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Youth with Avoidant/Restrictive Food Intake Disorder: Examining Differences by Age, Weight Status, and Symptom Duration

The primary purpose of this study was to examine differences among youth with avoidant/restrictive food intake disorder (ARFID) by age, weight status, and symptom duration. A secondary goal was to report the frequencies of ARFID using DSM-5 clinical presentations (i.e., fear of aversive consequences...

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Autores principales: Duncombe Lowe, Kristina, Barnes, Timothy L., Martell, Carolyn, Keery, Helene, Eckhardt, Sarah, Peterson, Carol B., Lesser, Julie, Le Grange, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6723819/
https://www.ncbi.nlm.nih.gov/pubmed/31434268
http://dx.doi.org/10.3390/nu11081955
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author Duncombe Lowe, Kristina
Barnes, Timothy L.
Martell, Carolyn
Keery, Helene
Eckhardt, Sarah
Peterson, Carol B.
Lesser, Julie
Le Grange, Daniel
author_facet Duncombe Lowe, Kristina
Barnes, Timothy L.
Martell, Carolyn
Keery, Helene
Eckhardt, Sarah
Peterson, Carol B.
Lesser, Julie
Le Grange, Daniel
author_sort Duncombe Lowe, Kristina
collection PubMed
description The primary purpose of this study was to examine differences among youth with avoidant/restrictive food intake disorder (ARFID) by age, weight status, and symptom duration. A secondary goal was to report the frequencies of ARFID using DSM-5 clinical presentations (i.e., fear of aversive consequences, lack of interest in food, sensory sensitivities). Participants (N = 102), ages 8–18 years, were recruited through an eating disorder service within a pediatric hospital. They were evaluated using semi-structured interviews and questionnaires. Patients were assigned to groups according to age, weight status, and symptom duration. Frequencies of clinical presentations, including combinations of DSM-5 categories, were also examined. Our findings suggest that adolescents presented with higher rates of Depression (p = 0.04). Youth with chronic ARFID symptoms presented with significantly lower weight (p = 0.03), and those with acute symptoms rated significantly higher suicidal ideation and/or self- harm (p = 0.02). Half of patients met criteria for more than one ARFID symptom presentation. This study provides preliminary evidence that youth with ARFID differ in clinical presentation depending on age, weight status, and symptom duration, and highlights safety concerns for those with acute symptoms of ARFID. High rates of overlapping symptom presentations might suggest a dimensional approach in the conceptualization of ARFID.
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spelling pubmed-67238192019-09-10 Youth with Avoidant/Restrictive Food Intake Disorder: Examining Differences by Age, Weight Status, and Symptom Duration Duncombe Lowe, Kristina Barnes, Timothy L. Martell, Carolyn Keery, Helene Eckhardt, Sarah Peterson, Carol B. Lesser, Julie Le Grange, Daniel Nutrients Article The primary purpose of this study was to examine differences among youth with avoidant/restrictive food intake disorder (ARFID) by age, weight status, and symptom duration. A secondary goal was to report the frequencies of ARFID using DSM-5 clinical presentations (i.e., fear of aversive consequences, lack of interest in food, sensory sensitivities). Participants (N = 102), ages 8–18 years, were recruited through an eating disorder service within a pediatric hospital. They were evaluated using semi-structured interviews and questionnaires. Patients were assigned to groups according to age, weight status, and symptom duration. Frequencies of clinical presentations, including combinations of DSM-5 categories, were also examined. Our findings suggest that adolescents presented with higher rates of Depression (p = 0.04). Youth with chronic ARFID symptoms presented with significantly lower weight (p = 0.03), and those with acute symptoms rated significantly higher suicidal ideation and/or self- harm (p = 0.02). Half of patients met criteria for more than one ARFID symptom presentation. This study provides preliminary evidence that youth with ARFID differ in clinical presentation depending on age, weight status, and symptom duration, and highlights safety concerns for those with acute symptoms of ARFID. High rates of overlapping symptom presentations might suggest a dimensional approach in the conceptualization of ARFID. MDPI 2019-08-20 /pmc/articles/PMC6723819/ /pubmed/31434268 http://dx.doi.org/10.3390/nu11081955 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Duncombe Lowe, Kristina
Barnes, Timothy L.
Martell, Carolyn
Keery, Helene
Eckhardt, Sarah
Peterson, Carol B.
Lesser, Julie
Le Grange, Daniel
Youth with Avoidant/Restrictive Food Intake Disorder: Examining Differences by Age, Weight Status, and Symptom Duration
title Youth with Avoidant/Restrictive Food Intake Disorder: Examining Differences by Age, Weight Status, and Symptom Duration
title_full Youth with Avoidant/Restrictive Food Intake Disorder: Examining Differences by Age, Weight Status, and Symptom Duration
title_fullStr Youth with Avoidant/Restrictive Food Intake Disorder: Examining Differences by Age, Weight Status, and Symptom Duration
title_full_unstemmed Youth with Avoidant/Restrictive Food Intake Disorder: Examining Differences by Age, Weight Status, and Symptom Duration
title_short Youth with Avoidant/Restrictive Food Intake Disorder: Examining Differences by Age, Weight Status, and Symptom Duration
title_sort youth with avoidant/restrictive food intake disorder: examining differences by age, weight status, and symptom duration
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6723819/
https://www.ncbi.nlm.nih.gov/pubmed/31434268
http://dx.doi.org/10.3390/nu11081955
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