随着COVID-19大流行,因饮食障碍和相关自杀风险而住院的变化
J C Chauvet-Gélinier1,2, E Lajeune3, J Cottenet3
1INSERM Unit, U-1231, Center for Translational and Molecular Medicine, Université Bourgogne Europe, Dijon, France, u-bourgogne.fr.
Depression and anxiety
|March 6, 2026
概括
COVID-19 流行病显著增加了饮食障碍 (ED) 的住院和严重程度,特别是在年轻人中. 自我伤害和自杀念头的比例也在流行后的ED患者中增加.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 在全球范围内,COVID-19流行病与严重的心理健康挑战有关.
- 饮食障碍 (ED) 是一种严重的心理健康状况,可能会造成严重的身体和心理后果.
研究的目的:
- 评估COVID-19大流行期间与大流行前时期相比,饮食障碍 (ED) 的频率和严重程度的变化.
- 为了评估疫情期间在ED患者中自我伤害和自杀念头率的变化.
主要方法:
- 使用法国国家医院出院数据库 (PMSI) 来获取2015-2024年患者数据 (N=162,621).
- 采用负双项回归模型,按年龄分层,分析大流行对ED住院的影响.
- 通过ICU入院或医疗并发症评估ED严重程度,并分析住院后两年内自伤/自杀念头的发生率.
主要成果:
- 疫情期间观察到ED住院病例的显著增加,特别是在青少年和年轻人 (0-24岁).
- 在ED住院后两年内,因自伤和/或自杀念头而入院的患者比例在大流行期间显著增加 (13.31%对比8.67%,p < 0.01).
- 在COVID后的时期,更高的患者百分比符合严重性标准.
结论:
- 随着COVID-19的流行,饮食障碍的发病率和严重程度显著增加.
- 这些发现强调了对ED的年龄特定预防和早期干预策略的急需,特别是在年轻人群中.
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