Eating Disorder blogs during Covid-19: A window into recovery progress

Abstract

During times of crisis, those who are in recovery from pre-existing conditions such as eating disorders can be at increased risk for exacerbation of existing illnesses and other comorbid conditions. 37 blogs focused on eating disorder recovery were identified via internet searches (Google search, National Eating Disorder Association, HealthLine, and Psychology Today) and reviewed by the research team. Nine blogs with posts spanning November 2019 to June 2020 were chosen, using set inclusion/exclusion criteria of posts written prior to and during the Covid-19 pandemic, for thematic analysis. Persons who identified as being in recovery from eating disorders experienced many of the same stressors as the general population, but these were influenced by the nuances of their illness. Food scarcities led to anxiety and a focus on searching grocery stores to obtain provisions. Lockdown impacted the emotional status of bloggers by distancing them from their support networks and their treatment teams. Loss of support systems, including family and virtual communities, left bloggers feeling isolated. Persons struggling with eating disorders, attempting to overcome their illness but less stable in their recovery in the pre-Covid period tended not to improve during the Covid-19 period, and in some cases experienced increasing symptoms or complete relapse, a loss of motivation, and a sense of despair that can impact recovery status.