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OBJECTIVE: The purpose of this study is to assess the increase both in the use of the Internet and social media and in Google searches regarding eating disorders (ED) in Italy during the Covid-19 pandemic. Our aim is also to verify the possible impact of such an increase on ED, since patients treated for ED by the National Health Service (NHS) have increased in the first 6 months of 2020 as well. METHOD: We used data from Wearesocial surveys on Internet users in the first 6 months of 2020 and the Google searches related to the query of "food disorders" and "body shaming." The first results of a project of the Italian Ministry of Health on ED have been considered too. RESULTS: The social media users in July 2020 increased to 60% of the Italian population; a tendential increase in Google searches on these issues has emerged. Finally, new patients of NHS with ED showed a high increase in the first 6 months of 2020 (+40.9%). CONCLUSION: Considering the contents diffused on the Internet, it is fundamental to watch over net usage in the adolescent population and those with ED, because massive access to social media can be considered almost as a risk factor.
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BACKGROUND AND OBJECTIVE: There is great interest, supported by clinical experience, in the relationship between Eating Disorders (EDs) and psychiatric symptoms and diseases. The psychopathology of EDs is also referred to many risk and protective factors, and there is some evidence in the literature, also about genetic and neurobiological factors involved. The aim of this review is to examine and synthesize the recent scientific literature on this topic, in particular the complex relationship between Anorexia Nervosa and Neuropsychiatric Disorders. METHODS: We analyzed the best of published literature on the topic, identifying keywords and MeSH terms in Pubmed and then searching them. The last search was performed on November 2017. RESULTS: Psychiatric comorbidities are very common in anorexia nervosa. Mood disorders, major depressive disorders, anxiety disorders, obsessive-compulsive disorders, developmental disorders among autistic spectrum and attention-deficit hyperactivity disorder and even some personality disorders, substance abuse and borderline traits have been reported, and some observations suggest a positive genetic correlation between anorexia nervosa and schizophrenia. CONCLUSION: The great amount of scientific articles dealing with the relationship between EDs and psychopathology confirms the complexity of these problems and the difficulties in diagnosis and treatment. An accurate diagnosis and assessment of clinical risk about psychological, psychiatric, nutritional and somatic aspects are therefore essential for an appropriate therapeutic management of patients affected by anorexia nervosa.
Asunto(s)
Anorexia Nerviosa/psicología , Conducta Alimentaria , Salud Mental , Adolescente , Conducta del Adolescente , Afecto , Factores de Edad , Anorexia Nerviosa/diagnóstico , Anorexia Nerviosa/epidemiología , Imagen Corporal , Niño , Conducta Infantil , Comorbilidad , Emociones , Femenino , Humanos , Masculino , Pronóstico , Factores de Riesgo , Autoimagen , Adulto JovenRESUMEN
In recent years there have been, in clinical practice an increased influx of services dedicated to eating disorders (DCA). This article provides An examination of some epidemiological aspects aimed at assessing a possible increase in the incidence and prevalence of these syndromes, toghether with an analysis of the mortality and comorbidities of DCA. The literature search covered the period 2006-2011. The selected articles were evaluated to establish the correct approach using the checklist proposed by the NICE Guideline Manual. Some recent publications among those examined hypothesize (common impression) a possible increase in eating disorders (especially BN and BED) in the last two decades.