Cognitive–behavioral treatment of avoidant/restrictive food intake disorder
Open accessAbstract
PURPOSE OF REVIEW: Avoidant/restrictive food intake disorder (ARFID) was added to the psychiatric nomenclature in 2013, but little is known about its optimal treatment. The purpose of this article is to review the recent literature on ARFID treatment and highlight a novel cognitive-behavioral approach, currently under study. RECENT FINDINGS: The current evidence base for ARFID treatment relies primarily on case reports, case series, and retrospective chart reviews, with only a handful of randomized controlled trials in young children. Studies in adults are lacking. ARFID treatments recently described in the literature include family-based treatment and parent training; cognitive-behavioral approaches; hospital-based re-feeding including tube feeding; and adjunctive pharmacotherapy. A novel form of outpatient cognitive-behavioral therapy for ARFID (CBT-AR) is one treatment currently under study. CBT-AR is appropriate for children, adolescents, and adults ages 10 years and more; proceeds through four stages across 20-30 sessions; and is available in both individual and family-supported versions. SUMMARY: There is no evidence-based psychological treatment suitable for all forms of ARFID at this time. Several groups are currently evaluating the efficacy of new psychological treatments for ARFID - particularly, family-based and cognitive-behavioral approaches - but results have not yet been published.
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Preliminary evidence has supported cognitive behavioural therapy for ARFID as an effective treatment for heterogeneous presentations of ARFID in children, adolescents, and adults.
“In particular, preliminary evidence has supported cognitive behavioural therapy for ARFID as an effective treatment for heterogeneous presentations of ARFID in children, adolescents, and adults.[90][91][92]”
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 [90]
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- Authors
- Thomas, J. J., Wons, O. B., & Eddy, K. T.
- Affiliations
- Harvard University (US)
- Massachusetts General Hospital (US)
- Corresponding author
- Thomas, Jennifer J.
- Venue
- Current Opinion in Psychiatry
- Published
- 2018-11
- Volume
- 31
- Issue
- 6
- Pages
- 425-430
- ISSN
- 0951-7367 (ISSN-L)
- PMC
- PMC6235623
- OpenAlex
- W2886218559
- Cited by
- 97
- References
- 26
- Citations by year
- 2026: 9 · 2025: 17 · 2024: 11 · 2023: 18 · 2022: 14 · 2021: 12 · 2020: 7 · 2019: 8 · 2018: 1
- FWCI
- 8.23
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Current Opinion in Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Hilda and Preston Davis Foundation
- National Institute of Mental Health (R01MH108595)
- 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, cognitive behavioral therapy, family-based treatment, parent training, refeeding, tube feeding, pharmacotherapy, eating disorders, treatment efficacy
- MeSH terms
- Adolescent, Adult, Feeding and Eating Disorders, Child, Humans, Cognitive Behavioral Therapy
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