Avoidant/restrictive food intake disorder: Psychopathological similarities and differences in comparison to anorexia nervosa and the general population
Introduction Avoidant/restrictive food intake disorder (ARFID) categorises patients with selective and/or restrictive eating patterns in the absence of distorted cognition concerning weight, food, and body image. Objective To examine the sociodemographic and clinical profile of patients with ARFID i...
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Published in | European eating disorders review Vol. 29; no. 2; pp. 245 - 256 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
John Wiley and Sons, Limited
01.03.2021
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Subjects | |
Online Access | Get full text |
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Summary: | Introduction
Avoidant/restrictive food intake disorder (ARFID) categorises patients with selective and/or restrictive eating patterns in the absence of distorted cognition concerning weight, food, and body image.
Objective
To examine the sociodemographic and clinical profile of patients with ARFID in comparison to those with anorexia nervosa (AN) and to a non‐clinical group (NCG).
Method
A descriptive, observational, comparative study made up of three groups (ARFID, AN and NCG). Ninety‐nine children and adolescents were analyzed by means of a semi‐structured diagnostic interview and questionnaires on depression, anxiety, clinical fears and general psychopathology.
Results
The ARFID group was significantly younger (10.8 vs. 14.1 years of age), with a greater proportion of males (60.6% vs. 6.1%), an earlier onset of illness (6.2 vs. 13.4 years of age), and a longer period of evolution of the illness (61.2 vs. 8.4 months) compared to the AN group. Clinically, patients with ARFID showed greater medical (42.4% vs. 12.1%) and psychiatric (81.8% vs. 33.3%) comorbidity—assessed with a semi‐structured diagnostic interview—greater clinical fear (p < 0.005), more attention problems (p < 0.005) and fewer symptoms of anxiety and depression (p < 0.005)—measured with self‐report questionnaires.
Conclusions
ARFID is a serious disorder with a significant impact on the physical and mental health of the pediatric population. Likewise, some of these physical and mental conditions may be a risk factor in developing ARFID. Attention problems and clinical fears in ARFID, and the greater presence of internalised symptoms in AN, were the main differences found in the psychopathological profiles.
Highlights
The sociodemographic variables and clinical characteristics had a heterogeneous distribution between patients with ARFID and those with AN, making it clear that the two diagnostic entities are distinct.
Patients with ARFID compared to those with AN form a clinically heterogeneous group characterised for three patterns of restriction: lack of interest in eating, avoidance due to the sensory characteristics of food, and fear of aversive consequences related to food.
Patients with ARFID have a significant impact on the physical and emotional development, in some instances equal to or greater than those with AN. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3 |
ISSN: | 1072-4133 1099-0968 |
DOI: | 10.1002/erv.2815 |