The treatment of avoidant/restrictive food intake disorder (ARFID) with predominance of anxiety presentation. A proposal of a protocol for therapeutic procedure.

Sikora, Dorota

doi:10.12740/pt/141443

Cited by 4 publications

(5 citation statements)

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“…It is important that parents follow healthy eating principles when expanding their child's diet rather than restrictively eliminating foods. Such restrictions may predispose to food aversion, food neophobia and even to avoidant/restrictive food intake disorder (AFRID) ( 51 , 52 ).…”

Section: Discussionmentioning

confidence: 99%

Practical Implementation of the BLW Method During the Expansion of the Infant Diet—A Study Among Polish Children

et al. 2022

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The aim of the study was to verify the knowledge of mothers of children under 3 years of age about the Baby Led Weaning (BLW) feeding model and their practical implementation of this method. The study involved 761 mothers and their children. After analysis of the inclusion and exclusion criterion, the information provided by women 699 aged 21–48 years was included in the final data analysis. In the study group, most children were breastfed for 6 months to 1 year (n = 256, 36.7%), 1 year to 2 years (n = 179, 25.6%) and over 2 years (n = 71, 10.2%). Starting dietary expansion before 17 weeks of age was implemented in 47 (6.7%) children, between and 17–26 weeks of age in 328 (46.9%) children, and after 26 weeks of age in 324 (46.3%) children. Feeding food and dishes from the family table was practiced by 518 (74.1%) mothers. Spoon-feeding was practiced by 529 (75.6%) children, 157 (22.4%) children were fed this way sometimes. Taking into account the above data, feeding with the BLW method was used in 170 children (24.2%). In the examined group of mothers the use of the BLW method in feeding their children, especially during diet expansion, was declared by 408 women (74.8%). The child's independent decision concerning what the child will eat and what is according to the BLW method is accepted by 434 (62.1%) mothers. Among the positive aspects of using the BLW method, the women surveyed indicated the child's independence, while among the disadvantages, the omnipresent mess and chaos when eating meals.

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Section: Discussionmentioning

confidence: 99%

Practical Implementation of the BLW Method During the Expansion of the Infant Diet—A Study Among Polish Children

et al. 2022

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“…At the beginning of hospitalization, we attempted reconstruction of the cognitive function concerning food through an interview but failed. We then performed CBT based on previous reports that CBT could be used to treat anxiety disorders and phobias in children over seven years old [5][6][7][14][15][16][17]. Among various CBT techniques, such as psychoeducation and cognitive restructuring, we decided to apply exposure therapy to our patient.…”

Section: Discussionmentioning

confidence: 99%

“…Exposure therapy is categorized as CBT and is most commonly applied to treat obsessive-compulsive disorder, posttraumatic stress disorder (PTSD), and phobias. It has also been reported to be effective for ARFID [5][6][7]. Since exposure therapy often uses hierarchical anxiety charts, it seems reasonable to use them in the CBT for ARFID.…”

Section: Introductionmentioning

confidence: 99%

A Seven-Year-Old Girl With Dysphagia Due to Fear of Swallowing: A Favorable Outcome With Cognitive Behavioral Therapy Using an Anxiety Hierarchy Chart

Etoh¹,

Itonaga²,

Oguri³

et al. 2022

Cureus

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Avoidant/restrictive food intake disorder (ARFID) is an eating disorder characterized by avoidance and aversion to food and eating. Food restriction is not due to a body image disturbance but rather to an anxiety or phobia of food and eating or abnormal hypersensitivity to food, such as its texture, taste, or smell, or a lack of interest in food/eating. We herein report a seven-year-old girl with dysphagia due to a fear of swallowing with a favorable outcome thanks to cognitive behavioral therapy using an anxiety hierarchy chart. After a scary experience of seeing her bother choking on a sausage, the patient struggled with a strong fear of eating, especially swallowing, and was diagnosed with ARFID. We constructed a hierarchical chart of food insecurity, listing her favorite sweets in order, from soft to hard. She picked out daily sweets and snacks from the list. She gradually learned to eat hard-shaped food, achieved an adequate oral calorie intake, and was discharged on the twenty-second hospital day. This case indicates that cognitive behavioral therapy using the anxiety hierarchy chart can be applied to the treatment of school-age children with ARFID.

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“…It is caused by the sensitivity to the sensory characteristics of food products (such as the smell and texture of food), the fear of the unpleasant consequences of consuming food (chocking, gastric pain, etc.) or lack of interest in food (decreased appetite, lack or decreased feeling of hunger) [ 40 , 41 ].…”

Section: Characteristics Of Eating Disorders In Developing Childrenmentioning

confidence: 99%

“…It is significant for children and youth suffering from (ARFID) that in case their preferred food is not available, they choose hunger, which only worsens their health issues. It is important then to ensure that they have constant access to the preferred food and to introduce multidisciplinary care [ 40 ]. Orthorexia Nervosa …”

Section: Characteristics Of Eating Disorders In Developing Childrenmentioning

confidence: 99%

A Dialogue in the Medical Perspective—Body Mass and Nutritional Status Disorders during the Development Period

Kozioł

Kazek²,

Sikora³

et al. 2022

Children

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Eating disorders among children and youth are a serious social problem. The time of development is the starting point in shaping eating patterns. Proper nutrition provides the basis for psychophysical development. A knowledgeable pediatrician can improve society’s health by engaging parents and, later, the child or youth. We offer knowledge on the nutrition basics and the commonly available tools to assess the nutritional status. We will discuss the characteristics of eating and body mass disorders in developing children. We will provide information on the warning signals of eating and body mass disorders and recommend prophylaxis. The reader will be familiarized with the motivational dialogue as an effective control tool for the discussed health issues.

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The treatment of avoidant/restrictive food intake disorder (ARFID) with predominance of anxiety presentation. A proposal of a protocol for therapeutic procedure.

Cited by 4 publications

References 0 publications

Practical Implementation of the BLW Method During the Expansion of the Infant Diet—A Study Among Polish Children

Practical Implementation of the BLW Method During the Expansion of the Infant Diet—A Study Among Polish Children

A Seven-Year-Old Girl With Dysphagia Due to Fear of Swallowing: A Favorable Outcome With Cognitive Behavioral Therapy Using an Anxiety Hierarchy Chart

A Dialogue in the Medical Perspective—Body Mass and Nutritional Status Disorders during the Development Period

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