Applying family‐based treatment (FBT) to three clinical presentations of avoidant/restrictive food intake disorder: Similarities and differences from FBT for anorexia nervosa

Lock, James; Robinson, Athena; Sadeh‐Sharvit, Shiri; Rosania, Kimberly; Osipov, Lilya; Kirz, Nina; Derenne, Jennifer; Utzinger, Linsey

doi:10.1002/eat.22994

Cited by 92Eating Disorders and BehaviorsChild Nutrition and Feeding IssuesNutrition, Health and Food Behavior

Applying family‐based treatment (FBT) to three clinical presentations of avoidant/restrictive food intake disorder: Similarities and differences from FBT for anorexia nervosa

Lock, James, Robinson, Athena, Sadeh‐Sharvit, Shiri, Rosania, Kimberly, Osipov, Lilya, Kirz, Nina, Derenne, Jennifer, Utzinger, Linsey·2019·International Journal of Eating Disorders

DOI 10.1002/eat.22994

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Abstract

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.

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Several case studies have demonstrated the success of core ARFID treatments, particularly behavioural interventions, in a non-autistic population.
“several case studies have demonstrated the success of core ARFID treatments, particularly behavioural interventions, in a non-autistic population, [87][88][89]”
From Avoidant/Restrictive Food Intake Disorder and Severe Food Selectivity in Children and Young People with Autism: A Scoping Review (2022) · cites this paper as [88]

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Self-citation

Authors: Lock, J., Robinson, A., Sadeh‐Sharvit, S., Rosania, K., Osipov, L., Kirz, N., Derenne, J., & Utzinger, L.
Affiliations: Stanford Medicine (US)
Corresponding author: Lock, James
ORCID: Lock, James
Robinson, Athena
Sadeh‐Sharvit, Shiri
Derenne, Jennifer
Venue: International Journal of Eating Disorders
Publisher: Wiley
Published: 2018-12-22
Volume: 52
Issue: 4
Pages: 439-446
ISSN: 0276-3478 (ISSN-L)
1098-108X
DOI: 10.1002/eat.22994
OpenAlex: W2906476642
Cited by: 92
References: 12
Citations by year: 2026: 10 · 2025: 14 · 2024: 13 · 2023: 15 · 2022: 15 · 2021: 8 · 2020: 12 · 2019: 5
FWCI: 7.34
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: International Journal of Eating Disorders (publishedVersion)
PubMed (publishedVersion)
Funders: National Eating Disorders Association (SPO 125881)
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords: family-based treatment, avoidant/restrictive food intake disorder, preadolescents, anorexia nervosa, parental empowerment, parental fatigue, psychiatric comorbidity, treatment adaptation
MeSH terms: Anorexia Nervosa, Feeding and Eating Disorders, Child, Family, Female, Humans, Retrospective Studies, Comorbidity

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Applying family‐based treatment (FBT) to three clinical presentations of avoidant/restrictive food intake disorder: Similarities and differences from FBT for anorexia nervosa

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