{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T02:44:15Z","timestamp":1775184255300,"version":"3.50.1"},"reference-count":47,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2021,12,27]],"date-time":"2021-12-27T00:00:00Z","timestamp":1640563200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Fondo Investigaci\u00f3n Sanitario\u2010FIS","award":["FIS, INT19\/00046, PI17\/01167"],"award-info":[{"award-number":["FIS, INT19\/00046, PI17\/01167"]}]},{"DOI":"10.13039\/501100003329","name":"Ministerio de Econom\u00eda y Competitividad","doi-asserted-by":"publisher","award":["PSI2015\u201068701\u2010R"],"award-info":[{"award-number":["PSI2015\u201068701\u2010R"]}],"id":[{"id":"10.13039\/501100003329","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Portuguese Foundation for Science and Technology grant","award":["POCI\u201001\u20100145\u2010FEDER\u2010028145"],"award-info":[{"award-number":["POCI\u201001\u20100145\u2010FEDER\u2010028145"]}]},{"DOI":"10.13039\/501100003141","name":"Consejo Nacional de Ciencia y Tecnolog\u00eda","doi-asserted-by":"publisher","award":["None"],"award-info":[{"award-number":["None"]}],"id":[{"id":"10.13039\/501100003141","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002809","name":"Generalitat de Catalunya","doi-asserted-by":"publisher","award":["None"],"award-info":[{"award-number":["None"]}],"id":[{"id":"10.13039\/501100002809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008530","name":"European Regional Development Fund","doi-asserted-by":"publisher","award":["None"],"award-info":[{"award-number":["None"]}],"id":[{"id":"10.13039\/501100008530","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background. The COVID-19 lockdown has had a significant impact on mental health. Patients with eating disorders (ED) have been particularly vulnerable. Aims. (1) To explore changes in eating-related symptoms and general psychopathology during lockdown in patients with an ED from various European and Asian countries; and (2) to assess differences related to diagnostic ED subtypes, age, and geography. Methods. The sample comprised 829 participants, diagnosed with an ED according to DSM-5 criteria from specialized ED units in Europe and Asia. Participants were assessed using the COVID-19 Isolation Scale (CIES). Results. Patients with binge eating disorder (BED) experienced the highest impact on weight and ED symptoms in comparison with other ED subtypes during lockdown, whereas individuals with other specified feeding and eating disorders (OFSED) had greater deterioration in general psychological functioning than subjects with other ED subtypes. Finally, Asian and younger individuals appeared to be more resilient. Conclusions. The psychopathological changes in ED patients during the COVID-19 lockdown varied by cultural context and individual variation in age and ED diagnosis. Clinical services may need to target preventive measures and adapt therapeutic approaches for the most vulnerable patients.<\/jats:p>","DOI":"10.3390\/nu14010100","type":"journal-article","created":{"date-parts":[[2021,12,28]],"date-time":"2021-12-28T01:20:43Z","timestamp":1640654443000},"page":"100","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Impact of COVID-19 Lockdown in Eating Disorders: A Multicentre Collaborative International Study"],"prefix":"10.3390","volume":"14","author":[{"given":"Isabel","family":"Baenas","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain"},{"name":"CIBER Fisiopatolog\u00eda Obesidad y Nutrici\u00f3n (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain"},{"name":"Psychoneurobiology of Eating and Addictive Behaviors Group, Neurosciences Programme, Bellvitge Biomedical Research Institute (IDIBELL), 08908 Barcelona, Spain"}]},{"given":"Mikel","family":"Etxandi","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9751-810X","authenticated-orcid":false,"given":"Lucero","family":"Mungu\u00eda","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain"},{"name":"CIBER Fisiopatolog\u00eda Obesidad y Nutrici\u00f3n (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain"},{"name":"Psychoneurobiology of Eating and Addictive Behaviors Group, Neurosciences Programme, Bellvitge Biomedical Research Institute (IDIBELL), 08908 Barcelona, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6308-3198","authenticated-orcid":false,"given":"Roser","family":"Granero","sequence":"additional","affiliation":[{"name":"CIBER Fisiopatolog\u00eda Obesidad y Nutrici\u00f3n (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain"},{"name":"Psychoneurobiology of Eating and Addictive Behaviors Group, Neurosciences