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Table 2 Markers of care and unadjusted association with ED thoughts and behaviors during the COVID-19 pandemic (N = 73)

From: Access to care and worsening eating disorder symptomatology in youth during the COVID-19 pandemic

 

Overall

(N = 73)

N (%)

Intrusive ED Thoughts

ED Behaviorsa

n (%)

p-value

n (%)

p-value

Increased

(n = 59)

No change/

decreased

(n = 14)

Frequently

or daily

(n = 33)

Rarely

or Never

(n = 40)

Access

 Accessed via telehealth†

64 (88%)

53 (90%)

11 (79%)

0.36

29 (88%)

35 (88%)

0.99

 Accessed in-person†

16 (22%)

13 (22%)

3 (21%)

0.99

7 (21%)

9 (23%)

0.89

 No access

6 (8%)

3 (5%)

3 (21%)

0.08

3 (9%)

3 (8%)

0.99

Any access to care

   

0.08

  

0.99

 Yes (telehealth and/or in-person)

67 (92%)

56 (95%)

11 (79%)

 

30 (91%)

37 (92%)

 

 No

6 (8%)

3 (5%)

3 (21%)

 

3 (9%)

3 (8%)

 

Change in therapy

 Outpatient therapy

   

0.49

  

0.66

  No change

57 (78%)

47 (80%)

10 (71%)

 

25 (76%)

32 (80%)

 

  Stopped during pandemic

16 (22%)

12 (20%)

4 (29%)

 

8 (24%)

8 (20%)

 

 Outpatient nutrition

   

0.99

  

0.99

  No change

66 (90%)

53 (90%)

13 (93%)

 

30 (91%)

36 (90%)

 

  Stopped during pandemic

7 (10%)

6 (10%)

1 (7%)

 

3 (9%)

4 (10%)

 

 Weight checks by medical provider

   

0.12

  

0.22

  No change

50 (68%)

43 (73%)

7 (50%)

 

25 (76%)

25 (63%)

 

  Stopped during to pandemic

23 (32%)

16 (27%)

7 (50%)

 

8 (24%)

15 (38%)

 

 Stopped any treatment

   

0.38

  

0.44

  Yes

34 (47%)

26 (44%)

8 (57%)

 

16 (48%)

23 (58%)

 

  No

39 (53%)

33 (56%)

6 (43%)

 

17 (52%)

17 (42%)

 

Disruption

 Perceived disruption to care

   

0.36

  

0.56

  Yes

24 (32%)

21 (36%)

3 (21%)

 

12 (36%)

12 (30%)

 

  No

49 (67%)

38 (64%)

11 (79%)

 

21 (64%)

28 (70%)

 

Quality

 Quality of treatment in past 3 months

   

0.01

  

0.51

  Better than usual

6 (8%)

2 (3%)

4 (31%)

 

1 (3%)

5 (13%)

 

  As good as usual

42 (59%)

34 (59%)

8 (62%)

 

19 (59%)

23 (59%)

 

  Somewhat worse than usual

21 (30%)

20 (34%)

1 (8%)

 

11 (34%)

10 (26%)

 

  Much worse than usual

2 (3%)

2 (3%)

0 (0%)

 

1 (3%)

1 (3%)

 
  1. † not mutually exclusive – n = 13 reported access both via telehealth and in-person
  2. a Composite measure for engaging in restrictive or compensatory behaviors or binging on food in the past 3 months