Beyond picky eating: Avoidant/restrictive food intake disorder
Abstract
Disorders related to ingesting adequate variety and amounts of food, often dichotomized into feeding or eating disorders, depending on the need for affected individuals to be fed or to eat on their own respectively, include a wide variety of conditions. This paper focuses on disorders that are not also associated with behaviors related to weight-control or self-concept strongly influenced by body weight or shape, as seen in anorexia nervosa or bulimia nervosa. In contrast to eating disorders, there is a relatively sparse body of literature, inconsistent and confusing set of terms and definitions, and conflicting classification schemes applied to feeding/eating disturbances. A new scheme is proposed to improve clinical utility and include individuals who experience morbidities that could benefit from diagnosis and treatment, but are presently excluded from classification. Key research findings are highlighted, and core clinical features regarding diagnosis and treatment are detailed. Two illustrative cases frame the clinical aspects of these conditions.
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Food selectivity in ASD leads to inadequate caloric intake and nutritional deficits.
“From a nutritional point of view this leads to an inadequate caloric intake and hence to nutritional deficits [49,50].”
From Autism, Gastrointestinal Symptoms and Modulation of Gut Microbiota by Nutritional Interventions (2019) · cites this paper as [50]
Cites
The Need for a New Medical Model: A Challenge for Biomedicine
Engel, G. L. (1977) · Science · doi:10.1126/science.847460 · Cited by 12,887 · see citing works
Food neophobia and ‘picky/fussy’ eating in children: A review
Dovey, T. M., Staples, P. A., Gibson, E. L., & Halford, J. C. G. (2007) · Appetite · doi:10.1016/j.appet.2007.09.009 · Cited by 1,235 · see citing works
The Need for a New Medical Model: A Challenge for Biomedicine
Engel, G. L. (2012) · Psychodynamic Psychiatry · doi:10.1521/pdps.2012.40.3.377 · Cited by 894 · see citing works
Manikam, R., & Perman, J. A. (2000) · Journal of Clinical Gastroenterology · doi:10.1097/00004836-200001000-00007 · Cited by 495 · see citing works
Feeding and eating disorders in childhood
Bryant‐Waugh, R., Markham, L., Kreipe, R. E., & Walsh, B. T. (2010) · International Journal of Eating Disorders · doi:10.1002/eat.20795 · Cited by 416 · see citing works
Self-citationThree, Z. T. (2005) · Medical Entomology and Zoology · Cited by 393 · see citing works
Mealtime Behaviors of Young Children: A Comparison of Normative and Clinical Data
Crist, W. B., & Napier‐Phillips, A. (2001) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/00004703-200110000-00001 · Cited by 325 · see citing works
Academy for eating disorders position paper: The role of the family in eating disorders
Grange, D. L., Lock, J., Loeb, K. L., & Nicholls, D. (2009) · International Journal of Eating Disorders · doi:10.1002/eat.20751 · Cited by 291 · see citing works
Classifying Complex Pediatric Feeding Disorders
Burklow, K. A., Phelps, A. N., Schultz, J. R., McConnell, K. B., & Rudolph, C. D. (1998) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/00005176-199808000-00003 · Cited by 280 · see citing works
Feeding disorders in infants and toddlers: diagnosis and treatment
Chatoor, I. (2002) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/s1056-4993(01)00002-5 · Cited by 245 · see citing works
Is picky eating an eating disorder?
Jacobi, C., Schmitz, G., & Agras, W. S. (2008) · International Journal of Eating Disorders · doi:10.1002/eat.20545 · Cited by 212 · see citing works
Neurobiology in the treatment of eating disorders
Hoek, H. W., Treasure, J. L., & Katzman, M. A. (1998) · Cited by 208 · see citing works
Mustonen, S., & Tuorila, H. (2009) · Food Quality and Preference · doi:10.1016/j.foodqual.2009.09.001 · Cited by 162 · see citing works
Behavior at Mealtimes and the Young Child with Cystic Fibrosis
CRIST, W., MCDONNELL, P., BECK, M., GILLESPIE, C. T., BARRETT, P., & MATHEWS, J. (1994) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/00004703-199406000-00001 · Cited by 156 · see citing works
Age and Gender Considerations in Psychiatric Diagnosis: A Research Agenda For DSM-V
First, M. B., Sirovatka, P. J., & Regier, D. A. (2007) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9780890427668 · Cited by 151 · see citing works
Associations of Infant Feeding Practices and Picky Eating Behaviors of Preschool Children
Shim, J. E., Kim, J., & Mathai, R. A. (2011) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2011.06.410 · Cited by 150 · see citing works
Davies, W. H., Satter, E. M., Berlin, K. S., Sato, A. F., Silverman, A. H., Fischer, E. A., Arvedson, J. C., & Rudolph, C. D. (2006) · Journal of Family Psychology · doi:10.1037/0893-3200.20.3.409 · Cited by 128 · see citing works
The nosological status of early onset anorexia nervosa
COOPER, P. J., Watkins, B., Bryant‐Waugh, R., & Lask, B. D. (2002) · Psychological Medicine · doi:10.1017/s0033291702005664 · Cited by 118 · see citing works
Anorexia nervosa and food avoidance emotional disorder.
Higgs, J. F., Goodyer, I. M., & Birch, J. M. (1989) · Archives of Disease in Childhood · doi:10.1136/adc.64.3.346 · Cited by 103 · see citing works
Selective Eating: Symptom, Disorder or Normal Variant
Nicholls, D., Christie, D., Randall, L., & Lask, B. D. (2001) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104501006002007 · Cited by 100 · see citing works
Oral-motor dysfunction in children who fail to thrive: organic or non-organic?