Programme, Bellvitge Biomedical Research Institute (IDIBELL), 08908 Barcelona, Spain"},{"name":"Department of Psychobiology and Methodology, School of Psychology, Universitat Aut\u00f2noma de Barcelona, 08193 Barcelona, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5345-0484","authenticated-orcid":false,"given":"Gemma","family":"Mestre-Bach","sequence":"additional","affiliation":[{"name":"Facultad de Ciencias de la Salud, Universidad Internacional de La Rioja, 26006 La Rioja, Spain"}]},{"given":"Isabel","family":"S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain"},{"name":"CIBER Fisiopatolog\u00eda Obesidad y Nutrici\u00f3n (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain"},{"name":"Psychoneurobiology of Eating and 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L.","family":"Moize","sequence":"additional","affiliation":[{"name":"Endocrinology and Nutrition Division, Hospital Clinic and Institut d\u2019Investigacions Biom\u00e8diques August Pi Sunyer (IDIBAPS), 08036 Barcelona, Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Diabetes y Enfermedades Metab\u00f3licas Asociadas (CIBERDEM), 28029 Madrid, Spain"}]},{"given":"Jose-Manuel","family":"Fern\u00e1ndez-Real","sequence":"additional","affiliation":[{"name":"CIBER Fisiopatolog\u00eda Obesidad y Nutrici\u00f3n (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain"},{"name":"Unit of Diabetes, Endocrinology and Nutrition, Hospital de Girona Dr. Josep Trueta-Institut d\u2019Investigaci\u00f3 Biom\u00e8dica de Girona (IDIBGI), 17007 Girona, Spain"},{"name":"Department of Medical Sciences, School of Medicine, University of Girona, 17004 Girona, Spain"}]},{"given":"Francisco J.","family":"Tinahones","sequence":"additional","affiliation":[{"name":"CIBER Fisiopatolog\u00eda Obesidad y Nutrici\u00f3n (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain"},{"name":"Department of Endocrinology and Nutrition, Virgen de la Victoria University Hospital-Instituto de Investigaci\u00f3n Biom\u00e9dica de M\u00e1laga (IBIMA), 29010 M\u00e1laga, Spain"}]},{"given":"Carlos","family":"Di\u00e9guez","sequence":"additional","affiliation":[{"name":"CIBER Fisiopatolog\u00eda Obesidad y Nutrici\u00f3n (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain"},{"name":"Department of Physiology, CIMUS, University of Santiago de Compostela-Instituto de Investigaci\u00f3n Sanitaria, 15782 Santiago de Compostela, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8305-7154","authenticated-orcid":false,"given":"Gema","family":"Fr\u00fchbeck","sequence":"additional","affiliation":[{"name":"CIBER Fisiopatolog\u00eda Obesidad y Nutrici\u00f3n (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain"},{"name":"Metabolic Research 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Ukraine"}]},{"given":"Jue","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, 280, Shanghai 200030, China"}]},{"given":"Katie","family":"Rowlands","sequence":"additional","affiliation":[{"name":"Section of Eating Disorders, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King\u2019s College London, London WC2R 2LS, UK"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0261-3145","authenticated-orcid":false,"given":"Ulrich","family":"Voderholzer","sequence":"additional","affiliation":[{"name":"Sch\u00f6n Klinik Roseneck, 83209 Prien am Chiemsee, Germany"}]},{"given":"Alessio M.","family":"Monteleone","sequence":"additional","affiliation":[{"name":"Dipartimento di Salute Mentale e Fisica e Medicina Preventiva, Universit\u00e1 degli Studi della Campania \u201cLuigi Vanvitelli\u201d, 80138 Naples, 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Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2968-9898","authenticated-orcid":false,"given":"Fernando","family":"Fern\u00e1ndez-Aranda","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Bellvitge University Hospital-IDIBELL, 08907 Barcelona, Spain"},{"name":"CIBER Fisiopatolog\u00eda Obesidad y Nutrici\u00f3n (CIBERobn), Instituto de Salud Carlos III, 28029 Barcelona, Spain"},{"name":"Psychoneurobiology of Eating and Addictive Behaviors Group, Neurosciences Programme, Bellvitge Biomedical Research Institute (IDIBELL), 08908 Barcelona, Spain"},{"name":"Department of Clinical Sciences, School of Medicine and Health Sciences, University of Barcelona, 08907 Barcelona, Spain"}]}],"member":"1968","published-online":{"date-parts":[[2021,12,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1016\/j.bbi.2020.05.040","article-title":"Mental health consequences during the initial stage of the 2020 Coronavirus pandemic 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