A Mixed-Studies Systematic Review on the Impact of COVID-19 on Body Image, Disordered Eating, and Eating Disorders

2021 ◽  
Author(s):  
Jekaterina Schneider ◽  
Georgina Pegram ◽  
Benjamin Gibson ◽  
Deborah Talamonti ◽  
Aline Tinoco ◽  
...  

Objectives. This review assessed the impact of COVID-19 and restrictions related to the pandemic (e.g., social distancing and lockdown) on body image, disordered eating, and eating disorder outcomes. Method. After registration on PROSPERO, a systematic search was conducted for papers published between 1 December 2019 and 1 August 2021, using the databases PsycINFO, PsycARTICLES, CINAHL Plus, AMED, MEDLINE, ERIC, EMBASE, Wiley, and ProQuest. Results. A final sample of 74 reports, describing 75 studies, was included, and data from qualitative, quantitative, and mixed-methods studies were synthesized using a convergent integrated approach. Four themes were generated: (1) disruptions due to COVID-19; (2) variability in the improvement or exacerbation of symptoms; (3) risk and protective factors; and (4) unique challenges for marginalized and underrepresented groups. Findings across studies showed variation in individuals’ responses to, and experiences of, the current pandemic. Discussion. There is large variability in how individuals respond to COVID-19 and limited research exploring the effect of the pandemic on body image, disordered eating, and eating disorder outcomes using longitudinal and experimental study designs. Based on the findings of this review, we recommend that individuals reduce time spent on social media, maintain contact with family and friends, make time for self-care, and keep daily routines. Additionally, researchers should target more diverse participant samples and conduct longitudinal research on risk and protective factors of COVID-19 and long-term outcomes. Finally, clinicians should consider adopting flexible treatment practices, taking into account COVID-19 restrictions, patient preferences, and unique participant needs.

2021 ◽  
Vol 3 (2) ◽  
pp. 78-91
Author(s):  
Yunita Anggraeni ◽  
Sitti Muthia Maghfirah Massinai ◽  
Rahma Dilla Arnanda

ABSTRACTSynthetic tobacco is a type of drug produced from tobacco mixed with chemical liquids. Synthetic tobacco produces a calming effect, daydreaming, hallucinations, and unconsciousness. In some individuals there is resistance to chemicals, resulting in dizziness, vomiting and unconsciousness. The basic ingredients of tobacco make synthetic tobacco difficult to distinguish from ordinary tobacco. So that the impact on the prevention and eradication of drugs is increasingly difficult. The CJ community is a community of drug users who have used synthetic tobacco for 5 months. This study aimed to determine the risk and protective factors of synthetic tobacco use in the CJ community. This research was a qualitative study on the case of the CJ community with the direct involvement of researchers in the community. The result of the research was an analysis description of the risk and protective factors in the CJ community. Medically dangerous side effects have not been communicated to users in the CJ community. Awareness of the future and responsibility are protective factors that motivate community members to stop using drugs. This research showed that the use of synthetic tobacco type drugs can be more harmful to individuals and the environment. The impact on the individual physically and psychologically will affect the individual's difficulty in interacting with the social environment. There is a need for socialization and education that takes into account various aspects of society so that prevention can take place effectively. The results of the research can become the basis for providing intervention designs with community collaboration as agents of change.Key Word: Synthetic Tobacco, Risk Factor, Protective Factor, Drugs User ABSTRAKTembakau sintetis merupakan jenis narkoba yang dihasilkan dari tembakau yang dicampur dengan cairan kimia. Tembakau sintetis menghasilkan efek tenang, melamun, halusinasi, dan tidak sadarkan diri. Pada beberapa individu terdapat penolakan terhadap zat kimia, berakibat pusing, muntah dan tidak sadarkan diri. Bahan dasar tembakau membuat tembakau sintetis sulit dibedakan dengan tembakau biasa. Sehingga berdampak kepada pencegahan dan pemberantasan narkoba yang semakin sulit. Komunitas CJ merupakan komunitas pengguna narkoba yang sudah menggunakan tembakau sintetis selama 5 bulan. Penelitian ini bertujuan untuk mengetahui risk and protective factor penggunaan tembakau sintetis pada komunitas CJ. Penelitian ini merupakan studi kualitatif pada kasus komunitas CJ dengan keterlibatan langsung peneliti pada komunitas. Hasil penelitian berupa deskripsi analisis dari risk and protective factor pada komunitas CJ. Efek samping yang berbahaya secara medis belum tersosialisasikan kepada para pengguna di komunitas CJ. Kesadaran mengenai masa depan dan tanggung jawab menjadi faktor protektif yang memotivasi anggota komunitas untuk berhenti menggunakan narkoba. Penelitian ini menunjukan bahwa penggunaan narkoba jenis tembakau sintetis dapat lebih berbahaya bagi individu dan lingkungan. Dampak kepada individu secara fisik dan psikologis akan mempengaruhi kesulitan individu berinteraksi dengan lingkungan sosial. Perlu adanya sosialisasi dan edukasi yang memperhatikan berbagai aspek di masyarakat agar pencegahan dapat berlangsung dengan efektif. Hasil penelitian dapat menjadi landasan dalam memberikan rancangan intervensi dengan kolaborasi masyarakat sebagai agen perubahan.Kata Kunci: Tembakau Sintetis, Faktor Risiko, Faktor Protektif, Pengguna Narkoba


