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PMC:7170399 JSONTXT 18 Projects

Annnotations TAB TSV DIC JSON TextAE Lectin_function IAV-Glycan

Id Subject Object Predicate Lexical cue
T1 0-40 Sentence denotes Eating disorders in the time of COVID-19
T2 42-103 Sentence denotes We have all been stunned by the speed of this viral pandemic.
T3 104-169 Sentence denotes At the time of writing, one fifth of the world is under lockdown.
T4 170-307 Sentence denotes The main foci have been on the public health effort to contain the spread of the virus, and the care of individuals with acute infection.
T5 308-359 Sentence denotes We, in eating disorders, must have a broader brief.
T6 360-522 Sentence denotes Not only must we help care for those sufferers who contract COVID-19, we must also address the impact –psychological, financial and social - on those that do not.
T7 523-703 Sentence denotes The peculiarities of COVID-19 and the reaction of the public and governments to it, have particular relevance for people living with an eating disorder and those who care for them.
T8 704-754 Sentence denotes Traumatic events impact on people’s mental health.
T9 755-841 Sentence denotes The fear of contagion and of the death of family members has created huge uncertainty.
T10 842-898 Sentence denotes Isolation brings anxiety, sadness, anger and loneliness.
T11 899-959 Sentence denotes Social distancing and ‘quarantine’ are against human nature.
T12 960-1133 Sentence denotes The negative emotional effects of “quarantine” [1] are likely to be accentuated for many anorexia nervosa sufferers who are already isolated both emotionally and physically.
T13 1134-1247 Sentence denotes Impoverished interpersonal function will be more difficult to handle when severe “social distancing” is in place.
T14 1248-1313 Sentence denotes These concerns do not just apply to people with eating disorders.
T15 1314-1455 Sentence denotes Andrew Cuomo, Governor of New York, has said “People are struggling with the emotions as much as they are struggling with the economics” [2].
T16 1456-1609 Sentence denotes People with an eating disorder have a complex problematic relationship with food which will be enhanced at this time of food insecurity and panic buying.
T17 1610-1809 Sentence denotes There will no doubt be a plethora of research in the coming months and years documenting what impact COVID-19 will have on the eating disorder community from both a clinician and patient perspective.
T18 1810-1995 Sentence denotes Before speculating on these potential risks and outcomes, it is worth learning from past similar outbreaks and, where indicated, applying these efforts to the current COVID-19 pandemic.
T19 1996-2266 Sentence denotes Data involving patients suffering from MERS, SARS, influenza and Ebola [3] were unequivocal in high risk populations (both healthcare providers and patients alike) in revealing a relationship between the neuropsychiatric symptoms experienced, and the outbreak concerned.
T20 2267-2539 Sentence denotes There are similarities between these past outbreaks and the COVID-19 pandemic in that such outbreaks resulted in an ever-increasing sense of foreboding and fear, as well as elevated feelings of anxiety and panic and symptoms associated with post-traumatic stress disorder.
T21 2540-2725 Sentence denotes What seems to be even more concerning is that there is now evidence to suggest that these adverse cognitive and psychiatric sequelae may have long lasting effects on people at risk [3].
T22 2726-2827 Sentence denotes The adverse impact that COVID-19 may have on the eating disorder population is at this stage unknown.
T23 2828-2921 Sentence denotes However, there are some features that stand out and are deserving of our immediate attention.
T24 2922-3037 Sentence denotes In the short term, the prevalence of COVID-19 will mean that standard treatment approaches should be re-considered.
T25 3038-3124 Sentence denotes Should people who are undernourished and with cardio-vascular compromise, be admitted?
T26 3125-3255 Sentence denotes Although there is some debate as to the medical risks associated with this before COVID-19, do these become more of a concern now?
T27 3256-3315 Sentence denotes Will the number of admissions decrease during the pandemic?
