The impact of the COVID-19 pandemic on individuals with eating disorders: the role of emotion regulation and exploration of online treatment experiences.
Identifieur interne : 000078 ( Main/Exploration ); précédent : 000077; suivant : 000079The impact of the COVID-19 pandemic on individuals with eating disorders: the role of emotion regulation and exploration of online treatment experiences.
Auteurs : L. Vuillier [Royaume-Uni] ; L. May [Royaume-Uni] ; M. Greville-Harris [Royaume-Uni] ; R. Surman [Royaume-Uni] ; R L Moseley [Royaume-Uni]Source :
- Journal of eating disorders [ 2050-2974 ] ; 2021.
Abstract
OBJECTIVE
The Covid-19 pandemic has wrought disruption to everyday life and services, and emerging evidence suggests that those with eating disorders (EDs) are likely to experience marked distress and exacerbation of their symptoms. However, little is known around the most relevant factors to symptom change; whether certain emotion regulation and coping strategies are linked to better outcomes; and how people with EDs are adjusting to psychological interventions moving online.
METHOD
In a mixed-method design, we collected qualitative and quantitative data from 207 (76 males) self-selected UK residents with self-reported ED, who described and ranked impacts of the pandemic on their symptoms. Regression analysis examined whether emotion regulation strategies were associated with self-reported symptom change, ED symptomatology, and negative emotional states. Thematic analysis explored participants' experiences of the pandemic, particularly factors affecting their ED, coping strategies used, and experiences of psychological intervention.
RESULTS
Most participants (83.1%) reported worsening of ED symptomatology, though factors affecting symptom change differed between specific EDs. Emotion regulation, such as having fewer strategies, poorer emotional clarity, and non-acceptance of emotions, explained nearly half of the variance in emotional distress during the pandemic. Qualitative findings indicated that difficult emotions (such as fear and uncertainty), changes to routine, and unhelpful social messages were triggering for participants during the pandemic. While some participants described employing positive coping strategies (such as limiting social media exposure), many reported using ED behaviours (among other maladaptive strategies, like alcohol use) to cope with the pandemic. Finally, loss of treatment support, feeling underserving of support and experiencing a 'detached connection' online were further exacerbating factors for these participants.
DISCUSSION
While our sample was self-selected and may not represent all people with EDs, our results suggest that people with EDs have been strongly affected by the pandemic. Some aspects of online treatment were found to be beneficial but our findings suggest it also needs some improvement. Our paper discusses implications for online treatment such as taking into account personal circumstances and, in a time where people have limited control over the antecedents of negative emotion, the need to develop skills to manage emotions when they arise.
DOI: 10.1186/s40337-020-00362-9
PubMed: 33436064
PubMed Central: PMC7802411
Affiliations:
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May</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychology, Bournemouth University, Poole, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Psychology, Bournemouth University, Poole</wicri:regionArea><wicri:noRegion>Poole</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Dorset Healthcare University NHS Foundation Trust, Poole, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Dorset Healthcare University NHS Foundation Trust, Poole</wicri:regionArea><wicri:noRegion>Poole</wicri:noRegion></affiliation></author><author><name sortKey="Greville Harris, M" sort="Greville Harris, M" uniqKey="Greville Harris M" first="M" last="Greville-Harris">M. 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Vuillier</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychology, Bournemouth University, Poole, UK. lrenshawvuillier@bournemouth.ac.uk.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Psychology, Bournemouth University, Poole</wicri:regionArea><wicri:noRegion>Poole</wicri:noRegion></affiliation></author><author><name sortKey="May, L" sort="May, L" uniqKey="May L" first="L" last="May">L. May</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychology, Bournemouth University, Poole, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Psychology, Bournemouth University, Poole</wicri:regionArea><wicri:noRegion>Poole</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Dorset Healthcare University NHS Foundation Trust, Poole, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Dorset Healthcare University NHS Foundation Trust, Poole</wicri:regionArea><wicri:noRegion>Poole</wicri:noRegion></affiliation></author><author><name sortKey="Greville Harris, M" sort="Greville Harris, M" uniqKey="Greville Harris M" first="M" last="Greville-Harris">M. Greville-Harris</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychology, Bournemouth University, Poole, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Psychology, Bournemouth University, Poole</wicri:regionArea><wicri:noRegion>Poole</wicri:noRegion></affiliation></author><author><name sortKey="Surman, R" sort="Surman, R" uniqKey="Surman R" first="R" last="Surman">R. Surman</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychology, Bournemouth University, Poole, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Psychology, Bournemouth University, Poole</wicri:regionArea><wicri:noRegion>Poole</wicri:noRegion></affiliation></author><author><name sortKey="Moseley, R L" sort="Moseley, R L" uniqKey="Moseley R" first="R L" last="Moseley">R L Moseley</name><affiliation wicri:level="1"><nlm:affiliation>Department of Psychology, Bournemouth University, Poole, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Psychology, Bournemouth University, Poole</wicri:regionArea><wicri:noRegion>Poole</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of eating disorders</title><idno type="ISSN">2050-2974</idno><imprint><date when="2021" type="published">2021</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>The Covid-19 pandemic has wrought disruption to everyday life and services, and emerging evidence suggests that those with eating disorders (EDs) are likely to experience marked distress and exacerbation of their symptoms. However, little is known around the most relevant factors to symptom change; whether certain emotion regulation and coping strategies are linked to better outcomes; and how people with EDs are adjusting to psychological interventions moving online.