36. Prevalence and Characteristics of the DSM-5 Proposed Avoidant/Restrictive Food Intake Disorder in a Cohort of Young Eating Disordered Patients in Day Treatment

Ornstein, Rollyn M.; Nicely, Terri A; Lane‐Loney, Susan; Masciulli, Emily; Hollenbeak, Christopher S.

doi:10.1016/j.jadohealth.2012.10.092

Cited by 4 publications

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“…Since the inclusion of ARFID in DSM-5, research has continued to explore avoidant and restrictive eating in relation to AN. Generally, previous studies have reported that those with ARFID present for treatment at a younger age than those with AN (Bryson, Scipioni, Essayli, Mahoney, & Ornstein, 2018;Cooney et al, 2017;Fisher et al, 2014;Forman et al, 2014;Nakai, Nin, Noma, Teramukai, & Wonderlich, 2016;Nicely et al, 2014;Norris et al, 2014;Ornstein, Nicely, Lane-Loney, Masciulli, & Hollenbeak, 2013) and, in outpatient settings, have a longer duration of illness than patients with AN (Fisher et al, 2014;Forman et al, 2014). A recent latent class analysis of children between the ages of 5 and 13 presenting to pediatric clinics or general psychological clinics reported that restrictive eating could be separated into two distinct classes: (1) a class similar to AN characterized by body dissatisfaction, fear of gaining weight, and over exercising; and (2) a class similar to ARFID characterized by somatic concerns and low levels of weight and shape concerns (Pinhas et al, 2017).…”

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confidence: 98%

“…Similarly, some studies suggest that the proportion of males versus females in ARFID is higher than the proportion of males versus female in AN, particularly in outpatient samples (Bryson et al, 2018;Fisher et al, 2014;Forman et al, 2014;Nicely et al, 2014;Norris et al, 2014;Ornstein, Nicely, et al, 2013). However, the gender difference between ARFID and AN is less pronounced in adult samples (Nakai et al, 2016) and in patients requiring acute medical hospitalization (Strandjord et al, 2015).…”

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confidence: 99%

“…Psychometric analyses have revealed that, consistent with diagnostic criteria, individuals with ARFID report less body image disturbance, drive for thinness, and concern about weight/shape and eating compared with those with AN, as well as fewer bulimic behaviors (Nakai et al, 2016;Ornstein, Nicely, et al, 2013). However, because ARFID is a newly defined disorder, retrospective study samples relied on clinical evaluations and measures that were designed for the assessment of psychopathology more reflective of AN than ARFID.…”

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confidence: 99%

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Impact of expanded diagnostic criteria for avoidant/restrictive food intake disorder on clinical comparisons with anorexia nervosa

Becker

Keshishian

Liebman

et al. 2018

Intl J Eating Disorders

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Objective Avoidant/restrictive food intake disorder (ARFID) and anorexia nervosa (AN) are restrictive eating disorders. There is a proposal before the American Psychiatric Association to broaden the current DSM‐5 criteria for ARFID, which currently require dietary intake that is inadequate to support energy or nutritional needs. We compared the clinical presentations of ARFID and AN in an outpatient sample to determine how a more inclusive definition of ARFID, heterogeneous for age and weight status, is distinct from AN. Methods As part of standard care, 138 individuals with AN or ARFID completed an online assessment battery and agreed to include their responses in research. Results Individuals with ARFID were younger, reported earlier age of onset, and had higher percent median BMI (%mBMI) than those with AN (all ps < .001). Individuals with ARFID scored lower on measures of eating pathology, depression, anxiety, and clinical impairment (all ps < .05), but did not differ from those with AN on restrictive eating (p = .52), and scored higher on food neophobia (p < .001). Discussion Allowing psychosocial impairment to be sufficient for an ARFID diagnosis resulted in a clinical picture of ARFID such that %mBMI was higher (and in the normal range) compared with AN. Differences in gender distribution, age, and age of onset remained consistent with previous research. Both groups reported similar levels of dietary restriction, although ARFID can be distinguished by relatively higher levels of food neophobia. Currently available measures of eating pathology may capture certain ARFID symptoms, but highlight the need for measures of impairment relative to ARFID.

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confidence: 98%

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confidence: 99%

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confidence: 99%

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Impact of expanded diagnostic criteria for avoidant/restrictive food intake disorder on clinical comparisons with anorexia nervosa

