{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T06:00:49Z","timestamp":1792908049681,"version":"4.5.0"},"reference-count":40,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2022,11,21]],"date-time":"2022-11-21T00:00:00Z","timestamp":1668988800000},"content-version":"unspecified","delay-in-days":324,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur. Psychiatr."],"published-print":{"date-parts":[[2022]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0924933822023458_sec1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The COVID-19 pandemic has severely impacted the mental health of children and adolescents. Young people at risk for anorexia nervosa (AN) have been especially shown to be affected. There are no studies that have investigated the respective proportions of hospitalized children, adolescents, and young adults separately as well as of both sexes during the COVID-19 crisis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0924933822023458_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study is based on the administrative data of the largest German statutory health insurance. All children (0\u201314 years) and adolescents (15\u201319 years) with a discharge diagnosis of typical and atypical AN according to the International Classification of Diseases (ICD)-10 were included. Admission rates per 10,000 person-years were calculated separately by sex and age group, based on admission numbers from the 9-month interval from January to September of 2019, 2020, and 2021 and the number of insured persons per sex and age group of each year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0924933822023458_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The entire sample comprised approximately 4.7 million children and adolescents. There was a highly significant increase of 40% (relative risk (RR): 1.4; [1.27, 1.55];\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.0001) in admission rates in the female children\u2019s and the adolescents\u2019 group (RR:1.32; [1.24, 1.41]; p&lt; 0.0001) between the pre-COVID-19 and peri-COVID-19 periods in 2019 and 2021, respectively. Among males, hospitalization rates significantly increased in the children (RR: 1.69; [1.09, 2.62];\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.02).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0924933822023458_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Young people appear to be especially prone to develop AN during a crisis, such as with social isolation and school closures. Home-based or mobile pediatric services should be established to prevent this often chronic and disabling disorder in young patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/j.eurpsy.2022.2345","type":"journal-article","created":{"date-parts":[[2022,11,20]],"date-time":"2022-11-20T20:20:40Z","timestamp":1668975640000},"source":"Crossref","is-referenced-by-count":40,"title":["The youngest are hit hardest: The influence of the COVID-19 pandemic on the hospitalization rate for children, adolescents, and young adults with anorexia nervosa in a large German representative sample"],"prefix":"10.1192","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8450-3323","authenticated-orcid":false,"given":"Beate","family":"Herpertz-Dahlmann","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2618-3920","authenticated-orcid":false,"given":"Astrid","family":"Dempfle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Eckardt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2022,11,21]]},"reference":[{"key":"S0924933822023458_r13","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2021.101573"},{"key":"S0924933822023458_r14","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22949"},{"key":"S0924933822023458_r25","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000739"},{"key":"S0924933822023458_r30","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23318"},{"key":"S0924933822023458_r35","doi-asserted-by":"publisher","DOI":"10.3390\/nu13103668"},{"key":"S0924933822023458_r3","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23353"},{"key":"S0924933822023458_r16","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22840"},{"key":"S0924933822023458_r24","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22402"},{"key":"S0924933822023458_r17","first-page":"33","article-title":"Secondary analysis of qualitative data: an overview","volume":"33","author":"Heaton","year":"2008","journal-title":"Hist Soc Res"},{"key":"S0924933822023458_r21","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-2339"},{"key":"S0924933822023458_r23","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-027339"},{"key":"S0924933822023458_r34","first-page":"4","article-title":"Kinder, Medien und COVID-19","volume":"33","author":"G\u00f6tz","year":"2020","journal-title":"TELEVIZION"},{"key":"S0924933822023458_r1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-021-01889-1"},{"key":"S0924933822023458_r15","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23580"},{"key":"S0924933822023458_r39","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-026691"},{"key":"S0924933822023458_r12","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.37395"},{"key":"S0924933822023458_r10","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2020-319868"},{"key":"S0924933822023458_r36","doi-asserted-by":"publisher","DOI":"10.1111\/jcv2.12009"},{"key":"S0924933822023458_r37","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22467"},{"key":"S0924933822023458_r6","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18052470"},{"key":"S0924933822023458_r5","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2021.725"},{"key":"S0924933822023458_r38","doi-asserted-by":"publisher","DOI":"10.1016\/j.adolescence.2010.01.010"},{"key":"S0924933822023458_r2","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/S2215-0366(20)30570-8","article-title":"Child mental health in England before and during the COVID-19 lockdown","volume":"8","author":"Newlove-Delgado","year":"2021","journal-title":"Lancet Psychiatry"},{"key":"S0924933822023458_r32","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1186\/s13034-022-00482-x","article-title":"Increase in admission rates and symptom severity of childhood and adolescent anorexia nervosa in Europe during the COVID-19 pandemic: data from specialized eating disorder units in different European countries","volume":"16","author":"Gilsbach","year":"2022","journal-title":"Child Adolesc Psychiatry Ment Health"},{"key":"S0924933822023458_r7","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18084251"},{"key":"S0924933822023458_r20","unstructured":"[20] Stevenson, M , Sergeant, E . 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