Using a Teleconsultation-Enhanced Treatment for Avoidant/Restrictive Food Intake Disorder in an Adolescent Male

King, Hunter C.; Howarth, Russell; Choi, Su Rin; Fischer, Aaron J.

doi:10.1080/07317107.2021.2024716

Cited by 4 publications

(4 citation statements)

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“…More specifically, CBT strategies focused on reducing maintaining cognitions and behaviors pertinent to ARFID, such as reducing avoidance around foods, increasing exposure to foods, and targeting cognitions underlying the limited diet, such as fear of vomiting or fear of interoceptive sensations (e.g., Dumont et al, 2019;King et al, 2015). CBT was adapted to specific patient-related comorbidities, such as a learning disability (e.g., King et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

A Scoping Review of Psychological Interventions and Outcomes for Avoidant and Restrictive Food Intake Disorder (ARFID)

Willmott¹,

Dickinson²,

Hall³

et al. 2023

Preprint

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ObjectiveThis systematic scoping review examined available studies reporting on psychological interventions for Avoidant Restrictive Food Intake Disorder (ARFID) and synthesised how outcomes are measured during such interventions.Method Five databases (Cochrane, Embase, Medline, PsychInfo and Web of Science) were searched on 9th May and 22nd December 2022. Studies were included if they reported on psychological interventions for patients with a diagnosis of ARFID. Studies were excluded if patients did not have ARFID and if psychological interventions were not provided or detailed. Overall, fifty studies were included and synthesised. Results The most common psychological interventions for ARFID were behavioural therapy (17 studies), followed by cognitive-behavioural therapy (16 studies), and family-based therapy (14 studies). Most studies reported on psychological interventions for children and adolescents with ARFID (42 studies), The majority of included studies were from Western samples (including 33 from the US or Canada). Almost half of studies were single-case study designs (22 studies). compared to adult samples. Outcomes were generally favourable and were most commonly measured via physical health metrics (33 studies). Discussion This review highlights the advances in psychological interventions for ARFID over the past 10 years. The most common psychological interventions for ARFID were behavioural approaches, CBT, and FBT, with common themes across these interventions such as food exposure, psychoeducation, family involvement, and anxiety management. Several areas for future research and implications for clinical practice are discussed, including the need for individualised formulation to guide interventions, more rigorous treatment studies, and more research for adults with ARFID.

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Section: Discussionmentioning

confidence: 99%

A Scoping Review of Psychological Interventions and Outcomes for Avoidant and Restrictive Food Intake Disorder (ARFID)

Willmott¹,

Dickinson²,

Hall³

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…In total, 19 studies reported interventions for ARFID that combined various therapeutic modalities. These included combinations of CBT and behavioral approaches (Fischer et al, 2015; King et al, 2022), combinations of family therapy and cognitive‐behavioral approaches (Aloi et al, 2018; Bryson et al, 2018; Lane‐Loney et al, 2022; Spettigue et al, 2018), one which included a coping cat anxiety management programme (Lenz et al, 2018), and one parent programme specifically developed for ARFID (SPACE‐ARFID) (Shimshoni et al, 2020) which drew upon CBT techniques alongside family/parenting intervention and support. One study reported a combined behavioral and family therapy approach (Brown & Hildebrandt, 2020).…”

Section: Resultsmentioning

confidence: 99%

“…More specifically, CBT strategies focused on reducing maintaining cognitions and behaviors pertinent to ARFID, such as reducing avoidance around foods, increasing exposure to foods, and targeting cognitions underlying the limited diet, such as fear of vomiting or fear of interoceptive sensations (e.g., Dumont et al, 2019; King et al, 2015). CBT was adapted to specific patient‐related comorbidities, such as a learning disability (e.g., King et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

“…Three studies reported on ARFID diagnostic status as an outcome, two of which used the EDA-5 to assess this (Lock, Robinson, et al, 2019;Rosania & Lock, 2020). Studies reported decreased anxiety (Knatz-Peck et al, 2021;Lock, Sadeh-Sharvit, & L'Insalata, 2019;Rienecke et al, 2020), decreased depression (Lock, Sadeh-Sharvit, & L'Insalata, 2019;Rienecke et al, 2020) (Fischer et al, 2015;King et al, 2022), combinations of family therapy and cognitive-behavioral approaches (Aloi et al, 2018;Bryson et al, 2018;Lane-Loney et al, 2022;Spettigue et al, 2018), one which included a coping cat anxiety management programme (Lenz et al, 2018), and one parent programme specifically developed for ARFID (SPACE-ARFID) (Shimshoni et al, 2020) which drew upon CBT techniques alongside family/parenting intervention and support. One study reported a combined behavioral and family therapy approach (Brown & Hildebrandt, 2020).…”

Section: Family Therapy Interventionsmentioning

confidence: 99%

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A scoping review of psychological interventions and outcomes for avoidant and restrictive food intake disorder (ARFID)

Willmott,

Dickinson,

Hall

et al. 2023

Intl J Eating Disorders

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ObjectiveThis scoping review identifies and describes psychological interventions for avoidant restrictive food intake disorder (ARFID) and summarizes how outcomes are measured across such interventions.MethodFive databases (Cochrane, Embase, Medline, PsycInfo, Web of Science) were searched up to December 22, 2022. Studies were included if they reported on psychological interventions for ARFID. Studies were excluded if participants did not have an ARFID diagnosis and if psychological interventions were not delivered or detailed.ResultsFifty studies met inclusion criteria; almost half were single‐case study designs (23 studies) and most studies reported on psychological interventions for children and adolescents with ARFID (42 studies). Behavioral interventions (16 studies), cognitive‐behavioral therapy (10 studies), and family therapy (5 studies), or combinations of these therapeutic approaches (19 studies) were delivered to support patients with ARFID. Many studies lacked validated measures, with outcomes most commonly assessed via physical health metrics such as weight.DiscussionThis review provides a comprehensive summary of psychological interventions for ARFID since its introduction to the DSM‐5. Across a range of psychological interventions and modalities for ARFID, there were common treatment components such as food exposure, psychoeducation, anxiety management, and family involvement. Currently, studies reporting on psychological interventions for ARFID are characterized by small samples and high levels of heterogeneity, including in how outcomes are measured. Based on reviewed studies, we outline suggestions for clinical practice and future research.Public SignificanceAvoidant restrictive food intake disorder (ARFID) is an eating disorder characterized by avoidance or restriction of food due to fear, sensory sensitivities, and/or a lack of interest in food. We reviewed the literature on psychological interventions for ARFID and the outcomes used to measure change. Several psychological interventions have been developed and applied to patients with ARFID. Outcome measurement varies widely and requires further development and greater consensus.

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A Practical Guide on Problem-Solving Teleconsultation in Schools

King

Bloomfield

et al. 2022

Journal of Educational and Psychological Consultation

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Using a Teleconsultation-Enhanced Treatment for Avoidant/Restrictive Food Intake Disorder in an Adolescent Male

Cited by 4 publications

References 40 publications

A Scoping Review of Psychological Interventions and Outcomes for Avoidant and Restrictive Food Intake Disorder (ARFID)

A Scoping Review of Psychological Interventions and Outcomes for Avoidant and Restrictive Food Intake Disorder (ARFID)

A scoping review of psychological interventions and outcomes for avoidant and restrictive food intake disorder (ARFID)

A Practical Guide on Problem-Solving Teleconsultation in Schools

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