</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>In a mixed-method design, we collected qualitative and quantitative data from 207 (76 males) self-selected UK residents with self-reported ED, who described and ranked impacts of the pandemic on their symptoms. Regression analysis examined whether emotion regulation strategies were associated with self-reported symptom change, ED symptomatology, and negative emotional states. Thematic analysis explored participants' experiences of the pandemic, particularly factors affecting their ED, coping strategies used, and experiences of psychological intervention.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Most participants (83.1%) reported worsening of ED symptomatology, though factors affecting symptom change differed between specific EDs. Emotion regulation, such as having fewer strategies, poorer emotional clarity, and non-acceptance of emotions, explained nearly half of the variance in emotional distress during the pandemic. Qualitative findings indicated that difficult emotions (such as fear and uncertainty), changes to routine, and unhelpful social messages were triggering for participants during the pandemic. While some participants described employing positive coping strategies (such as limiting social media exposure), many reported using ED behaviours (among other maladaptive strategies, like alcohol use) to cope with the pandemic. Finally, loss of treatment support, feeling underserving of support and experiencing a 'detached connection' online were further exacerbating factors for these participants.</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><p>While our sample was self-selected and may not represent all people with EDs, our results suggest that people with EDs have been strongly affected by the pandemic. Some aspects of online treatment were found to be beneficial but our findings suggest it also needs some improvement. Our paper discusses implications for online treatment such as taking into account personal circumstances and, in a time where people have limited control over the antecedents of negative emotion, the need to develop skills to manage emotions when they arise.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">33436064</PMID><DateRevised><Year>2021</Year><Month>01</Month><Day>16</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Print">2050-2974</ISSN><JournalIssue CitedMedium="Print"><Volume>9</Volume><Issue>1</Issue><PubDate><Year>2021</Year><Month>Jan</Month><Day>12</Day></PubDate></JournalIssue><Title>Journal of eating disorders</Title><ISOAbbreviation>J Eat Disord</ISOAbbreviation></Journal><ArticleTitle>The impact of the COVID-19 pandemic on individuals with eating disorders: the role of emotion regulation and exploration of online treatment experiences.</ArticleTitle><Pagination><MedlinePgn>10</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s40337-020-00362-9</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The Covid-19 pandemic has wrought disruption to everyday life and services, and emerging evidence suggests that those with eating disorders (EDs) are likely to experience marked distress and exacerbation of their symptoms. However, little is known around the most relevant factors to symptom change; whether certain emotion regulation and coping strategies are linked to better outcomes; and how people with EDs are adjusting to psychological interventions moving online.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">In a mixed-method design, we collected qualitative and quantitative data from 207 (76 males) self-selected UK residents with self-reported ED, who described and ranked impacts of the pandemic on their symptoms. Regression analysis examined whether emotion regulation strategies were associated with self-reported symptom change, ED symptomatology, and negative emotional states. Thematic analysis explored participants' experiences of the pandemic, particularly factors affecting their ED, coping strategies used, and experiences of psychological intervention.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Most participants (83.1%) reported worsening of ED symptomatology, though factors affecting symptom change differed between specific EDs. Emotion regulation, such as having fewer strategies, poorer emotional clarity, and non-acceptance of emotions, explained nearly half of the variance in emotional distress during the pandemic. Qualitative findings indicated that difficult emotions (such as fear and uncertainty), changes to routine, and unhelpful social messages were triggering for participants during the pandemic. While some participants described employing positive coping strategies (such as limiting social media exposure), many reported using ED behaviours (among other maladaptive strategies, like alcohol use) to cope with the pandemic. Finally, loss of treatment support, feeling underserving of support and experiencing a 'detached connection' online were further exacerbating factors for these participants.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">While our sample was self-selected and may not represent all people with EDs, our results suggest that people with EDs have been strongly affected by the pandemic. Some aspects of online treatment were found to be beneficial but our findings suggest it also needs some improvement. Our paper discusses implications for online treatment such as taking into account personal circumstances and, in a time where people have limited control over the antecedents of negative emotion, the need to develop skills to manage emotions when they arise.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Vuillier</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Psychology, Bournemouth University, Poole, UK. lrenshawvuillier@bournemouth.ac.uk.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>May</LastName><ForeName>L</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Psychology, Bournemouth University, Poole, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Dorset Healthcare University NHS Foundation Trust, Poole, UK.</Affiliation></AffiliationInfo></Author><Author 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Vuillier</name></noRegion><name sortKey="Greville Harris, M" sort="Greville Harris, M" uniqKey="Greville Harris M" first="M" last="Greville-Harris">M. Greville-Harris</name><name sortKey="May, L" sort="May, L" uniqKey="May L" first="L" last="May">L. May</name><name sortKey="May, L" sort="May, L" uniqKey="May L" first="L" last="May">L. May</name><name sortKey="Moseley, R L" sort="Moseley, R L" uniqKey="Moseley R" first="R L" last="Moseley">R L Moseley</name><name sortKey="Surman, R" sort="Surman, R" uniqKey="Surman R" first="R" last="Surman">R. Surman</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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