Eating Disorder and Other Psychiatric Hospitalizations in New Zealand During the COVID‐19 Pandemic

ABSTRACT Objective An unprecedented rise in eating disorder presentations has been documented in several countries during the COVID‐19 pandemic. We explored this phenomenon by analyzing nationwide psychiatric admissions over 5 years, controlling for demographic variables. Methods We retrospectively...

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Published in:The International journal of eating disorders 2024-09, Vol.57 (9), p.1890-1898
Main Authors: Hansen, Sara J., McLay, Jessica, Menkes, David B.
Format: Article
Language:English
Subjects:
anorexia nervosa
COVID-19
Eating disorders
hospital admissions
pandemic
Pandemics
service demand
Social networks
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creator Hansen, Sara J.
McLay, Jessica
Menkes, David B.
description ABSTRACT Objective An unprecedented rise in eating disorder presentations has been documented in several countries during the COVID‐19 pandemic. We explored this phenomenon by analyzing nationwide psychiatric admissions over 5 years, controlling for demographic variables. Methods We retrospectively analyzed all hospitalizations in New Zealand with a primary psychiatric diagnosis from 2017 to 2021, using Poisson regression to calculate admission rates by diagnosis, before and during the pandemic. Using Fisher's exact test and Poisson modeling, national data were validated against a manually collected sample of eating disorder admissions. Results Eating disorder admissions rose significantly during the pandemic (RR 1.48, p 
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We explored this phenomenon by analyzing nationwide psychiatric admissions over 5 years, controlling for demographic variables. Methods We retrospectively analyzed all hospitalizations in New Zealand with a primary psychiatric diagnosis from 2017 to 2021, using Poisson regression to calculate admission rates by diagnosis, before and during the pandemic. Using Fisher's exact test and Poisson modeling, national data were validated against a manually collected sample of eating disorder admissions. Results Eating disorder admissions rose significantly during the pandemic (RR 1.48, p &lt; 0.0001), while other diagnoses remained unchanged or decreased slightly. Anorexia nervosa in 10 to 19‐year‐old females drove increases, with persistent elevations noted in the 10–14 age group. Pandemic‐associated increases were more striking for Māori (RR 2.55), the indigenous Polynesian population, compared with non‐Māori (RR 1.43). Conclusions Eating disorder hospital presentations increased during the COVID‐19 pandemic, while other psychiatric presentations to hospital remained relatively unchanged. Possible drivers include disrupted routines, barriers to healthcare access, altered social networks, and increased social media use. Clinical services require additional resources to manage the increased disease burden, especially in vulnerable pediatric and indigenous populations. Ongoing monitoring will be required to establish the time‐course of pandemic‐related clinical demand.</description><identifier>ISSN: 0276-3478</identifier><identifier>ISSN: 1098-108X</identifier><identifier>EISSN: 1098-108X</identifier><identifier>DOI: 10.1002/eat.24237</identifier><identifier>PMID: 38946135</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley &amp; Sons, Inc</publisher><subject>anorexia nervosa ; COVID-19 ; Eating disorders ; hospital admissions ; pandemic ; Pandemics ; service demand ; Social networks</subject><ispartof>The International journal of eating disorders, 2024-09, Vol.57 (9), p.1890-1898</ispartof><rights>2024 The Author(s). published by Wiley Periodicals LLC.</rights><rights>2024 The Author(s). International Journal of Eating Disorders published by Wiley Periodicals LLC.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). 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We explored this phenomenon by analyzing nationwide psychiatric admissions over 5 years, controlling for demographic variables. Methods We retrospectively analyzed all hospitalizations in New Zealand with a primary psychiatric diagnosis from 2017 to 2021, using Poisson regression to calculate admission rates by diagnosis, before and during the pandemic. Using Fisher's exact test and Poisson modeling, national data were validated against a manually collected sample of eating disorder admissions. Results Eating disorder admissions rose significantly during the pandemic (RR 1.48, p &lt; 0.0001), while other diagnoses remained unchanged or decreased slightly. Anorexia nervosa in 10 to 19‐year‐old females drove increases, with persistent elevations noted in the 10–14 age group. Pandemic‐associated increases were more striking for Māori (RR 2.55), the indigenous Polynesian population, compared with non‐Māori (RR 1.43). Conclusions Eating disorder hospital presentations increased during the COVID‐19 pandemic, while other psychiatric presentations to hospital remained relatively unchanged. Possible drivers include disrupted routines, barriers to healthcare access, altered social networks, and increased social media use. Clinical services require additional resources to manage the increased disease burden, especially in vulnerable pediatric and indigenous populations. 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We explored this phenomenon by analyzing nationwide psychiatric admissions over 5 years, controlling for demographic variables. Methods We retrospectively analyzed all hospitalizations in New Zealand with a primary psychiatric diagnosis from 2017 to 2021, using Poisson regression to calculate admission rates by diagnosis, before and during the pandemic. Using Fisher's exact test and Poisson modeling, national data were validated against a manually collected sample of eating disorder admissions. Results Eating disorder admissions rose significantly during the pandemic (RR 1.48, p &lt; 0.0001), while other diagnoses remained unchanged or decreased slightly. Anorexia nervosa in 10 to 19‐year‐old females drove increases, with persistent elevations noted in the 10–14 age group. Pandemic‐associated increases were more striking for Māori (RR 2.55), the indigenous Polynesian population, compared with non‐Māori (RR 1.43). 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subjects anorexia nervosa
COVID-19
Eating disorders
hospital admissions
pandemic
Pandemics
service demand
Social networks
title Eating Disorder and Other Psychiatric Hospitalizations in New Zealand During the COVID‐19 Pandemic
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