Increase in urgent care for patients with an eating disorder during the COVID-19 pandemic in a Spanish province

IF 5.2 3区 医学 Q1 PSYCHIATRY
María Irigoyen-Otiñano , Ana González-Pinto , Vicent Llorca-Bofí , Marina Adrados-Pérez , Laura Arenas-Pijoan , Giovanni Torterolo , Marta Sánchez-Cazalilla , Esther Buil , Eugènia Nicolau-Subires , Carla Albert-Porcar , Lucía Ibarra-Pertusa , Margarita Puigdevall-Ruestes
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引用次数: 7

Abstract

Introduction

The COVID-19 pandemic has had a great impact on people's mental health. Patients with eating disorders (ED) are also highly sensitive to the pandemic situation due to their physical and mental health. The objective of this study is to evaluate the impact that the COVID-19 pandemic may have had on the reasons for the urgent care of patients with an eating disorder, comparing the reasons for care with those from a previous period.

Method

We compared the visits to the emergency room and their characteristics before and after the pandemic of patients with an eating disorder in the province of Lleida. Information regarding sociodemographic status, reason for consultation, diagnosis, characteristics of suicidal behaviour, and other data were obtained from the electronic medical records.

Results

Within the total emergency attendances, eating disorders increased from 1.7% in the pre-pandemic period to 3.1% during the pandemic (p = 0.030). Regarding the reason for consultation, a change in the pattern is observed, decreasing consultations for anxious decompensation (p < 0.001) and increasing suicidal behaviour (p = 0.016) and behavioural disorder (p = 0.022).

Conclusions

In our study we ascertained an increase in urgent care given to patients with an eating disorder during the two states of alarm, while consultations for anxiety symptoms decreased notably. However, care for suicidal behaviour increased, especially in women with comorbidity of personality disorders and who were unemployed.

西班牙某省在COVID-19大流行期间增加了对饮食失调患者的紧急护理
2019冠状病毒病大流行对人们的心理健康产生了巨大影响。饮食失调患者由于身心健康,对疫情也高度敏感。本研究的目的是评估COVID-19大流行可能对饮食失调患者紧急护理的原因产生的影响,并将护理原因与前一时期的原因进行比较。方法比较利莱达省饮食失调患者大流行前后急诊室就诊情况及特点。从电子病历中获得了有关社会人口状况、咨询原因、诊断、自杀行为特征和其他数据的信息。结果在急诊总就诊人数中,饮食失调从大流行前的1.7%上升到大流行期间的3.1% (p = 0.030)。关于咨询的原因,观察到模式的变化,减少咨询焦虑失代偿(p <0.001),自杀行为(p = 0.016)和行为障碍(p = 0.022)的增加。结论:在我们的研究中,我们确定了在两种警报状态下对饮食失调患者的紧急护理增加,而对焦虑症状的咨询明显减少。然而,对自杀行为的护理增加了,特别是在患有人格障碍和失业的妇女中。
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来源期刊
自引率
3.30%
发文量
58
期刊介绍: The Spanish Journal of Psychiatry and Mental Health (SJPMH), incorporated into ISSN 1888-9891, is the official scientific publication of the Spanish Society of Psychiatry and Mental Health. The journal focuses on studying mental illnesses, their pathological processes, and their psychosocial consequences, and aims to disseminate scientific advances in all areas related to mental health and illness. SJPMH accepts unpublished works on psychiatry and mental health, including their medical and social implications. The journal provides space for research in the biological, clinical, and psychosocial fields. Manuscripts undergo peer-review by external reviewers before being accepted for publication. SJPMH is indexed in Index Medicus/Medline, IBECS, Social Sciences Citation Index Journal Citation Reports/Social Sciences Edition, and Current Contents/Social and Behavioral Sciences.
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