TY - JOUR
T1 - A Scoping Review of Psychological Interventions and Outcomes for Avoidant and Restrictive Food Intake Disorder (ARFID)
AU - Willmott, Emma
AU - Dickinson, Rachel
AU - Hall, Celine
AU - Sadikovic, Kevser
AU - Wadhera, Emily
AU - Micali, Nadia
AU - Trompeter, Nora
AU - Jewell, Thomas
N1 - Funding Information:
This study was supported through funded research time via a National Institute of Health and Social Care Research (NIHR) Development and Skills Enhancement Award NIHR302102 awarded to Tom Jewell. The funder played no role in any aspect of the study, including the decision to conduct this review. Nora Trompeter is supported by UK Research and Innovation as part of the EDIFY programme (grant number: MR/W002418/1).
Publisher Copyright:
© 2023 The Authors. International Journal of Eating Disorders published by Wiley Periodicals LLC.
PY - 2023/10/24
Y1 - 2023/10/24
N2 - Objective: This scoping review identifies and describes psychological interventions for avoidant restrictive food intake disorder (ARFID) and summarizes how outcomes are measured across such interventions. Method: Five databases (Cochrane, Embase, Medline, PsycInfo, Web of Science) were searched up to December 22, 2022. Studies were included if they reported on psychological interventions for ARFID. Studies were excluded if participants did not have an ARFID diagnosis and if psychological interventions were not delivered or detailed. Results: Fifty studies met inclusion criteria; almost half were single-case study designs (23 studies) and most studies reported on psychological interventions for children and adolescents with ARFID (42 studies). Behavioral interventions (16 studies), cognitive-behavioral therapy (10 studies), and family therapy (5 studies), or combinations of these therapeutic approaches (19 studies) were delivered to support patients with ARFID. Many studies lacked validated measures, with outcomes most commonly assessed via physical health metrics such as weight. Discussion: This review provides a comprehensive summary of psychological interventions for ARFID since its introduction to the DSM-5. Across a range of psychological interventions and modalities for ARFID, there were common treatment components such as food exposure, psychoeducation, anxiety management, and family involvement. Currently, studies reporting on psychological interventions for ARFID are characterized by small samples and high levels of heterogeneity, including in how outcomes are measured. Based on reviewed studies, we outline suggestions for clinical practice and future research. Public Significance: Avoidant restrictive food intake disorder (ARFID) is an eating disorder characterized by avoidance or restriction of food due to fear, sensory sensitivities, and/or a lack of interest in food. We reviewed the literature on psychological interventions for ARFID and the outcomes used to measure change. Several psychological interventions have been developed and applied to patients with ARFID. Outcome measurement varies widely and requires further development and greater consensus.
AB - Objective: This scoping review identifies and describes psychological interventions for avoidant restrictive food intake disorder (ARFID) and summarizes how outcomes are measured across such interventions. Method: Five databases (Cochrane, Embase, Medline, PsycInfo, Web of Science) were searched up to December 22, 2022. Studies were included if they reported on psychological interventions for ARFID. Studies were excluded if participants did not have an ARFID diagnosis and if psychological interventions were not delivered or detailed. Results: Fifty studies met inclusion criteria; almost half were single-case study designs (23 studies) and most studies reported on psychological interventions for children and adolescents with ARFID (42 studies). Behavioral interventions (16 studies), cognitive-behavioral therapy (10 studies), and family therapy (5 studies), or combinations of these therapeutic approaches (19 studies) were delivered to support patients with ARFID. Many studies lacked validated measures, with outcomes most commonly assessed via physical health metrics such as weight. Discussion: This review provides a comprehensive summary of psychological interventions for ARFID since its introduction to the DSM-5. Across a range of psychological interventions and modalities for ARFID, there were common treatment components such as food exposure, psychoeducation, anxiety management, and family involvement. Currently, studies reporting on psychological interventions for ARFID are characterized by small samples and high levels of heterogeneity, including in how outcomes are measured. Based on reviewed studies, we outline suggestions for clinical practice and future research. Public Significance: Avoidant restrictive food intake disorder (ARFID) is an eating disorder characterized by avoidance or restriction of food due to fear, sensory sensitivities, and/or a lack of interest in food. We reviewed the literature on psychological interventions for ARFID and the outcomes used to measure change. Several psychological interventions have been developed and applied to patients with ARFID. Outcome measurement varies widely and requires further development and greater consensus.
UR - http://www.scopus.com/inward/record.url?scp=85174631181&partnerID=8YFLogxK
U2 - https://doi.org/10.1002/eat.24073
DO - https://doi.org/10.1002/eat.24073
M3 - Review article
SN - 0276-3478
VL - 57
SP - 27
EP - 61
JO - International Journal of Eating Disorders
JF - International Journal of Eating Disorders
IS - 1
M1 - https://doi.org/10.1002/eat.24073
ER -