Pilot Case Series Studying a Psychoeducational and Motivational Treatment for Children With Low‐Weight Avoidant Restrictive Food Intake Disorder

作者：Brittany E. Matheson, Nandini Datta, Eliza Van Wye, Hyun‐Joon Yang, James Lock · 发表于：International Journal of Eating Disorders · 年份：2024 · DOI：10.1002/eat.24273 · 被引用次数：6 · 研究领域：Eating Disorders and Behaviors、Child Nutrition and Feeding Issues、Obesity, Physical Activity, Diet

OBJECTIVE: Research on treatments for children with avoidant restrictive food intake disorder (ARFID) is needed. This pilot case series describes outcome data for 20 children ages 6-12 years old with a diagnosis of ARFID and who are low-weight. METHOD: Participants were recruited nationwide as part of an ongoing randomized clinical trial. All participants in this study received a 14-session psychoeducational and motivational treatment (PMT) protocol. Parents completed measures of ARFID severity (the Pica, ARFID, Rumination Disorder Interview) and parental self-efficacy (Parents vs. ARFID scale). Height and weight were self-reported by parents and percent of estimated body weight (%EBW) was calculated. Assessments occurred at baseline, 1-month within treatment, 2-months within treatment, end-of-treatment (EOT), and 6-month follow-up. RESULTS: Twenty children (10.34 ± 1.76 years; 85% Non-Hispanic; 75% White; 70% female; 84.16 ± 4.66% EBW) with low-weight ARFID and their parents received PMT-ARFID with a clinician specializing in eating disorders. By EOT, PARDI severity scores decreased (large effect size) parental self-efficacy increased (medium effect size), but %EBW remained unchanged. DISCUSSION: Additional research evaluating PMT in adequately powered clinical trials for youth with ARFID is needed.