Feeding, Eating, and Emotional Disturbances in Children with Avoidant/Restrictive Food Intake Disorder (ARFID)

Nutrients

Sharon Iron-Segev¹  Danielle Best¹  Hadar Dickstein²  Daniel Stein²  Shani Arad-Rubinstein²  Martin Efron²  Yaffa Serur² 

[1] Faculty of Agriculture, Food and Environment, Institute of Biochemistry, Food Science and Nutrition, School of Nutritional Sciences, Hebrew University of Jerusalem, Rehovot 7600001, Israel;Pediatric Psychosomatic Department, Edmond and Lily Safra Children’s Hospital, Chaim Sheba Medical Center, Tel Hashomer 5262000, Israel;

关键词: avoidant/restrictive food intake disorder;    ARFID;    children;    diagnostic tool;    eating;    feeding;   

DOI  :  10.3390/nu12113385

来源: DOAJ

【 摘 要 】

Avoidant/restrictive food intake disorder (ARFID) is a relatively new diagnostic category. We sought to determine whether the Stanford Feeding Questionnaire (SFQ), an instrument for assessing picky eating, can differentiate children with ARFID from control children, and whether children with ARFID would show more nonfeeding/eating emotional problems than controls. Fifty children with ARFID were compared to 98 controls. Parents completed the SFQ, Screen for Child Anxiety Related Emotional Disorders (SCARED), Strength and Difficulties Questionnaire (SDQ), and Sensory Responsiveness Questionnaire (SRQ). On the SFQ, 12 items represented child ARFID behaviors (SFQ-ARFID Scale), and another 15 items represented parental feeding problems (SFQ-PFP Scale). We found that the SFQ-ARFID and SFQ-PFP Scale scores were significantly higher in children with ARFID vs. controls. Children with ARFID demonstrated higher SDQ-Total-Difficulties, higher SDQ-Internalizing-Difficulties and lower SRQ-Hedonic scores compared with controls. Of all parameters, the SFQ-ARFID Scale best differentiated children with ARFID from control children (area under receiver operating characteristics curve = 0.939, 95% CI, 0.895–0.983, p < 0.001). These findings suggest that parental reports show more eating problems and emotional disturbances in children with ARFID vs. controls, and more parental feeding problems. Further research is required to determine whether the SFQ-ARFID Scale may serve as an effective screening tool for the identification of ARFID.

【 授权许可】

Unknown