Conceptualizing the role of disgust in avoidant/restrictive food intake disorder: Implications for the etiology and treatment of selective eating
Conceptualizing the role of disgust in avoidant/restrictive food intake disorder: Implications for the etiology and treatment of selective eating
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DOI：
10.1002/eat.23006
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发表时间：
2019-04-01
影响因子：
5.5
通讯作者：
Kaye, Walter H.
中科院分区：
文献类型：
--
作者：
Menzel, Jessie E.;Reilly, Erin E.;Kaye, Walter H.
选择性饮食是回避/限制性食物摄入障碍 (ARFID) 中常见的问题。了解选择性饮食的病因将有助于为这个问题找到更有效的治疗方法。最近的报告将厌恶敏感性与挑食联系起来，而该领域尚未概念化厌恶在 ARFID 中可能发挥的作用。长期以来，厌恶一直与味觉厌恶的形成联系在一起，并且被认为其核心是一种与食物相关的情绪。对厌恶相关文献的简要回顾表明，与焦虑等其他情绪相比，厌恶具有独特的心理生理学特征，并且厌恶对灭绝程序具有抵抗力。如果厌恶与选择性饮食的病因有关，那么它的存在将对治疗方法产生重大影响。本文概述了厌恶和饮食的研究，厌恶可能带来的治疗挑战的临床例子，并概述了厌恶在精神病理学中的独特临床特征。我们提出了几个与厌恶和选择性饮食相关的研究问题，并讨论了进行这一研究的初步假设。最后，我们讨论了这一系列研究对治疗的可能影响。
Selective eating is a common presenting problem in Avoidant/Restrictive Food Intake Disorder (ARFID). Understanding the etiology of selective eating will lead to the creation of more effective treatments for this problem. Recent reports have linked disgust sensitivity to picky eating, and the field has yet to conceptualize the role that disgust might play in ARFID. Disgust has long been tied to formation of taste aversions and is considered at its core to be a food-related emotion. A brief review of the literature on disgust reveals that disgust has a unique psychophysiological profile compared to other emotions, like anxiety, and that disgust is resistant to extinction procedures. If disgust is implicated in the etiology of selective eating, its presence would have a significant impact on treatment approaches. This article provides an overview of the research on disgust and eating, a clinical example of the treatment challenges that disgust may pose, and an overview of the unique clinical features of disgust as they apply to psychopathology. We pose several research questions related to disgust and selective eating and discuss initial hypotheses for pursing this line of inquiry. Finally, we discuss the possible implications of this line of research for treatment.