Applying family-based treatment (FBT) to three clinical presentations of avoidant/restrictive food intake disorder: Similarities and differences from FBT for anorexia nervosa
Applying family-based treatment (FBT) to three clinical presentations of avoidant/restrictive food intake disorder: Similarities and differences from FBT for anorexia nervosa
复制标题
DOI：
10.1002/eat.22994
复制
发表时间：
2019-04-01
影响因子：
5.5
通讯作者：
Utzinger, Linsey
中科院分区：
文献类型：
--
作者：
Lock, James;Robinson, Athena;Utzinger, Linsey
目的通过三个简短的病例报告，说明家庭治疗(FBT)如何用于治疗青少年回避性/限制性食物摄入障碍(ARFID)。方法我们提供病例材料，说明FBT如何用于ARFID的三种不同临床表现：(1)食欲低落和缺乏兴趣；(2)感官敏感的进食者；(3)害怕不良后果的进食者--所有这些都与形状或体重无关。结果FBT的主要原则--病因不可知论、外在化、强调ARFID的严肃性、父母赋权、行为咨询和实际行为焦点--适用于ARFID的一系列临床表现。这类患者的常见挑战包括：(1)促进紧迫感；(2)挑战长期行为适应；(3)缺乏父母协调，父母疲劳；(4)患者存在共病精神问题。描述了解决这些问题的策略。结论FBT方法适用于ARFID患儿，适用于ARFID患儿。
Objective This article uses three brief case reports to illustrate how family-based treatment (FBT) can be used to treat pre-adolescents with avoidant/restrictive food intake disorder (ARFID). Method We present case material illustrating how FBT can be used in three different clinical presentations of ARFID: (1) low appetite and lack of interest; (2) sensory sensitive eaters; and (3) fear of aversive consequences eaters-all without shape or weight concerns. Results This case material illustrates that the main principles of FBT-agnosticism as to the cause of the illness, externalization, emphasizing the seriousness of ARFID, parental empowerment, behavioral consultation, and practical behavioral focus-are applicable for a range of ARFID clinical presentations. Common challenges in this patient group include (1) promoting urgency; (2) challenging long term behavioral accommodation; (3) lack of parental alignment, parental fatigue, (4) and co-morbid psychiatric problems in the patients. Strategies to address these problems are described. Conclusion FBT can be adapted for children with ARFID using the main principles of the approach.