1. Physical risk for exacerbating symptoms
2. Psychological risk for exacerbating symptoms
3. Risk of developing an ED
4. Concerns from ED patients and their caregivers

Risk factors concerning Covid and eating disorders

Covid has brought on many challenges for people globally. Individuals with eating disorders, in particular, are at risk for increasing severity of their symptoms. In addition, people may also be at higher risk for developing eating disorders.

University of California, Berkeley

There are many risk factors that can cause eating disorder relapse. Relapse in patients with anorexia nervosa is most likely to occur within the first 18 months after treatment, and about 35% of patients relapse. Relapse in patients with bulimia nervosa is most likely to occur within the first 2 years after treatment, and about 41% of patients relapse.

Eating Disorder Relapse

Fernández-Aranda, F., Casas, M., Claes, L., Bryan, D.C., Favaro, A., Granero, R., Gudiol, C., Jiménez-Murcia, S., Karwautz, A., Le Grange, D., Menchón, J.M., Tchanturia, K. and Treasure, J. (2020), COVID-19 and implications for eating disorders. Eur Eat Disorders Rev, 28: 239-245. https://doi-org.libproxy.berkeley.edu/10.1002/erv.2738

COVID-19 and implications for eating disorders

1. Longer duration of disorder
2. Age - the older the person is when they start recovery, the more likely that relapse will occur
3. Excessive exercise after recovery
4. Struggles with body image and low self esteem
5. Negative and stressful life events

Eating Disorder Relapse Risk Factors

Types of Eating Disorder Relapse

1. Increased thoughts around weight and food
2. Perfectionistic tendencies and need for control
3. Hopelessness and sadness
4. Body checking, weighing self
5. Eating less and/or avoiding certain foods
6. Purging
7. Need to exercise more
8. Isolation from others
9. Feeling guilty after meals

Signs of an Eating Disorder Relapse

1. Create a support system
2. Acknowledge things that trigger the eating disorder thoughts and behaviors
3. Work on developing healthy coping skills
4. Ask for help when needed
5. Recognize victories

Relapse Prevention

Citations for references on eating disorder relapse

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