Table 2.
Markers of care and unadjusted association with ED thoughts and behaviors during the COVID-19 pandemic (N = 73)
| 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%) | ||
† not mutually exclusive – n = 13 reported access both via telehealth and in-person
a Composite measure for engaging in restrictive or compensatory behaviors or binging on food in the past 3 months