COVID Isolation Eating Scale (CIES): Analysis of the impact of confinement in eating disorders and obesity—A collaborative international study

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 P.P. 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

doi:10.1002/erv.2784

COVID Isolation Eating Scale (CIES): Analysis of the impact of confinement in eating disorders and obesity—A collaborative international study

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 FavaroLaurence 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 P.P. 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

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

37 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	871-883
Number of pages	13
Journal	European Eating Disorders Review
Volume	28
Issue number	6
DOIs	https://doi.org/10.1002/erv.2784
Publication status	Published - 1 Nov 2020

Keywords

COVID Isolation Eating Scale
COVID-19
eating disorders
obesity

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1002/erv.2784

Cite this

Fernández-Aranda, F., Munguía, L., Mestre-Bach, G., Steward, T., Etxandi, M., Baenas, I., Granero, R., Sánchez, I., Ortega, E., Andreu, A., Moize, V. L., Fernández-Real, J. M., Tinahones, F. J., Diegüez, C., Frühbeck, G., Le Grange, D., Tchanturia, K., Karwautz, A., Zeiler, M., ... Jiménez-Murcia, S. (2020). COVID Isolation Eating Scale (CIES): Analysis of the impact of confinement in eating disorders and obesity—A collaborative international study. European Eating Disorders Review, 28(6), 871-883. https://doi.org/10.1002/erv.2784

@article{4f20f4018a694765a952dcfeec45233d,

title = "COVID Isolation Eating Scale (CIES): Analysis of the impact of confinement in eating disorders and obesity—A collaborative international study",

abstract = "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.",

keywords = "COVID Isolation Eating Scale, COVID-19, eating disorders, obesity",

author = "Fernando Fern{\'a}ndez-Aranda and Lucero Mungu{\'i}a and Gemma Mestre-Bach and Trevor Steward and Mikel Etxandi and Isabel Baenas and Roser Granero and Isabel S{\'a}nchez and Emilio Ortega and Alba Andreu and Moize, {Violeta L.} and Fern{\'a}ndez-Real, {Jose M.} and Tinahones, {Francisco J.} and Carlos Dieg{\"u}ez and Gema Fr{\"u}hbeck and {Le Grange}, Daniel and Kate Tchanturia and Andreas Karwautz and Michael Zeiler and Angela Favaro and Laurence Claes and Koen Luyckx and Ia Shekriladze and Eduardo Serrano-Troncoso and Teresa Rangil and Meler, {Maria Eulalia Loran} and Jose Soriano-Pacheco and Mar Carceller-Sindreu and Sara Bujalance-Arguijo and Meritxell Lozano and Raquel Linares and Carlota Gudiol and Jordi Carratala and Jessica Sanchez-Gonzalez and Machado, {Paulo P.P.} and Anders H{\aa}kansson and Ferenc T{\'u}ry and Bea P{\'a}szthy and Daniel Stein and Hana Papezov{\'a} and Brigita Bax and Borisenkov, {Mikhail F.} and Popov, {Sergey V.} and Kim, {Youl Ri} and Michiko Nakazato and Nathalie Godart and {van Voren}, Robert and Tetiana Ilnytska and Jue Chen and Katie Rowlands and Janet Treasure and Susana Jim{\'e}nez-Murcia",

year = "2020",

month = nov,

day = "1",

doi = "10.1002/erv.2784",

language = "English",

volume = "28",

pages = "871--883",

journal = "European Eating Disorders Review",

issn = "1072-4133",

number = "6",

}

Fernández-Aranda, F, Munguía, L, Mestre-Bach, G, Steward, T, Etxandi, M, Baenas, I, Granero, R, Sánchez, I, Ortega, E, Andreu, A, Moize, VL, Fernández-Real, JM, Tinahones, FJ, Diegüez, C, Frühbeck, G, Le Grange, D, Tchanturia, K, Karwautz, A, Zeiler, M, Favaro, A, Claes, L, Luyckx, K, Shekriladze, I, Serrano-Troncoso, E, Rangil, T, Meler, MEL, Soriano-Pacheco, J, Carceller-Sindreu, M, Bujalance-Arguijo, S, Lozano, M, Linares, R, Gudiol, C, Carratala, J, Sanchez-Gonzalez, J, Machado, PPP, Håkansson, A, Túry, F, Pászthy, B, Stein, D, Papezová, H, Bax, B, Borisenkov, MF, Popov, SV, Kim, YR, Nakazato, M, Godart, N, van Voren, R, Ilnytska, T, Chen, J, Rowlands, K , Treasure, J & Jiménez-Murcia, S 2020, 'COVID Isolation Eating Scale (CIES): Analysis of the impact of confinement in eating disorders and obesity—A collaborative international study', European Eating Disorders Review, vol. 28, no. 6, pp. 871-883. https://doi.org/10.1002/erv.2784

TY - JOUR

T1 - COVID Isolation Eating Scale (CIES)

T2 - Analysis of the impact of confinement in eating disorders and obesity—A collaborative international study

AU - Fernández-Aranda, Fernando

AU - Munguía, Lucero

AU - Mestre-Bach, Gemma

AU - Steward, Trevor

AU - Etxandi, Mikel

AU - Baenas, Isabel

AU - Granero, Roser

AU - Sánchez, Isabel

AU - Ortega, Emilio

AU - Andreu, Alba

AU - Moize, Violeta L.

AU - Fernández-Real, Jose M.

AU - Tinahones, Francisco J.

AU - Diegüez, Carlos

AU - Frühbeck, Gema

AU - Le Grange, Daniel

AU - Tchanturia, Kate

AU - Karwautz, Andreas

AU - Zeiler, Michael

AU - Favaro, Angela

AU - Claes, Laurence

AU - Luyckx, Koen

AU - Shekriladze, Ia

AU - Serrano-Troncoso, Eduardo

AU - Rangil, Teresa

AU - Meler, Maria Eulalia Loran

AU - Soriano-Pacheco, Jose

AU - Carceller-Sindreu, Mar

AU - Bujalance-Arguijo, Sara

AU - Lozano, Meritxell

AU - Linares, Raquel

AU - Gudiol, Carlota

AU - Carratala, Jordi

AU - Sanchez-Gonzalez, Jessica

AU - Machado, Paulo P.P.

AU - Håkansson, Anders

AU - Túry, Ferenc

AU - Pászthy, Bea

AU - Stein, Daniel

AU - Papezová, Hana

AU - Bax, Brigita

AU - Borisenkov, Mikhail F.

AU - Popov, Sergey V.

AU - Kim, Youl Ri

AU - Nakazato, Michiko

AU - Godart, Nathalie

AU - van Voren, Robert

AU - Ilnytska, Tetiana

AU - Chen, Jue

AU - Rowlands, Katie

AU - Treasure, Janet

AU - Jiménez-Murcia, Susana

PY - 2020/11/1

Y1 - 2020/11/1

N2 - 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.

AB - 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.

KW - COVID Isolation Eating Scale

KW - COVID-19

KW - eating disorders

KW - obesity

UR - http://www.scopus.com/inward/record.url?scp=85091167759&partnerID=8YFLogxK

U2 - 10.1002/erv.2784

DO - 10.1002/erv.2784

M3 - Article

AN - SCOPUS:85091167759

SN - 1072-4133

VL - 28

SP - 871

EP - 883

JO - European Eating Disorders Review

JF - European Eating Disorders Review

IS - 6

ER -

COVID Isolation Eating Scale (CIES): Analysis of the impact of confinement in eating disorders and obesity—A collaborative international study

Abstract

Keywords

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this