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Updated: Oct 18, 2025

A Computer-Based Platform for Aiding Clinicians in Eating Disorder Analysis and Diagnosis
Published on: May 10, 2022
Exploring carer burden amongst those caring for a child or adolescent with an eating disorder during COVID-19
Kristen Maunder1,2, Fiona McNicholas3,4,5
1School of Medicine and Medical Science, University College Dublin, Dublin 4, Belfield, Republic of Ireland. kmaunder@me.com.
Insights
Caring for youth with an eating disorder (ED) is challenging. The COVID-19 pandemic has intensified carer burden due to reduced services, increased demands, and social isolation, necessitating targeted support.
Area of Science:
- Psychiatry
- Family Studies
- Public Health
Background:
- Carer burden in families of youth with eating disorders (EDs) is significant, impacting patients, carers, and families.
- The COVID-19 pandemic has exacerbated challenges for carers of youth with EDs, with emerging research highlighting profound negative effects.
- Pre-pandemic studies indicate substantial psychological and physical strain on carers of children with EDs.
Purpose of the Study:
- To review existing knowledge on carer burden in families of youth with EDs.
- To examine the additional impact of the COVID-19 pandemic on carer burden.
- To emphasize the critical need for interventions to alleviate carer burden.
Main Methods:
- This study is a review of existing literature on carer burden in youth with EDs.
- It synthesizes pre-COVID-19 research findings.
- It analyzes emerging themes related to the pandemic's impact on carer burden.
Main Results:
- COVID-19 has intensified carer burden through reduced access to ED services.
- Increased vulnerability, psychiatric comorbidities in youth, and practical demands on carers are key factors.
- Social isolation and decreased social support further compound carer challenges during the pandemic.
Conclusions:
- The COVID-19 pandemic presents a distinct mental health risk for youth with EDs and their carers.
- Addressing carer burden is crucial due to the vital role families play in treatment.
- Adaptive, flexible support services are essential for carers throughout the treatment journey, considering logistical and health barriers.
Background:
Carer burden amongst carers of youth with an eating disorder is substantial and if not addressed can lead to negative outcomes for the patient, carer and family. The Coronavirus Disease 2019 (COVID-19) pandemic has made caring for youth with an ED even more onerous and preliminary research is beginning to emerge demonstrating the profound negative impact the pandemic is having upon individuals with EDs and their carers. MAIN: In this review, we briefly summarize what is known about carer burden in families where a young person has an ED, consider the additional impact consequent to COVID-19 and highlight the need for interventions aimed at alleviating this. Pre-COVID-19 research identifies high levels of psychological and physical strain amongst those caring for a child with an ED. Themes are beginning to emerge as to why COVID-19 may further exacerbate carer burden: (1) reduced access to ED services; (2) increased physical vulnerability and exacerbation of psychiatric co-morbidity amongst youth with EDs; (3) increased practical demands placed on carers; and (4) social isolation and decreased social support.
Conclusion:
The COVID-19 pandemic poses a specific threat to the mental health of youth with EDs and their carers. Given the salient role families play in caring for youth with an ED, attending to carer burden is imperative. Supporting carers through all phases of their child's ED journey by offering adaptive and flexible supportive services which accommodate time constraints, geographic barriers and possible COVID-19 spread is essential.
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