COVID Isolation Eating Scale (CIES): Analysis of the impact of confinement in eating disorders and obesity-A collaborative international study
Fernando Fernández-Aranda 1 2 3 , Lucero Munguía 1 3 , Gemma Mestre-Bach 1 4 , Trevor Steward 5 , Mikel Etxandi 1 , Isabel Baenas 1 2 , Roser Granero 2 6 , Isabel Sánchez 1 2 , Emilio Ortega 7 8 , Alba Andreu 7 , Violeta L Moize 7 8 , Jose M Fernández-Real 2 9 , Francisco J Tinahones 2 10 , Carlos Diegüez 2 11 , Gema Frühbeck 2 12 , Daniel Le Grange 13 , Kate Tchanturia 14 15 , Andreas Karwautz 16 , Michael Zeiler 16 , Angela Favaro 17 , Laurence Claes 18 19 , Koen Luyckx 19 20 , Ia Shekriladze 15 , Eduardo Serrano-Troncoso 21 , Teresa Rangil 22 23 , Maria Eulalia Loran Meler 22 , Jose Soriano-Pacheco 24 25 , Mar Carceller-Sindreu 24 25 , Sara Bujalance-Arguijo 26 , Meritxell Lozano 27 , Raquel Linares 27 , Carlota Gudiol 3 28 29 , Jordi Carratala 3 28 29 , Jessica Sanchez-Gonzalez 1 , Paulo Pp Machado 30 , Anders Håkansson 31 32 , Ferenc Túry 33 , Bea Pászthy 33 34 , Daniel Stein 35 , Hana Papezová 36 , Brigita Bax 37 , Mikhail F Borisenkov 38 , Sergey V Popov 38 , Youl-Ri Kim 39 , Michiko Nakazato 40 , Nathalie Godart 41 42 43 , Robert van Voren 44 , Tetiana Ilnytska 45 , Jue Chen 46 , Katie Rowlands 14 , Janet Treasure 14 , Susana Jiménez-Murcia 1 2 3
Confinement during the COVID-19 pandemic is expected to have a serious and complex impact on the mental health of patients with an eating disorder (ED) and of patients with obesity.
The present manuscript has the following aims: (1) to analyse the psychometric properties of the COVID Isolation Eating Scale (CIES), (2) to explore changes that occurred due to confinement in eating symptomatology; and (3) to explore the general acceptation of the use of telemedicine during confinement.
The sample comprised 121 participants (87 ED patients and 34 patients with obesity) recruited from six different centres. Confirmatory Factor Analyses (CFA) tested the rational-theoretical structure of the CIES.
Adequate goodness-of-fit was obtained for the confirmatory factor analysis, and Cronbach alpha values ranged from good to excellent. Regarding the effects of confinement, positive and negative impacts of the confinement depends of the eating disorder subtype.
Patients with anorexia nervosa (AN) and with obesity endorsed a positive response to treatment during confinement, no significant changes were found in bulimia nervosa (BN) patients, whereas Other Specified Feeding or Eating Disorder (OSFED) patients endorsed an increase in eating symptomatology and in psychopathology. Furthermore, AN patients expressed the greatest dissatisfaction and accommodation difficulty with remote therapy when compared with the previously provided face-to-face therapy.
The present study provides empirical evidence on the psychometric robustness of the CIES tool and shows that a negative confinement impact was associated with ED subtype, whereas OSFED patients showed the highest impairment in eating symptomatology and in psychopathology.
CITA DEL ARTÍCULO Eur Eat Disord Rev. 2020 Sep 20.doi: 10.1002/erv.2784