Reilly, S., Skuse, D., Dieter Wolke, C., & Stevenson, J. (1999) · Developmental Medicine & Child Neurology · doi:10.1017/s0012162299000225 · Cited by 96 · see citing works
Diagnosis and Treatment of Feeding Disorders in Infants, Toddlers, and Young Children
Chatoor, I. (2009) · Cited by 95 · see citing works
Physiological responses of food neophobics and food neophilics to food and non-food stimuli
Raudenbush, B., & Capiola, A. (2012) · Appetite · doi:10.1016/j.appet.2012.02.042 · Cited by 92 · see citing works
Antecedents and correlates of feeding problems in young children
Pelchat, M. L., & Pliner, P. P. (1986) · Journal of Nutrition Education · doi:10.1016/s0022-3182(86)80263-1 · Cited by 92 · see citing works
WRIGHT, P. D., Fawcett, J. N., & Crow, R. A. (1980) · Behavioural Processes · doi:10.1016/0376-6357(80)90045-5 · Cited by 82 · see citing works
Feeding Disorder of Infancy or Early Childhood: How Often Is It Seen in Feeding Programs?
Williams, K. E., Riegel, K. E., & Kerwin, M. L. E. (2009) · Children s Health Care · doi:10.1080/02739610902813302 · Cited by 63 · see citing works
Eating disorders in childhood and adolescence
Lask, B. (2000) · Current Paediatrics · doi:10.1054/cupe.2000.0122 · Cited by 53 · see citing works
When Does Food Refusal Require Professional Intervention?
Dovey, T. M., Farrow, C. V., Martin, C., Isherwood, E., & Halford, J. C. G. (2009) · Current Nutrition & Food Science · doi:10.2174/157340109789007162 · Cited by 42 · see citing works
Les anorexies infantiles : de la naissance à la première enfance
Poinso, F., Viellard, M., Dafonseca, D., & Sarles, J. (2006) · Archives de Pédiatrie · doi:10.1016/j.arcped.2006.01.023 · Cited by 21 · see citing works
Childhood Disorders: Feeding and Related Disorders of Infancy or Early Childhood
Bryant‐Waugh, R., & Piepenstock, E. H. C. (2008) · doi:10.1002/9780470515167.ch47 · Cited by 18 · see citing works
Cephalic phase salivary response differences characterize level of food neophobia
Raudenbush, B., Corley, N., Flower, N. R., et al. (2003) · Appetite · doi:10.1016/s0195-6663(03)00059-x · Cited by 16 · see citing works
Mangels, R., & Driggers, J. (2011) · ICAN Infant Child & Adolescent Nutrition · doi:10.1177/1941406411428962 · Cited by 13 · see citing works
Chapter 19. Classifying Feeding Disorders of Infancy and Early Childhood
Chatoor, I., & Ammaniti, M. (2007) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9780890427668.lg19 · Cited by 13 · see citing works
Medical and Nutrition Management of Eosinophilic Esophagitis in Children
Feuling, M. B., & Noel, R. J. (2010) · Nutrition in Clinical Practice · doi:10.1177/0884533610361608 · Cited by 10 · see citing works
Eating Disorders in Childhood and Adolescence
Zac, M., Novas, S., Zappa, L. M., et al. (2021) · Routledge eBooks · doi:10.4324/9781003167679-6 · Cited by 8 · see citing works
Klein, C. J., Jacobovits, T., Siewerdt, F., et al. (2012) · ICAN Infant Child & Adolescent Nutrition · doi:10.1177/1941406411435169 · Cited by 2 · see citing works
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On orthorexia nervosa: A review of the literature and proposed diagnostic criteria
Dunn, T. M., & Bratman, S. (2016) · Eating Behaviors · doi:10.1016/j.eatbeh.2015.12.006 · Cited by 635 · see citing works
Autism, Gastrointestinal Symptoms and Modulation of Gut Microbiota by Nutritional Interventions
Ristori, M. V., Quagliariello, A., Reddel, S., Ianiro, G., Vicari, S., Gasbarrini, A., & Putignani, L. (2019) · Nutrients · doi:10.3390/nu11112812 · Cited by 214 · see citing works
Lock, J., & La Via, M. C. (2015) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2015.01.018 · Cited by 181 · see citing works
- Authors
- Kreipe, R. E., & Palomaki, A.
- Affiliations
- University of Rochester Medicine (US)
- Corresponding author
- Kreipe, Richard E.
- Venue
- Current Psychiatry Reports
- Published
- 2012-06-05
- Volume
- 14
- Issue
- 4
- Pages
- 421-431
- ISSN
- 1523-3812 (ISSN-L)
- 1535-1645
- OpenAlex
- W1967742712
- Cited by
- 72
- References
- 36
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 4 · 2023: 3 · 2022: 3 · 2021: 9 · 2020: 4 · 2019: 7 · 2018: 4 · 2017: 5 · 2016: 5 · 2015: 9 · 2014: 7 · 2013: 4 · 2012: 2
- FWCI
- 7.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Current Psychiatry Reports (publishedVersion)
- PubMed (publishedVersion)
- 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
- avoidant/restrictive food intake disorder, feeding disorders, eating disorders, picky eating, diagnostic classification, diagnosis, treatment, clinical features, anorexia nervosa, bulimia nervosa
- MeSH terms
- Adolescent, Feeding and Eating Disorders, Avoidance Learning, Child, Fear, Female, Humans, Male, Parent-Child Relations, Diagnostic and Statistical Manual of Mental Disorders
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