T28 3316-3543 Sentence denotes On the other hand, because of the fear of community transmission, would there be a feeling of safety with admission to an eating disorder programme, thus increasing admissions and placing an increased demand on such facilities.
T29 3544-3706 Sentence denotes The continuation of day hospital programmes for eating disorder patients during the pandemic raises many vexed issues including one of viability during this time.
T30 3707-3863 Sentence denotes Because of physical distancing and the mantra around the globe of “staying at home” the running of face to face programmes becomes at the least challenging.
T31 3864-4034 Sentence denotes There is ample evidence of cognitive behavioural therapy (CBT) group programmes being conducted utilising video conferencing (telehealth) with good clinical efficacy [4].
T32 4035-4125 Sentence denotes However, their adaptation to half day and full day programmes have yet to be investigated.
T33 4126-4281 Sentence denotes The extension of online and alternate methods of delivering care from brief guided self-help CBT ([e.g. [5]) to more comprehensive care is urgently needed.
T34 4282-4433 Sentence denotes Many of our patients have rigid and inflexible eating behaviours with a very small range of foods that they can eat, and these are often brand related.
T35 4434-4593 Sentence denotes At a time of food insecurity with bare supermarket shelves, brands may not be available resulting in less choice and increased risk of precipitous weight loss.
T36 4594-4713 Sentence denotes The increasing news streaming regarding food insecurity may well act as a trigger for those who are ‘hoarders’ of food.
T37 4714-4958 Sentence denotes Very low weight people with anorexia nervosa may be particularly vulnerable to COVID-19 because of emaciation and their compromised physical health, although it isn’t clear that the degree that this applies to those less physically compromised.
T38 4959-5058 Sentence denotes Studies have suggested that anorexia nervosa may accord a level of resilience to viral illness [6].
T39 5059-5230 Sentence denotes It is unclear why, but it could be that there are also non-biological effects, e.g. one explained by the social distancing experienced by people with this eating disorder.
T40 5231-5393 Sentence denotes Notwithstanding this, if they do contract COVID-19 the effect is likely to be more profound than might be expected than for others of a similarly young age group.
T41 5394-5509 Sentence denotes Many people with bulimia nervosa and binge eating disorder are now at home for 24 hours a  day seven days per week.
T42 5510-5633 Sentence denotes There is no escape from distancing oneself from food at home and there are limited opportunities to leave home to buy food.
T43 5634-5856 Sentence denotes Bingeing on the family’s food when restocking is problematic, may lead to further family conflict, heightened emotional arousal, depression and anxiety as well as the likelihood of increased self- harm or even suicidality.
T44 5857-6023 Sentence denotes Public Health England, a NHS body, and members of the British royal family released a set of guidelines on ‘mental health and well-being aspects of coronavirus’. [7].
T45 6024-6172 Sentence denotes Italy has reported suicides amongst medical staff and family members caring for COVID–19 sufferers because they felt responsible for the deaths [8].
T46 6173-6237 Sentence denotes Society will expect mental health professionals to address this.
T47 6238-6348 Sentence denotes As of this month, 10 million Americans had lost their jobs with limited or no income or medical insurance [9].
T48 6349-6551 Sentence denotes Episodes of binge eating can be extremely costly and at times of severe fiscal restraint can lead to theft of food and if caught the resultant compounding effects of having to deal with judicial system.
T49 6552-6792 Sentence denotes A former Australian of the Year and leading Psychiatrist, Professor McGorry, has made a call for the Australian government to urgently establish a national mental health response to address the increased need of the community at large [10].
T50 6793-6900 Sentence denotes We would go further and say an international response is needed to a virus which does not think nationally.
T51 6901-7076 Sentence denotes Both the short-term and long -term consequences of having both an eating disorder and COVID-19 simultaneously are unknown and with time this is likely to become more apparent.
T52 7077-7251 Sentence denotes It is therefore important that we rapidly develop a repository of comments, protocols, case histories, pertinent literature reviews as well as empirical papers on this topic.