2009 ◽  
Vol 194 (4) ◽  
pp. 375-376 ◽  
Author(s):  
Jessica H. Baker ◽  
Paul Lichtenstein ◽  
Kenneth S. Kendler

SummaryPrevious research has suggested that prenatal testosterone exposure masculinises disordered eating by comparing opposite- and same-gender twins. The objective of the current study is to replicate this finding using a sample of 439 identical and 213 fraternal females, 461 identical and 344 fraternal males, and 361 males and 371 females from opposite-gender twin pairs. Disordered eating was compared across twin types using the Eating Disorder Inventory–2. Inconsistent with previous findings, a main effect of co-twin gender was not found. Our results raise questions about the validity of prior evidence of the impact of prenatal testosterone exposure on patterns of disordered eating.


Author(s):  
Danyale McCurdy-McKinnon ◽  
Jamie D. Feusner

This chapter addresses the comorbid presentation of body dysmorphic disorder (BDD) and disordered eating. BDD affects approximately 2% of the population and involves perceived defects of appearance along with obsessive preoccupation and repetitive, compulsive-like behaviors. The prevalence of comorbid BDD and eating disorders is high: Approximately one–third of those with BDD will have a comorbid eating disorder, and almost half of those with an eating disorder will have comorbid BDD. There are complicating diagnostic and treatment factors that arise when an individual experiences both. A core feature of these disorders is body image concern, which may be explained by both shared and unique aberrancies in visual and visuospatial processing that have neurobiological underpinnings. Understanding shared and unique pathophysiology may help inform and guide treatment, as well as open up lines of future research into their etiology.


2020 ◽  
Vol 8 ◽  
Author(s):  
Rebecca Elmore ◽  
Lena Schmidt ◽  
Juleen Lam ◽  
Brian E. Howard ◽  
Arpit Tandon ◽  
...  

Background: Given the worldwide spread of the 2019 Novel Coronavirus (COVID-19), there is an urgent need to identify risk and protective factors and expose areas of insufficient understanding. Emerging tools, such as the Rapid Evidence Map (rEM), are being developed to systematically characterize large collections of scientific literature. We sought to generate an rEM of risk and protective factors to comprehensively inform areas that impact COVID-19 outcomes for different sub-populations in order to better protect the public.Methods: We developed a protocol that includes a study goal, study questions, a PECO statement, and a process for screening literature by combining semi-automated machine learning with the expertise of our review team. We applied this protocol to reports within the COVID-19 Open Research Dataset (CORD-19) that were published in early 2020. SWIFT-Active Screener was used to prioritize records according to pre-defined inclusion criteria. Relevant studies were categorized by risk and protective status; susceptibility category (Behavioral, Physiological, Demographic, and Environmental); and affected sub-populations. Using tagged studies, we created an rEM for COVID-19 susceptibility that reveals: (1) current lines of evidence; (2) knowledge gaps; and (3) areas that may benefit from systematic review.Results: We imported 4,330 titles and abstracts from CORD-19. After screening 3,521 of these to achieve 99% estimated recall, 217 relevant studies were identified. Most included studies concerned the impact of underlying comorbidities (Physiological); age and gender (Demographic); and social factors (Environmental) on COVID-19 outcomes. Among the relevant studies, older males with comorbidities were commonly reported to have the poorest outcomes. We noted a paucity of COVID-19 studies among children and susceptible sub-groups, including pregnant women, racial minorities, refugees/migrants, and healthcare workers, with few studies examining protective factors.Conclusion: Using rEM analysis, we synthesized the recent body of evidence related to COVID-19 risk and protective factors. The results provide a comprehensive tool for rapidly elucidating COVID-19 susceptibility patterns and identifying resource-rich/resource-poor areas of research that may benefit from future investigation as the pandemic evolves.


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