Abstract
IntroductionPreliminary results indicate that COVID-19 lockdown measures could lead to an increase in eating disorder pathology. However, some patients could be more vulnerable to experience such an increase than others. The reason why some patients are more susceptible to the impact of lockdown measures is still not known.ObjectivesTo analyze the impact of the Belgian COVID-19 lockdown measures on the surroundings, social context, negative affect (NA), positive affect (PA) and binge eating frequency of patients with bulimia nervosa (BN).Methods The data of 15 female patients with BN from an ongoing experience sampling method study were analyzed. Mixed effects models compared surroundings, social context, NA, PA and binge eating before and after the implementation of the lockdown measures.Results After the implementation of the lockdown measures, significant changes in surroundings and social context were found as well as an increase in NA (p < 0.001) and decrease in PA (p = 0.015). Patients who experienced an increase in binge eating frequency also experienced a stronger increase in NA (p = 0.012) and decrease in PA (p = 0.026) after the lockdown measures were implemented.ConclusionsFuture research should also look at changes in surroundings, social context, affect and how these interact with factors such as personality traits and coping styles when investigating why some patients are more susceptible to the negative effects of lockdown measures than others.
Highlights
The COVID-19 pandemic has caused significant lifestyle changes for the world’s population
The infection poses a threat to mental health due to direct invasion of the central nervous system of SARS-CoV-2, as well as as a source of mental stress associated, in particular, with the deformation of the structure of interpersonal communications under quarantine conditions
The results of the analysis indicate that in a pandemic, the most susceptible to psychopathological disorders are those living in the most severe quarantine, while the contingent whose lifestyle changes little under these conditions shows the best indicators of mental health
Summary
Numerous publications highlight the need to modify mental health services in the stressful environment of the COVID19 pandemic. The number of hospitalizations of outpatients to the hospital was recorded due to the deterioration of the mental state, as well as in connection with the infection with COVID in the period from 04/15/2020 to 06/09/2020. Results: There were no hospitalizations due to mental deterioration. According to this indicator, the situation in 2020 turned out to be better than last year for the same period. Conclusions: The presented results indicate the effectiveness of organizational innovations introduced in Moscow in the provision of outpatient psychiatric care. These data need clarification and objective scientific interpretation. Larbi Masmoudi12 1Psychiatry C Department, Hedi chaker University hospital, sfax, Tunisia; 2Department Of Paychiatry C, Hedi chaker hospital, Sfax, Tunisia; 3Psychiatry (b), Hedi Chaker University hospital, sfax, Tunisia; 4Cardiology Department, Hedi chaker University hospital, sfax, Tunisia; 5Community Health And Epidemiology Department, Hedi chaker University hospital, sfax, Tunisia; 6Histology Department, Hedi chaker University hospital, sfax, Tunisia; 7Infectiology Department, Hedi chaker University hospital, sfax, Tunisia;
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