Update on eating disorders: current perspectives on avoidant/restrictive food intake disorder in children and youth

Mark L Norris,1 Wendy J Spettigue,2 Debra K Katzman3 1Division of Adolescent Medicine, Department of Pediatrics, Children’s Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada; 2Department of Psychiatry, Children’s Hospital of Eastern Ontario, University...

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Main Authors: Norris M, Spettigue W, Katzman D
Format: Article
Language:English
Published: Dove Medical Press 2016-01-01
Series:Neuropsychiatric Disease and Treatment
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Online Access:https://www.dovepress.com/update-on-eating-disorders-current-perspectives-on-avoidantrestrictive-peer-reviewed-fulltext-article-NDT
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author Norris M
Spettigue W
Katzman D
author_facet Norris M
Spettigue W
Katzman D
author_sort Norris M
collection DOAJ
description Mark L Norris,1 Wendy J Spettigue,2 Debra K Katzman3 1Division of Adolescent Medicine, Department of Pediatrics, Children’s Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada; 2Department of Psychiatry, Children’s Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada; 3Division of Adolescent Medicine, Department of Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada Abstract: Avoidant/restrictive food intake disorder (ARFID) is a new eating disorder diagnosis that was introduced in the Diagnostic and Statistical Manual of Mental Disorders (DSM) fifth edition. The fourth edition of the DSM had failed to adequately capture a cohort of children, adolescents, and adults who are unable to meet appropriate nutritional and/or energy needs, for reasons other than drive for thinness, leading to significant medical and/or psychological sequelae. With the introduction of ARFID, researchers are now starting to better understand the presentation, clinical characteristics, and complexities of this disorder. This article outlines the diagnostic criteria for ARFID with specific focus on children and youth. A case example of a patient with ARFID, factors that differentiate ARFID from picky eating, and the estimated prevalence in pediatric populations are discussed, as well as clinical and treatment challenges that impact health care providers providing treatment for patients. Keywords: avoidant/restrictive food intake disorder, ARFID, eating disorder, picky eating, prevalence, treatment
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spelling doaj-art-3b960dad551440a0bf15469b5dacc79d2025-08-20T03:32:40ZengDove Medical PressNeuropsychiatric Disease and Treatment1178-20212016-01-01Volume 12Issue 121321825289Update on eating disorders: current perspectives on avoidant/restrictive food intake disorder in children and youthNorris M0Spettigue WKatzman DDepartment of PediatricsMark L Norris,1 Wendy J Spettigue,2 Debra K Katzman3 1Division of Adolescent Medicine, Department of Pediatrics, Children’s Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada; 2Department of Psychiatry, Children’s Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada; 3Division of Adolescent Medicine, Department of Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada Abstract: Avoidant/restrictive food intake disorder (ARFID) is a new eating disorder diagnosis that was introduced in the Diagnostic and Statistical Manual of Mental Disorders (DSM) fifth edition. The fourth edition of the DSM had failed to adequately capture a cohort of children, adolescents, and adults who are unable to meet appropriate nutritional and/or energy needs, for reasons other than drive for thinness, leading to significant medical and/or psychological sequelae. With the introduction of ARFID, researchers are now starting to better understand the presentation, clinical characteristics, and complexities of this disorder. This article outlines the diagnostic criteria for ARFID with specific focus on children and youth. A case example of a patient with ARFID, factors that differentiate ARFID from picky eating, and the estimated prevalence in pediatric populations are discussed, as well as clinical and treatment challenges that impact health care providers providing treatment for patients. Keywords: avoidant/restrictive food intake disorder, ARFID, eating disorder, picky eating, prevalence, treatmenthttps://www.dovepress.com/update-on-eating-disorders-current-perspectives-on-avoidantrestrictive-peer-reviewed-fulltext-article-NDTAvoidant restrictive food intake disorderARFIDeating disorderpicky eatingprevalencetreatment
spellingShingle Norris M
Spettigue W
Katzman D
Update on eating disorders: current perspectives on avoidant/restrictive food intake disorder in children and youth
Neuropsychiatric Disease and Treatment
Avoidant restrictive food intake disorder
ARFID
eating disorder
picky eating
prevalence
treatment
title Update on eating disorders: current perspectives on avoidant/restrictive food intake disorder in children and youth
title_full Update on eating disorders: current perspectives on avoidant/restrictive food intake disorder in children and youth
title_fullStr Update on eating disorders: current perspectives on avoidant/restrictive food intake disorder in children and youth
title_full_unstemmed Update on eating disorders: current perspectives on avoidant/restrictive food intake disorder in children and youth
title_short Update on eating disorders: current perspectives on avoidant/restrictive food intake disorder in children and youth
title_sort update on eating disorders current perspectives on avoidant restrictive food intake disorder in children and youth
topic Avoidant restrictive food intake disorder
ARFID
eating disorder
picky eating
prevalence
treatment
url https://www.dovepress.com/update-on-eating-disorders-current-perspectives-on-avoidantrestrictive-peer-reviewed-fulltext-article-NDT
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