{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:58:04Z","timestamp":1787025484188,"version":"build-2736575974"},"reference-count":27,"publisher":"IMR Press","issue":"4","license":[{"start":{"date-parts":[[2022,10,14]],"date-time":"2022-10-14T00:00:00Z","timestamp":1665705600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Front. Biosci. (Schol Ed)"],"abstract":"<jats:p>Background: Since the beginning of COVID-19 pandemic, an increase in new diagnoses and pediatric hospital admission for anorexia nervosa (AN) or atypical AN in adolescents have been reported, suggesting an adverse effect of COVID-19 on youth mental health. We hypothesized possible differences in prevalence of hospitalization and\/or disease severity, related to socio-economic status and\/or ethnicity. Methods: Retrospectively, patients were divided into two subgroups and compared according to the date of first hospital admission: \u201cpre SARS-COV2 era\u201d group (n. 45, 8th March 2016\u20138th March 2020) and \u201cSARS-COV2 era\u201d group (n. 43, 9th March 2020\u20138th March 2022). Results: During the two years of the SARS-COV2 era, we reported an increase in hospital admission incidence more than doubled respect to the \u201cpre-SARS-COV2 era\u201d. The \u201cSARS-COV2 era group\u201d showed a more rapid weight loss (p = 0.005), a minor duration of weight loss from lifetime maximum to admission (p = 0.019) and needed most frequently treatments with intravenous fluids (p &lt; 0.0001), oral dietetic supplements (p &lt;0.001) and enteral nutrition by nasogastric tube (p = 0.002). The same group presented higher prevalence of psychiatric comorbidities (63% vs. 22%, p &lt; 0.0001) and required most frequently treatments with psychotropic drugs (56% vs. 24%, p = 0.002). We found higher family socioeconomic status (SES) in our patients with AN in both the periods and we did not find a shift in social class distribution over time. Conclusions: Our study confirms a significant increase in incidence of hospitalization and of psychiatric comorbidity in the pediatric population with AN during the second year of COVID-19 pandemic, regardless of SES or ethnic background. Further studies are needed to understand potential mechanisms that during COVID-19 pandemic trigger eating disorder symptoms.<\/jats:p>","DOI":"10.31083\/j.fbs1404028","type":"journal-article","created":{"date-parts":[[2022,10,17]],"date-time":"2022-10-17T05:19:45Z","timestamp":1665983985000},"source":"Crossref","is-referenced-by-count":13,"title":["Disease Characteristics and Psychiatric Comorbidities in Adolescents with Anorexia Nervosa Hospitalized During COVID-19 Pandemic"],"prefix":"10.31083","volume":"14","author":[{"given":"Martina","family":"Girardi","sequence":"first","affiliation":[{"name":"Pediatric Department, S. Chiara General Hospital, 38122 Trento, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Assalone","sequence":"first","affiliation":[{"name":"Provincial Centre for Eating Disorders, 38122 Trento, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelina","family":"Maines","sequence":"first","affiliation":[{"name":"Pediatric Department, S. Chiara General Hospital, 38122 Trento, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aldo","family":"Genovese","sequence":"first","affiliation":[{"name":"Provincial Centre for Eating Disorders, 38122 Trento, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aldo","family":"Naselli","sequence":"first","affiliation":[{"name":"Pediatric Department, S. Chiara General Hospital, 38122 Trento, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Nai Fovino","sequence":"first","affiliation":[{"name":"Pediatric Department, S. Chiara General Hospital, 38122 Trento, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Soffiati","sequence":"first","affiliation":[{"name":"Pediatric Department, S. Chiara General Hospital, 38122 Trento, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Franceschi","sequence":"first","affiliation":[{"name":"Pediatric Department, S. Chiara General Hospital, 38122 Trento, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"16242","published-online":{"date-parts":[[2022,10,14]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"McDonnell T, Conlon C, McNicholas F, Barrett E, Barrett M, Cummins F, et al. 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