Becker

Keshishian

Liebman

et al. 2018

Intl J Eating Disorders

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“…Avoidant Restrictive Food Intake Disorder is a new term for describing infant and toddler feeding disorders with the following characteristics: refusing to eat, poor mealtime schedules, low eating skills that are not in accordance with the child's development stage (Davies et al, 2006), a lack of interest in eating, avoidance based on sensory food including the appearance of food, the smell and taste of the food, fear that occurs when eating such as dysphagia and a fear of swallowing food (Davies et al, 2006;Fisher et al, 2014;Kostro, Lerman, & Attia, 2014;Nicely, Lane-Loney, Masciulli, Hollenbeak, & Ornstein, 2014). The distinctive difference from other eating disorders is that in ARFID, there are also psychological disorders such as anxiety and a lack of good parenting (Strandjord et al, 2016;Zimmerman & Fisher, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…Children with ARFID were reported to be at 11% (Nakai et al, 2017), 12, 4% (Fisher et al, 2014), 22.5% (Nicely et al, 2014) and 5% -23% (Mairs & Nicholls, 2016;Strandjord et al, 2016). Problems related to difficulty eating in children is largely determined by family factors, especially those of the mother or caregiver (Allen et al, 2015), where there is a dysfunctional mother and lacking in mother and child interaction (Goulding et al, 2014;Gueron-Sela, Atzaba-Poria, Meiri, & Yerushalmi, 2011;Kröller & Warschburger, 2009;Sacrato, Pellicciari, & Franzoni, 2010;Squires, Lalanne, Murday, Simoglou, & Vaivre-Douret, 2014), concerning the environmental and socio-cultural influences and any psychological tensions (Campbell & Peebles, 2014;De Luca & Napoletani, 2015;Strandjord, Sieke, Richmond, & Rome, 2015).…”

Section: Introductionmentioning

confidence: 99%

Socio-demographic Determinants and the Family Ability to Care for Children with Avoidant Restrictive Food Intake Disorder (ARFID)

Prasetyo¹,

Nursalam²,

Hargono³

et al. 2019

J. Ners

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Background: The ability of families to care for avoidant restrictive food intake disorder children is still low. There is only few studies that examined relationship between family factor to ability to care children with avoidant restrictive food intake disorder. The purpose of this study was to identify the influence of socio-demographic factors on the ability of families to represent children with avoidant restrictive food intake disorder.Method: The study design was cross-sectional, and the majority of samples were gathered using the rule of the thumb, totaling 245 participants. The sampling technique used a type of multistage sampling. Data were collected by questionnaire. We then conducted an analysis of the univariate data using frequency distribution, while for the bivariate data, we used the chi-square technique. All of the data was processed using IBM SPSS 23.0 statistics.Results: The results showed that the ability of care from the families (health promotion behavior) of children with avoidant restrictive food intake disorder was influenced by the socio-demographic factors, namely maternal age (p= 0.010), the number of children (p= 0.047) and education (p= 0.036).Conclusion: Young mothers need appropriate guidance and direction through good health education. Good health education in young mothers can reduce the pressure faced by the mothers when caring for their children with avoidant restrictive food intake disorder. Health promotion behavior is influenced by maternal education and maternal age. Through good mother's education, the mother will be able to provide a good pattern of care to children who experience avoidant restrictive food intake disorder.

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A systematic scoping review of diagnostic validity in avoidant/restrictive food intake disorder

Strand

Hausswolff-Juhlin

Welch

2018

Intl J Eating Disorders

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Objective Avoidant/restrictive food intake disorder (ARFID) was introduced as a new diagnosis in the DSM‐5. This systematic scoping review explores how ARFID as a diagnostic entity is conceptualized in the research literature and evaluates the diagnostic validity according to the Feighner criteria. Method A systematic scoping review of papers on ARFID in PubMed/MEDLINE and Web of Science was undertaken, following PRISMA and Joanna Briggs Institute guidelines. Results Fifty‐one original research publications, 23 reviews and commentaries, and 20 case reports were identified. The use of ARFID as a conceptual category varies significantly within this literature. At this time, the ARFID diagnosis does not fulfil the Feighner criteria for evaluating the validity of diagnostic constructs, the most urgent problem being the demarcation toward other disorders. A three‐dimensional model—lack of interest in food, selectivity based on sensory sensitivity, and fear of aversive consequences—is gaining support in the research literature. Discussion The introduction of the ARFID diagnosis has undoubtedly increased the recognition of a previously largely neglected group of patients. However, this article points to an inability of the current DSM‐5 diagnostic criteria to ensure optimal diagnostic validity, which risks making them less useful in clinical practice and in epidemiological research. To increase the conceptual validity of the ARFID construct, several possible alterations to the current diagnostic criteria are suggested, including a stronger emphasis of the three identified subdomains and further clarifying the boundaries of ARFID.

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36. Prevalence and Characteristics of the DSM-5 Proposed Avoidant/Restrictive Food Intake Disorder in a Cohort of Young Eating Disordered Patients in Day Treatment

Cited by 4 publications

References 0 publications

Impact of expanded diagnostic criteria for avoidant/restrictive food intake disorder on clinical comparisons with anorexia nervosa

Impact of expanded diagnostic criteria for avoidant/restrictive food intake disorder on clinical comparisons with anorexia nervosa

Socio-demographic Determinants and the Family Ability to Care for Children with Avoidant Restrictive Food Intake Disorder (ARFID)

A systematic scoping review of diagnostic validity in avoidant/restrictive food intake disorder

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