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. 2018 Jun;6(2):107-113.
doi: 10.1007/s40124-018-0162-y. Epub 2018 Apr 16.

Evaluation and Treatment of Avoidant/Restrictive Food Intake Disorder (ARFID) in Adolescents

Kathryn S Brigham  1   2 , Laurie D Manzo  1   3 , Kamryn T Eddy #  3   4 , Jennifer J Thomas #  3   4
Affiliations

Evaluation and Treatment of Avoidant/Restrictive Food Intake Disorder (ARFID) in Adolescents

Kathryn S Brigham et al. Curr Pediatr Rep. 2018 Jun.

Abstract

Purpose of review: Avoidant/restrictive food intake disorder (ARFID) was added to the psychiatric nomenclature in 2013. However, youth with ARFID often present first to medical- rather than psychiatric-settings, making its evaluation and treatment relevant to pediatricians.

Recent findings: ARFID is defined by limited volume or variety of food intake motivated by sensory sensitivity, fear of aversive consequences, or lack of interest in food or eating, and associated with medical, nutritional, and/or psychosocial impairment. It appears to be as common as anorexia nervosa and bulimia nervosa and can occur in individuals of all ages. ARFID is heterogeneous in presentation and may require both medical and psychological management.

Summary: Pediatricians should be aware of the diagnostic criteria for ARFID and the possibility that these patients may require medical intervention and referral for psychological treatment. The neurobiology underlying ARFID is unknown, and novel treatments are currently being tested.

Keywords: ARFID; Avoidant/restrictive food intake disorder; CBT-AR; cognitive-behavioral therapy; eating disorder; nutrition deficiencies.

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References

    1. American Psychiatric Association, American Psychiatric Association DSM-5 Task Force. Diagnostic and statistical manual of mental disorders : DSM-5. 5th ed. ed. Arlington, VA; 2013.
    1. American Psychiatric Association, American Psychiatric Association Task Force on DSM. Diagnostic and statistical manual of mental disorders : DSM-IV. 4th ed. ed. Washington, DC; 1994.
    1. Thomas JJ, Lawson EA, Micali N, Misra M, Deckersbach T, Eddy KT. Avoidant/Restrictive Food Intake Disorder: a Three-Dimensional Model of Neurobiology with Implications for Etiology and Treatment. Curr Psychiatry Rep 2017. August;19(8):54–017–0795–5. - PMC - PubMed
    1. Fisher MM, Rosen DS, Ornstein RM, Mammel KA, Katzman DK, Rome ES, et al. Characteristics of avoidant/restrictive food intake disorder in children and adolescents: a “new disorder” in DSM-5. J Adolesc Health 2014. July;55(1):49–52. - PubMed
    1. Norris ML, Spettigue WJ, Katzman DK. Update on eating disorders: current perspectives on avoidant/restrictive food intake disorder in children and youth. Neuropsychiatr Dis Treat 2016. January 19;12:213–218. - PMC - PubMed

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