Distribution of Eating Disorders in Children and Adolescents Using the Proposed DSM-5 Criteria for Feeding and Eating Disorders

Ornstein, Rollyn M.; Rosen, David S.; Mammel, Kathleen A.; Callahan, S. Todd; Forman, Sara F.; Jay, M. Susan; Fisher, Martin; Rome, Ellen S.; Walsh, B. Timothy

doi:10.1016/j.jadohealth.2013.03.025

Cited by 163 publications

(124 citation statements)

References 9 publications

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“…In terms of the diagnoses, we report a number of patients with ARFID, 12.4%. This is similar to Ornstein et al [14] who describe the ARFID population as 14% of patients presenting for initial ED evaluation to an Adolescent Medicine physician across six institutions. Although our sample has some overlapping sites participating in the study by Ornstein et al, when including the larger sample size from our study, the percentage of ARFID continues to be fairly consistent.…”

Section: Discussionsupporting

confidence: 82%

Predictors of Outcome at 1 Year in Adolescents With DSM-5 Restrictive Eating Disorders: Report of the National Eating Disorders Quality Improvement Collaborative

Forman

McKenzie

Hehn

et al. 2014

Journal of Adolescent Health

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149

126

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Section: Discussionsupporting

confidence: 82%

Predictors of Outcome at 1 Year in Adolescents With DSM-5 Restrictive Eating Disorders: Report of the National Eating Disorders Quality Improvement Collaborative

Forman

McKenzie

Hehn

et al. 2014

Journal of Adolescent Health

Self Cite

149

126

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“…These emerging data suggest that ARFID may be as common as AN and BN. Further, studies from North America have shown that 5–12% of patients presenting for eating disorder care at outpatient clinics (9–11) and 22.5–24.6% of patients presenting to an outpatient day program for younger adolescents with eating disorders (12,13) meet DSM-5 criteria for ARFID.…”

Section: What Is Known About Arfid?mentioning

confidence: 99%

Evaluation and Treatment of Avoidant/Restrictive Food Intake Disorder (ARFID) in Adolescents

et al. 2018

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Purpose of review: Avoidant/restrictive food intake disorder (ARFID) was added to the psychiatric nomenclature in 2013. However, youth with ARFID often present first to medical— rather than psychiatric—settings, making its evaluation and treatment relevant to pediatricians. Recent findings: ARFID is defined by limited volume or variety of food intake motivated by sensory sensitivity, fear of aversive consequences, or lack of interest in food or eating, and associated with medical, nutritional, and/or psychosocial impairment. It appears to be as common as anorexia nervosa and bulimia nervosa and can occur in individuals of all ages. ARFID is heterogeneous in presentation and may require both medical and psychological management. Summary: Pediatricians should be aware of the diagnostic criteria for ARFID and the possibility that these patients may require medical intervention and referral for psychological treatment. The neurobiology underlying ARFID is unknown, and novel treatments are currently being tested.

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“…To address these issues, the DSM-5 broadens the inclusion criteria for both AN and BN, BED is now a formal diagnosis, and other EDs have been further clarified. 35 Adolescents with AN often present with dramatic weight loss or poor growth and may be preoccupied with food and weight. Restriction of entire food groups (ie, new-onset vegetarianism) or calories, and the development of food rituals are commonplace.…”

Section: Diagnosismentioning

confidence: 99%

“…33,38 Additional new categories in the DSM-5 with likely impact are avoidant restrictive food intake disorder, other specified feeding and EDs, and unspecified feeding and ED. "Avoidant restrictive food intake disorder is not uncommon in children 35,39 and comprises a variety of restrictive eating behaviors (ie, swallowing phobias, textural aversions) that do not involve a fear of weight gain or distorted cognitions but lead to significant physical and emotional impairment. Other specified feeding and EDs refers to atypical AN (normalweight AN), subthreshold BN, purging disorder, and night eating syndrome.…”

Section: Diagnosismentioning

confidence: 99%

Eating Disorders in Children and Adolescents: State of the Art Review

2014

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This is the 3rd in our series on Adolescent Health. abstract Despite their high prevalence, associated morbidity and mortality, and available treatment options, eating disorders (EDs) continue to be underdiagnosed by pediatric professionals. Many adolescents go untreated, do not recover, or reach only partial recovery. Higher rates of EDs are seen now in younger children, boys, and minority groups; EDs are increasingly recognized in patients with previous histories of obesity. Medical complications are common in both full and subthreshold EDs and affect every organ system. No single cause of EDs has emerged, although neurobiological and genetic predispositions are emerging as important. Recent treatment paradigms acknowledge that they are not caused by families or chosen by patients. EDs present differently in pediatric populations, and providers should have a high index of suspicion using new Diagnostic and Statistical Manual, 5th edition diagnostic criteria because early intervention can affect prognosis. Outpatient family-based treatment focused on weight restoration, reducing blame, and empowering caregivers has emerged as particularly effective; cognitive behavioral therapy, individual therapy, and higher levels of care may also be appropriate. Pharmacotherapy is useful in specific contexts. Full weight restoration is critical, often involves high-calorie diets, and must allow for continued growth and development; weight maintenance is typically inappropriate in pediatric populations. Physical, nutritional, behavioral, and psychological health are all metrics of a full recovery, and pediatric EDs have a good prognosis with appropriate care. ED prevention efforts should work toward aligning with families and understanding the impact of antiobesity efforts. Primary care providers can be key players in treatment success.

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Distribution of Eating Disorders in Children and Adolescents Using the Proposed DSM-5 Criteria for Feeding and Eating Disorders

Cited by 163 publications

References 9 publications

Predictors of Outcome at 1 Year in Adolescents With DSM-5 Restrictive Eating Disorders: Report of the National Eating Disorders Quality Improvement Collaborative

Predictors of Outcome at 1 Year in Adolescents With DSM-5 Restrictive Eating Disorders: Report of the National Eating Disorders Quality Improvement Collaborative

Evaluation and Treatment of Avoidant/Restrictive Food Intake Disorder (ARFID) in Adolescents

Eating Disorders in Children and Adolescents: State of the Art Review

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