PMC:7170399 / 42-7520 JSONTXT 12 Projects

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Id Subject Object Predicate Lexical cue
T2 0-61 Sentence denotes We have all been stunned by the speed of this viral pandemic.
T3 62-127 Sentence denotes At the time of writing, one fifth of the world is under lockdown.
T4 128-265 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 266-317 Sentence denotes We, in eating disorders, must have a broader brief.
T6 318-480 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 481-661 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 662-712 Sentence denotes Traumatic events impact on people’s mental health.
T9 713-799 Sentence denotes The fear of contagion and of the death of family members has created huge uncertainty.
T10 800-856 Sentence denotes Isolation brings anxiety, sadness, anger and loneliness.
T11 857-917 Sentence denotes Social distancing and ‘quarantine’ are against human nature.
T12 918-1091 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 1092-1205 Sentence denotes Impoverished interpersonal function will be more difficult to handle when severe “social distancing” is in place.
T14 1206-1271 Sentence denotes These concerns do not just apply to people with eating disorders.
T15 1272-1413 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 1414-1567 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 1568-1767 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 1768-1953 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 1954-2224 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 2225-2497 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 2498-2683 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 2684-2785 Sentence denotes The adverse impact that COVID-19 may have on the eating disorder population is at this stage unknown.
T23 2786-2879 Sentence denotes However, there are some features that stand out and are deserving of our immediate attention.
T24 2880-2995 Sentence denotes In the short term, the prevalence of COVID-19 will mean that standard treatment approaches should be re-considered.
T25 2996-3082 Sentence denotes Should people who are undernourished and with cardio-vascular compromise, be admitted?
T26 3083-3213 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 3214-3273 Sentence denotes Will the number of admissions decrease during the pandemic?
T28 3274-3501 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 3502-3664 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 3665-3821 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 3822-3992 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 3993-4083 Sentence denotes However, their adaptation to half day and full day programmes have yet to be investigated.
T33 4084-4239 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 4240-4391 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 4392-4551 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 4552-4671 Sentence denotes The increasing news streaming regarding food insecurity may well act as a trigger for those who are ‘hoarders’ of food.
T37 4672-4916 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 4917-5016 Sentence denotes Studies have suggested that anorexia nervosa may accord a level of resilience to viral illness [6].
T39 5017-5188 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 5189-5351 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 5352-5467 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 5468-5591 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 5592-5814 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 5815-5981 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 5982-6130 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 6131-6195 Sentence denotes Society will expect mental health professionals to address this.
T47 6196-6306 Sentence denotes As of this month, 10 million Americans had lost their jobs with limited or no income or medical insurance [9].
T48 6307-6509 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 6510-6750 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 6751-6858 Sentence denotes We would go further and say an international response is needed to a virus which does not think nationally.
T51 6859-7034 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 7035-7209 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 7210-7301 Sentence denotes To expedite this, the Journal of Eating Disorders is running a special issue on this topic.
T54 7302-7391 Sentence denotes There are, without doubt, many more important aspects warranting our immediate attention.
T55 7392-7478 Sentence denotes We hope that this brief editorial will spur you, readers and researchers, into action.