Avoidant Restrictive Food Intake Disorder (ARFID)-Looking beyond the eating disorder lens?

Journal: European eating disorders review : the journal of the Eating Disorders Association

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Affiliated Institutions:  School of Health in Social Science, University of Edinburgh, Edinburgh, Scotland. Maudsley Centre for Child and Adolescent Eating Disorders, South London and Maudsley NHS Foundation Trust, London, UK. Lothian Eating Disorder Service, Royal Edinburgh Hospital, Edinburgh, Scotland.

Abstract summary 

Avoidant Restrictive Food Intake Disorder (ARFID) was first included as a diagnostic category in 2013, and over the past 10 years has been adopted by the international eating disorder community. While greater awareness of these difficulties has increased identification, demand and enabled advocacy for clinical services, the heterogeneous nature of ARFID poses unique challenges for eating disorder clinicians and researchers. This commentary aims to reflect on some of these challenges, focussing specifically on the risk of viewing ARFID through an eating disorder lens. This includes potential biases in the literature as most recent research has been conducted in specialist child and adolescent eating disorder clinic settings, bringing in to question the generalisability of findings to the broad spectrum of individuals affected by ARFID. We also consider whether viewing ARFID predominantly through an eating disorder lens risks us as a field being blinkered to the range of effective skills our multi-disciplinary feeding colleagues may bring. There are opportunities that may come with the eating disorder field navigating treatment pathways for ARFID, including more joined up working with multi-disciplinary colleagues, the ability to transfer skills used in ARFID treatment to individuals with eating disorder presentations, and most notably an opportunity to provide more effective treatment and service pathways for individuals with ARFID and their families. However, these opportunities will only be realised if eating disorder clinicians and researchers step out of their current silos.

Authors & Co-authors:  Duffy Willmott Nimbley Lawton Sharpe Buchan Gillespie-Smith

Study Outcome 

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Statistics
Citations :  Gal, E., Hardal‐Nasser, R., & Engel‐Yeger, B. (2011). The relationship between the severity of eating problems and intellectual developmental deficit level. Research in Developmental Disabilities, 32(5), 1464–1469. https://doi.org/10.1016/j.ridd.2010.12.003
Authors :  7
Identifiers
Doi : 10.1002/erv.3093
SSN : 1099-0968
Study Population
Male,Female
Mesh Terms
Other Terms
classification;clinical;treatment
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Country of Study
Publication Country
England