Expanding considerations for treating avoidant/restrictive food intake disorder at a higher level of care
Abstract Existing descriptions of the treatment of avoidant/restrictive food intake disorder (ARFID) at higher levels of care (HLOC) for eating disorders are limited, despite HLOC settings frequently serving patients with ARFID. The purpose of this commentary is to expand on the preliminary literatu...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-01-01
|
| Series: | Journal of Eating Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40337-024-00972-7 |
| _version_ | 1827370614076211200 |
|---|---|
| author | Brianne N. Richson Danielle C. Deville Christina E. Wierenga Walter H. Kaye Ana L. Ramirez |
| author_facet | Brianne N. Richson Danielle C. Deville Christina E. Wierenga Walter H. Kaye Ana L. Ramirez |
| author_sort | Brianne N. Richson |
| collection | DOAJ |
| description | Abstract Existing descriptions of the treatment of avoidant/restrictive food intake disorder (ARFID) at higher levels of care (HLOC) for eating disorders are limited, despite HLOC settings frequently serving patients with ARFID. The purpose of this commentary is to expand on the preliminary literature that describes pediatric ARFID treatment at HLOC by describing two specific components of our approach to treating pediatric ARFID that may not yet have traction in the current literature. Specifically, we highlight the utility of (1) treatment accommodations that appropriately account for patients’ neurodevelopmental needs (e.g., executive functioning, sensory processing) and (2) the adjunctive use of Dialectical Behavior Therapy (DBT) elements within family-based pediatric ARFID treatment. We also describe necessary future directions for research in these domains to clarify if incorporating these considerations and approaches into pediatric ARFID treatment at HLOC does indeed improve treatment outcomes. |
| first_indexed | 2024-03-08T10:18:05Z |
| format | Article |
| id | doaj.art-c9e6e0c5e58f4f0f804375260374dc17 |
| institution | Directory Open Access Journal |
| issn | 2050-2974 |
| language | English |
| last_indexed | 2024-03-08T10:18:05Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Eating Disorders |
| spelling | doaj.art-c9e6e0c5e58f4f0f804375260374dc172024-01-28T12:06:46ZengBMCJournal of Eating Disorders2050-29742024-01-011211610.1186/s40337-024-00972-7Expanding considerations for treating avoidant/restrictive food intake disorder at a higher level of careBrianne N. Richson0Danielle C. Deville1Christina E. Wierenga2Walter H. Kaye3Ana L. Ramirez4Department of Psychiatry, University of California San Diego Eating Disorders Center for Treatment and ResearchDepartment of Psychiatry, University of California San Diego Eating Disorders Center for Treatment and ResearchDepartment of Psychiatry, University of California San Diego Eating Disorders Center for Treatment and ResearchDepartment of Psychiatry, University of California San Diego Eating Disorders Center for Treatment and ResearchDepartment of Psychiatry, University of California San Diego Eating Disorders Center for Treatment and ResearchAbstract Existing descriptions of the treatment of avoidant/restrictive food intake disorder (ARFID) at higher levels of care (HLOC) for eating disorders are limited, despite HLOC settings frequently serving patients with ARFID. The purpose of this commentary is to expand on the preliminary literature that describes pediatric ARFID treatment at HLOC by describing two specific components of our approach to treating pediatric ARFID that may not yet have traction in the current literature. Specifically, we highlight the utility of (1) treatment accommodations that appropriately account for patients’ neurodevelopmental needs (e.g., executive functioning, sensory processing) and (2) the adjunctive use of Dialectical Behavior Therapy (DBT) elements within family-based pediatric ARFID treatment. We also describe necessary future directions for research in these domains to clarify if incorporating these considerations and approaches into pediatric ARFID treatment at HLOC does indeed improve treatment outcomes.https://doi.org/10.1186/s40337-024-00972-7ARFIDEating disordersCognitive-behavioral therapyFamily-based treatmentNeurodevelopmentExecutive functioning |
| spellingShingle | Brianne N. Richson Danielle C. Deville Christina E. Wierenga Walter H. Kaye Ana L. Ramirez Expanding considerations for treating avoidant/restrictive food intake disorder at a higher level of care Journal of Eating Disorders ARFID Eating disorders Cognitive-behavioral therapy Family-based treatment Neurodevelopment Executive functioning |
| title | Expanding considerations for treating avoidant/restrictive food intake disorder at a higher level of care |
| title_full | Expanding considerations for treating avoidant/restrictive food intake disorder at a higher level of care |
| title_fullStr | Expanding considerations for treating avoidant/restrictive food intake disorder at a higher level of care |
| title_full_unstemmed | Expanding considerations for treating avoidant/restrictive food intake disorder at a higher level of care |
| title_short | Expanding considerations for treating avoidant/restrictive food intake disorder at a higher level of care |
| title_sort | expanding considerations for treating avoidant restrictive food intake disorder at a higher level of care |
| topic | ARFID Eating disorders Cognitive-behavioral therapy Family-based treatment Neurodevelopment Executive functioning |
| url | https://doi.org/10.1186/s40337-024-00972-7 |
| work_keys_str_mv | AT briannenrichson expandingconsiderationsfortreatingavoidantrestrictivefoodintakedisorderatahigherlevelofcare AT daniellecdeville expandingconsiderationsfortreatingavoidantrestrictivefoodintakedisorderatahigherlevelofcare AT christinaewierenga expandingconsiderationsfortreatingavoidantrestrictivefoodintakedisorderatahigherlevelofcare AT walterhkaye expandingconsiderationsfortreatingavoidantrestrictivefoodintakedisorderatahigherlevelofcare AT analramirez expandingconsiderationsfortreatingavoidantrestrictivefoodintakedisorderatahigherlevelofcare |