Prevalence and characteristics of avoidant/restrictive food intake disorder in a cohort of young patients in day treatment for eating disorders
Prevalence and characteristics of avoidant/restrictive food intake disorder in a cohort of young patients in day treatment for eating disorders
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DOI：
10.1186/s40337-014-0021-3
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发表时间：
2014-01-01
影响因子：
4.1
通讯作者：
Ornstein, Rollyn M.
中科院分区：
文献类型：
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作者：
Nicely, Terri A.;Lane-Loney, Susan;Ornstein, Rollyn M.
背景资料：在最近出版的DSM-5中，避免/限制性食物摄入障碍（ARFID）是一个“新”的诊断，但关于ARFID患者的文献很少。我们的目的是确定ARFID的患病率在儿童和青少年接受日间治疗的饮食失调，并比较ARFID患者与其他饮食失调患者在同一cohol.Methods：一个回顾性的图表审查7-17岁的青少年承认一天的节目，年轻的患者与饮食失调2008年和2012年之间进行。ARFID患者进行了比较，神经性厌食症，神经性贪食症，和其他指定的喂养或进食障碍/未指明的喂养或进食障碍方面的人口统计学，人体测量学，临床症状，心理测试，卡方，方差分析，事后分析。ARFID组比非ARFID组年轻，男性比例更高。两组之间体重减轻和营养不良的程度相似。ARFID患者报告说，与其他饮食失调患者相比，他们更害怕呕吐和/或窒息以及食物质地问题，并且在摄入时更依赖营养补充剂。患有ARFID的儿童的饮食态度测试分数低于没有ARFID的儿童。在ARFID患者中，焦虑障碍、广泛性发展障碍和学习障碍的共病率较高，抑郁的共病率较低。这项研究表明，在一天的治疗计划中，有显著的人口统计学和临床特征将ARFID儿童与其他饮食失调儿童区分开来，并有助于证实ARFID在DSM-5中作为一种独特的进食障碍诊断的认识。
Background: Avoidant/Restrictive Food Intake Disorder (ARFID) is a "new" diagnosis in the recently published DSM-5, but there is very little literature on patients with ARFID. Our objectives were to determine the prevalence of ARFID in children and adolescents undergoing day treatment for an eating disorder, and to compare ARFID patients to other eating disorder patients in the same cohort.Methods: A retrospective chart review of 7-17 year olds admitted to a day program for younger patients with eating disorders between 2008 and 2012 was performed. Patients with ARFID were compared to those with anorexia nervosa, bulimia nervosa, and other specified feeding or eating disorder/unspecified feeding or eating disorder with respect to demographics, anthropometrics, clinical symptoms, and psychometric testing, using Chi-square, ANOVA, and post-hoc analysis.Results: 39/173 (22.5%) patients met ARFID criteria. The ARFID group was younger than the non-ARFID group and had a greater proportion of males. Similar degrees of weight loss and malnutrition were found between groups. Patients with ARFID reported greater fears of vomiting and/or choking and food texture issues than those with other eating disorders, as well as greater dependency on nutritional supplements at intake. Children's Eating Attitudes Test scores were lower for children with than without ARFID. A higher comorbidity of anxiety disorders, pervasive developmental disorder, and learning disorders, and a lower comorbidity of depression, were found in those with ARFID.Conclusions: This study demonstrates that there are significant demographic and clinical characteristics that differentiate children with ARFID from those with other eating disorders in a day treatment program, and helps substantiate the recognition of ARFID as a distinct eating disorder diagnosis in the DSM-5.