Next Article in Journal
How to Identify Future Priority Areas for Urban Development: An Approach of Urban Construction Land Suitability in Ecological Sensitive Areas
Next Article in Special Issue
Does a Skills Intervention for Parents Have a Positive Impact on Adolescents’ Anorexia Nervosa Outcome? Answers from a Quasi-Randomised Feasibility Trial of SUCCEAT
Previous Article in Journal
CORONAcrisis—An Observational Study on the Experience of Healthcare Professionals in a University Hospital during a Pandemic Emergency
Previous Article in Special Issue
Risk and Protective Factors of Disordered Eating in Adolescents Based on Gender and Body Mass Index
Article

Impact of COVID-19 Confinement on Adolescent Patients with Anorexia Nervosa: A Qualitative Interview Study Involving Adolescents and Parents

1
Eating Disorder Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, 1090 Vienna, Austria
2
Department for Research and Development, Ferdinand Porsche FernFH-Distance Learning University of Applied Sciences, 2700 Wiener Neustadt, Austria
*
Author to whom correspondence should be addressed.
Senior authors.
Academic Editor: Paul Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(8), 4251; https://doi.org/10.3390/ijerph18084251
Received: 16 February 2021 / Revised: 8 April 2021 / Accepted: 14 April 2021 / Published: 16 April 2021
(This article belongs to the Special Issue Eating Disorders and Associated Disorders in Adolescents)
COVID-19-related restrictions may have a serious impact on patients with eating disorders. We conducted semistructured interviews with female adolescent patients with anorexia nervosa (AN) (n = 13, 13–18 years) currently receiving inpatient or outpatient treatment and their parents (n = 10). We asked for their experiences during COVID-19 confinement regarding everyday life, AN symptoms, and treatment. We used thematic analysis to interpret the data. The main themes identified from the patients’ interviews involved restrictions of personal freedom (i.e., leading to tension between patients and family members, reduced motivation to work on recovery), interruption of the treatment routine (emerging risks through self-monitored weight, challenges/opportunities of teletherapy), changes in AN symptoms (more exposure to triggering situations), COVID-19-related fears, and compulsions but also potential opportunities (less stress, better family relationships). The parents discussed changes in daily routines as negative (challenges in maintaining day structures) and positive (more family time, “slowing down”). They expressed reservations about reduced outpatient monitoring and increased teletherapy and discussed challenges in keeping contact with the child and clinicians during inpatient treatment. Moreover, the parents discussed deteriorations and improvements in the patients’ psychopathology. Clinical implications from these in-depth insights include the importance of strengthening communication between changing staff cohorts, patients, and parents; motivational work; and joint weight monitoring with the therapist. View Full-Text
Keywords: COVID-19; confinement; anorexia nervosa; adolescents; parents; qualitative study; psychological impact COVID-19; confinement; anorexia nervosa; adolescents; parents; qualitative study; psychological impact
MDPI and ACS Style

Zeiler, M.; Wittek, T.; Kahlenberg, L.; Gröbner, E.-M.; Nitsch, M.; Wagner, G.; Truttmann, S.; Krauss, H.; Waldherr, K.; Karwautz, A. Impact of COVID-19 Confinement on Adolescent Patients with Anorexia Nervosa: A Qualitative Interview Study Involving Adolescents and Parents. Int. J. Environ. Res. Public Health 2021, 18, 4251. https://doi.org/10.3390/ijerph18084251

AMA Style

Zeiler M, Wittek T, Kahlenberg L, Gröbner E-M, Nitsch M, Wagner G, Truttmann S, Krauss H, Waldherr K, Karwautz A. Impact of COVID-19 Confinement on Adolescent Patients with Anorexia Nervosa: A Qualitative Interview Study Involving Adolescents and Parents. International Journal of Environmental Research and Public Health. 2021; 18(8):4251. https://doi.org/10.3390/ijerph18084251

Chicago/Turabian Style

Zeiler, Michael, Tanja Wittek, Leonie Kahlenberg, Eva-Maria Gröbner, Martina Nitsch, Gudrun Wagner, Stefanie Truttmann, Helene Krauss, Karin Waldherr, and Andreas Karwautz. 2021. "Impact of COVID-19 Confinement on Adolescent Patients with Anorexia Nervosa: A Qualitative Interview Study Involving Adolescents and Parents" International Journal of Environmental Research and Public Health 18, no. 8: 4251. https://doi.org/10.3390/ijerph18084251

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop