Avoidant Restrictive Food Intake Disorder: A Case Series
Avoidant restrictive food intake disorder (ARFID), a recently described eating disorder categorized under DSM-5, has varied clinical presentations. The primary eating disorders have well-established practice parameters for management. However, there is no evidence-based first line of management for...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-10-01
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| Series: | Current Medical Issues |
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| Online Access: | https://journals.lww.com/10.4103/cmi.cmi_74_24 |
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| author | Swetha Madhuri Chikkala Paul Swamidhas Sudhakar Russell Mona Basker Rachna George Joseph Santhanababu Bavishna Sneha Maria Sebastian Y. S. Reshmi |
| author_facet | Swetha Madhuri Chikkala Paul Swamidhas Sudhakar Russell Mona Basker Rachna George Joseph Santhanababu Bavishna Sneha Maria Sebastian Y. S. Reshmi |
| author_sort | Swetha Madhuri Chikkala |
| collection | DOAJ |
| description | Avoidant restrictive food intake disorder (ARFID), a recently described eating disorder categorized under DSM-5, has varied clinical presentations. The primary eating disorders have well-established practice parameters for management. However, there is no evidence-based first line of management for ARFID. There is a significant gap in this evolving construct and clinical practice. We present a case series from a tertiary care center in India, focusing on clinical management. Four adolescents with 3 girls and 1 boy between 12 and 17 years of age were included in the study. Diagnosis and management were delayed in all. Mean body mass index was 15.36 (5.26) kg/m2 at the time of diagnosis. Key drivers were dread of choking, sensory characteristics, and avoidance of unpleasant upper and lower gastrointestinal symptoms. This series supports a culturally cognizant hypothesis, an evidence based, viable management model for ARFID in low- and middle-income countries (LMIC). A combination of family-based treatment (FBT) and cognitive behavior therapy is an effective treatment model for India and other LMICs. |
| format | Article |
| id | doaj-art-8e34a817afaf429690d3a1629abb5884 |
| institution | OA Journals |
| issn | 0973-4651 2666-4054 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Current Medical Issues |
| spelling | doaj-art-8e34a817afaf429690d3a1629abb58842025-08-20T02:18:00ZengWolters Kluwer Medknow PublicationsCurrent Medical Issues0973-46512666-40542024-10-0122424925410.4103/cmi.cmi_74_24Avoidant Restrictive Food Intake Disorder: A Case SeriesSwetha Madhuri ChikkalaPaul Swamidhas Sudhakar RussellMona BaskerRachna George JosephSanthanababu BavishnaSneha Maria SebastianY. S. ReshmiAvoidant restrictive food intake disorder (ARFID), a recently described eating disorder categorized under DSM-5, has varied clinical presentations. The primary eating disorders have well-established practice parameters for management. However, there is no evidence-based first line of management for ARFID. There is a significant gap in this evolving construct and clinical practice. We present a case series from a tertiary care center in India, focusing on clinical management. Four adolescents with 3 girls and 1 boy between 12 and 17 years of age were included in the study. Diagnosis and management were delayed in all. Mean body mass index was 15.36 (5.26) kg/m2 at the time of diagnosis. Key drivers were dread of choking, sensory characteristics, and avoidance of unpleasant upper and lower gastrointestinal symptoms. This series supports a culturally cognizant hypothesis, an evidence based, viable management model for ARFID in low- and middle-income countries (LMIC). A combination of family-based treatment (FBT) and cognitive behavior therapy is an effective treatment model for India and other LMICs.https://journals.lww.com/10.4103/cmi.cmi_74_24avoidant restrictive food intake disordercognitive behavior therapy for avoidant restrictive food intake disordereating disordersfamily-based treatmentindia |
| spellingShingle | Swetha Madhuri Chikkala Paul Swamidhas Sudhakar Russell Mona Basker Rachna George Joseph Santhanababu Bavishna Sneha Maria Sebastian Y. S. Reshmi Avoidant Restrictive Food Intake Disorder: A Case Series Current Medical Issues avoidant restrictive food intake disorder cognitive behavior therapy for avoidant restrictive food intake disorder eating disorders family-based treatment india |
| title | Avoidant Restrictive Food Intake Disorder: A Case Series |
| title_full | Avoidant Restrictive Food Intake Disorder: A Case Series |
| title_fullStr | Avoidant Restrictive Food Intake Disorder: A Case Series |
| title_full_unstemmed | Avoidant Restrictive Food Intake Disorder: A Case Series |
| title_short | Avoidant Restrictive Food Intake Disorder: A Case Series |
| title_sort | avoidant restrictive food intake disorder a case series |
| topic | avoidant restrictive food intake disorder cognitive behavior therapy for avoidant restrictive food intake disorder eating disorders family-based treatment india |
| url | https://journals.lww.com/10.4103/cmi.cmi_74_24 |
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