OBJECTIVE: To present the adaptations to treatment protocols made in a child and adolescent eating disorders (ED) unit during the eight-week confinement period mandated in response to the COVID-19 pandemic and examine clinical and treatment variables in the outpatient, day hospital, and inpatient care programs. METHOD: Description of the implementation of a combined teletherapy program for outpatient and day-hospital patients and the adaptations made to the inpatient protocol. Retrospective review of medical records and analysis of general and specific variables related to the pandemic and confinement. RESULTS: We held 1,329 (73.10%) telehealth consultations and 489 (26.9%) face-to-face outpatient visits with 365 patients undergoing treatment in the outpatient clinic or day hospital. Twenty-eight (7.67%) were initial evaluations. Twenty-two patients were newly admitted and 68 ED-related emergencies were attended. Almost half of the children and adolescents studied experienced reactivation of ED symptoms despite treatment, and severe patients (25%) presented self-harm and suicide risk. CONCLUSIONS: The implementation of a combined teletherapy program has enabled continuity of care during confinement for children and adolescents with ED. Delivery of treatment to adolescents in the day hospital program posed the biggest challenge due to their greater degrees of severity and higher hospitalization rates. An adapted inpatient program should be maintained throughout confinement, as the need for hospitalization of children and adolescents with ED does not decrease with lockdown.
OBJECTIVE: To present the adaptations to treatment protocols made in a child and adolescent eating disorders (ED) unit during the eight-week confinement period mandated in response to the COVID-19 pandemic and examine clinical and treatment variables in the outpatient, day hospital, and inpatient care programs. METHOD: Description of the implementation of a combined teletherapy program for outpatient and day-hospital patients and the adaptations made to the inpatient protocol. Retrospective review of medical records and analysis of general and specific variables related to the pandemic and confinement. RESULTS: We held 1,329 (73.10%) telehealth consultations and 489 (26.9%) face-to-face outpatient visits with 365 patients undergoing treatment in the outpatient clinic or day hospital. Twenty-eight (7.67%) were initial evaluations. Twenty-two patients were newly admitted and 68 ED-related emergencies were attended. Almost half of the children and adolescents studied experienced reactivation of ED symptoms despite treatment, and severe patients (25%) presented self-harm and suicide risk. CONCLUSIONS: The implementation of a combined teletherapy program has enabled continuity of care during confinement for children and adolescents with ED. Delivery of treatment to adolescents in the day hospital program posed the biggest challenge due to their greater degrees of severity and higher hospitalization rates. An adapted inpatient program should be maintained throughout confinement, as the need for hospitalization of children and adolescents with ED does not decrease with lockdown.
Authors: David B Nicholas; Rosslynn T Zulla; Olivia Conlon; Gina Dimitropoulos; Simon Urschel; Adam Rapoport; Sherri Lynne Katz; Aisha Bruce; Lori J West; Mark Belletrutti; Emma Cullen; Lonnie Zwaigenbaum Journal: Paediatr Child Health Date: 2022-05-09 Impact factor: 2.600
Authors: Michael Zeiler; Tanja Wittek; Leonie Kahlenberg; Eva-Maria Gröbner; Martina Nitsch; Gudrun Wagner; Stefanie Truttmann; Helene Krauss; Karin Waldherr; Andreas Karwautz Journal: Int J Environ Res Public Health Date: 2021-04-16 Impact factor: 3.390
Authors: Julia A Vitagliano; Grace Jhe; Carly E Milliren; Jessica A Lin; Rebecca Spigel; Melissa Freizinger; Elizabeth R Woods; Sara F Forman; Tracy K Richmond Journal: J Eat Disord Date: 2021-07-02
Authors: Fernando Fernández-Aranda; Lucero Munguía; Gemma Mestre-Bach; Trevor Steward; Mikel Etxandi; Isabel Baenas; Roser Granero; Isabel Sánchez; Emilio Ortega; Alba Andreu; Violeta L Moize; Jose M Fernández-Real; Francisco J Tinahones; Carlos Diegüez; Gema Frühbeck; Daniel Le Grange; Kate Tchanturia; Andreas Karwautz; Michael Zeiler; Angela Favaro; Laurence Claes; Koen Luyckx; Ia Shekriladze; Eduardo Serrano-Troncoso; Teresa Rangil; Maria Eulalia Loran Meler; Jose Soriano-Pacheco; Mar Carceller-Sindreu; Sara Bujalance-Arguijo; Meritxell Lozano; Raquel Linares; Carlota Gudiol; Jordi Carratala; Jessica Sanchez-Gonzalez; Paulo Pp Machado; Anders Håkansson; Ferenc Túry; Bea Pászthy; Daniel Stein; Hana Papezová; Brigita Bax; Mikhail F Borisenkov; Sergey V Popov; Youl-Ri Kim; Michiko Nakazato; Nathalie Godart; Robert van Voren; Tetiana Ilnytska; Jue Chen; Katie Rowlands; Janet Treasure; Susana Jiménez-Murcia Journal: Eur Eat Disord Rev Date: 2020-09-20