and-media-information\/1354-hse-recruitment-freeze-will-deepen-existing-nursing-staffing-crisis-in-mental-health-services"},{"key":"e_1_3_10_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/09731342231179267"},{"key":"e_1_3_10_36_1","doi-asserted-by":"publisher","DOI":"10.1177\/09731342231179267"},{"key":"e_1_3_10_37_1","volume-title":"Avoidant restrictive food intake disorder. Nih.gov","author":"Ramirez Z.","year":"2024","unstructured":"Ramirez Z., Sasidhar G. (2024). Avoidant restrictive food intake disorder. Nih.gov. StatPearls Publishing. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK603710\/#:\u223c:text=Individuals_with_ARFID_display_avoidance_or_restriction_of"},{"key":"e_1_3_10_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23574"},{"key":"e_1_3_10_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2015.03.004"},{"key":"e_1_3_10_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.976"},{"key":"e_1_3_10_41_1","doi-asserted-by":"crossref","unstructured":"Riquin E. Raynal A. Mattar L. Lalanne C. Hirot F. Huas C. Duclos J. Berthoz S. Godart N. (2021). Is the severity of the clinical expression of anorexia nervosa influenced by an anxiety depressive or obsessive-compulsive comorbidity over a lifetime? Frontiers in Psychiatry 12 Article 658416. https:\/\/doi.org\/10.3389\/fpsyt.2021.658416","DOI":"10.3389\/fpsyt.2021.658416"},{"key":"e_1_3_10_42_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23318"},{"key":"e_1_3_10_43_1","volume-title":"Kaplan & Sadock\u2019s comprehensive textbook of psychiatry","author":"Sadock B. J.","year":"2017","unstructured":"Sadock B. J., Sadock V. A., Ruiz P. (2017). Kaplan & Sadock\u2019s comprehensive textbook of psychiatry (10th ed.). Wolters Kluwer.","edition":"10"},{"key":"e_1_3_10_44_1","volume-title":"Kaplan and sadock\u2019s pocket handbook of clinical psychiatry","author":"Sadock V. A.","year":"2017","unstructured":"Sadock V. A., Sadock B. J. (2017). Kaplan and sadock\u2019s pocket handbook of clinical psychiatry. Wolters Kluwer."},{"key":"e_1_3_10_45_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18052779"},{"key":"e_1_3_10_46_1","doi-asserted-by":"publisher","DOI":"10.2174\/1570159X15666171109145651"},{"key":"e_1_3_10_47_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.01713"},{"key":"e_1_3_10_48_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-021-00429-1"},{"key":"e_1_3_10_49_1","doi-asserted-by":"publisher","DOI":"10.11622\/smedj.2022078"},{"key":"e_1_3_10_50_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19073978"},{"key":"e_1_3_10_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30059-3"},{"key":"e_1_3_10_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/pcn.13160"},{"key":"e_1_3_10_53_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-019-01174-0"},{"key":"e_1_3_10_54_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-021-00437-1"},{"key":"e_1_3_10_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2016.02.048"},{"key":"e_1_3_10_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2019.01.010"},{"key":"e_1_3_10_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2015.06.031"},{"key":"e_1_3_10_58_1","article-title":"ICD-11","author":"World Health Organisation","year":"2022","unstructured":"World Health Organisation. (2022). ICD-11. International Classification of Diseases 11th Revision. https:\/\/icd.who.int\/en","journal-title":"International Classification of Diseases 11th Revision"},{"key":"e_1_3_10_59_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18084251"}],"container-title":["Clinical Child Psychology and Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13591045251385271","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/13591045251385271","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/13591045251385271","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:19:46Z","timestamp":1777385986000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/13591045251385271"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,29]]},"references-count":58,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1177\/13591045251385271"],"URL":"https:\/\/doi.org\/10.1177\/13591045251385271","relation":{},"ISSN":["1359-1045","1461-7021"],"issn-type":[{"value":"1359-1045","type":"print"},{"value":"1461-7021","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,29]]}}}