Implications of Avoidant/Restrictive Food Intake Disorder (ARFID) on Children with Feeding Problems

Keith E. Williams, Helen M. Hendy, Douglas G. Field, Yekaterina Belousov, Katherine Riegel, Whitney Harclerode

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-V) diagnosis, avoidant/restrictive food intake disorder (ARFID), has replaced the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) diagnosis of feeding disorder of infancy and early childhood. The prevalence of 3 diagnostic criteria-significant weight loss or insufficient growth, dependence on enteral feeding or oral nutritional supplements, and nutritional deficiency-was examined in a sample of 422 children referred for feeding problems. Insufficient growth was found in 19.7% of the sample. Dependence on supplements included both children who were tube fed (16.8% of the sample) and who received oral supplements (37.7% of the sample). The nutritional deficiency, defined in this study as eating 10 or fewer foods monthly, was found in 21.5% of children. For the total sample, 63% met one or more of the 3 diagnostic criteria for ARFID examined. One exclusion for the diagnosis is that the eating disturbance not be attributed to a concurrent medical condition, which, in this sample, were present in 149 children. If all of these children were excluded, 133 children or 32% of the sample would meet the criteria for the diagnosis of ARFID. Implications of the diagnostic criteria for ARFID and the 3 exclusions were discussed for children with feeding problems. ©

Original languageEnglish (US)
Pages (from-to)307-321
Number of pages15
JournalChildren's Health Care
Volume44
Issue number4
DOIs
StatePublished - Oct 2 2015

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Eating
Diagnostic and Statistical Manual of Mental Disorders
Malnutrition
Enteral Nutrition
Growth
Weight Loss
Food

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Clinical Psychology

Cite this

Williams, Keith E. ; Hendy, Helen M. ; Field, Douglas G. ; Belousov, Yekaterina ; Riegel, Katherine ; Harclerode, Whitney. / Implications of Avoidant/Restrictive Food Intake Disorder (ARFID) on Children with Feeding Problems. In: Children's Health Care. 2015 ; Vol. 44, No. 4. pp. 307-321.
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Implications of Avoidant/Restrictive Food Intake Disorder (ARFID) on Children with Feeding Problems. / Williams, Keith E.; Hendy, Helen M.; Field, Douglas G.; Belousov, Yekaterina; Riegel, Katherine; Harclerode, Whitney.

In: Children's Health Care, Vol. 44, No. 4, 02.10.2015, p. 307-321.

Research output: Contribution to journalArticle

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