T53 7252-7343 Sentence denotes To expedite this, the Journal of Eating Disorders is running a special issue on this topic.
T54 7344-7433 Sentence denotes There are, without doubt, many more important aspects warranting our immediate attention.
T55 7434-7520 Sentence denotes We hope that this brief editorial will spur you, readers and researchers, into action.
T56 7522-7538 Sentence denotes Publisher’s Note
T57 7539-7657 Sentence denotes Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
T58 7659-7681 Sentence denotes Authors’ contributions
T59 7682-7709 Sentence denotes ST conceived the Editorial.
T60 7710-7745 Sentence denotes ST, PH and HL wrote the manuscript.
T61 7746-7802 Sentence denotes PH is corresponding author and submitted the manuscript.
T62 7803-7853 Sentence denotes All authors read an approved the final manuscript.
T63 7855-7862 Sentence denotes Funding
T64 7863-7879 Sentence denotes None to declare.
T65 7881-7915 Sentence denotes Availability of data and materials
T66 7916-7931 Sentence denotes Not applicable.
T67 7933-7975 Sentence denotes Ethics approval and consent to participate
T68 7976-7991 Sentence denotes Not applicable.
T69 7993-8016 Sentence denotes Consent for publication
T70 8017-8032 Sentence denotes Not applicable.
T71 8034-8053 Sentence denotes Competing interests
T72 8054-8148 Sentence denotes ST has received royalties from Shire/Takeda for commissioned reports and speaking engagements.
T73 8149-8240 Sentence denotes He is also the Chair of their Australian Clinical Advisory Board for Binge Eating Disorder.
T74 8241-8310 Sentence denotes He has also received research grant funding as well as travel grants.
T75 8311-8425 Sentence denotes He has also received royalties from Taylor and Francis, Hogrefe and Huber and McGraw Hill for books/book chapters.
T76 8426-8503 Sentence denotes Professor Touyz is a mental health adviser to the Commonwealth Department of.
T77 8504-8561 Sentence denotes HL receives support for his research team from Schoen-UK.
T78 8562-8667 Sentence denotes He is President of the European Council on Eating Disorders for which he receives out-of-pocket expenses.
T79 8668-8794 Sentence denotes He is an honorary consultant psychiatrist at South West London and St. George’s NHS Trust and receives minor benefits in kind.
T80 8795-8857 Sentence denotes He is Trustee of B-EAT - the UK sufferer and carer ED charity.
T81 8858-8966 Sentence denotes He is Court Member (and Past Master and Charity Steward) of the Plaisterers’ Livery Company, City of London.
T82 8967-9090 Sentence denotes He has been Medical Director of numerous private and NHS providers of care for ED sufferers and maintains unofficial links.
T83 9091-9167 Sentence denotes He has been non--executive director of UK companies unrelated to psychiatry.
T84 9168-9544 Sentence denotes PH receives/has received sessional fees and lecture fees from the Australian Medical Council, Therapeutic Guidelines publication, and New South Wales Institute of Psychiatry and royalties/honoraria from Hogrefe and Huber, McGraw Hill Education, and Blackwell Scientific Publications, Biomed Central and PlosMedicine and she has received research grants from the NHMRC and ARC.
T85 9545-9823 Sentence denotes She is Chair of the National Eating Disorders Collaboration Steering Committee in Australia (2012-) and Member of the ICD-11 Working Group for Eating Disorders (2012–2018) and was Chair Clinical Practice Guidelines Project Working Group (Eating Disorders) of RANZCP (2012–2015).
T86 9824-10008 Sentence denotes In the past 5 years she has prepared a report under contract for Shire Pharmaceuticals) and received honoraria for education of psychiatrists from Shire Pharmaceuticals (Takeda group).
T87 10009-10045 Sentence denotes All views in this paper are her own.