A new cognitive behavior therapy for adolescents with avoidant/restrictive food intake disorder in a day treatment setting: A clinical case series

The International Journal of Eating Disorders
Eric DumontSandra Mulkens

Abstract

Avoidant/restrictive food intake disorder (ARFID) is a new diagnosis in the DSM-5 Feeding and Eating Disorders section, for which very limited treatment research has been carried out, yet. A new, 4-week exposure based cognitive behavioral therapy (CBT) day treatment, which integrated the inhibitory learning principles, was developed for adolescents with ARFID, and tested in the current study. A nonconcurrent multiple baseline design was used in a clinical case series of eleven 10- to 18-year-old patients. After baseline, the 4-week CBT followed. Measurements of DSM-5 ARFID diagnosis, food neophobia and related measures such as body weight and length, were taken at baseline (t1), at the end of the 4-week intensive day treatment (t2) and 3 months after treatment (follow-up, t3). A food selectivity test, a 1-week food diary, and behavioral measures on food intake were also taken at baseline and at 3-month follow-up. Furthermore, continuous measurements of believability of dysfunctional cognitions, anxiety, and food acceptance were taken throughout the 4-weeks day treatment. At follow-up, 10 out of 11 patients were in remission and had a healthy body weight and an average, age-adequate nutritional intake. For most patients, food ne...Continue Reading

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Citations

Feb 23, 2019·The International Journal of Eating Disorders·Kamryn T Eddy, Jennifer J Thomas
Mar 20, 2020·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Hana F ZickgrafGregory L Wallace
Aug 21, 2020·Journal of Cognitive Psychotherapy·Yaara Shimshoni, Eli R Lebowitz
Dec 19, 2020·Clinical Child Psychology and Psychiatry·Lena DolmanJennifer Couturier
Jan 20, 2021·The International Journal of Eating Disorders·Yaara ShimshoniEli R Lebowitz
Mar 4, 2021·Autism : the International Journal of Research and Practice·Jessica BaraskewichCarly A McMorris
Aug 24, 2021·Journal of Behavioral and Cognitive Therapy·Jennifer J ThomasKamryn T Eddy
Aug 31, 2021·Current Opinion in Psychiatry·Sandra Mulkens, Glenn Waller
Oct 8, 2021·Der Nervenarzt·Manfred M Fichter, Norbert Quadflieg
Feb 4, 2022·Developmental Medicine and Child Neurology·Laura BourneRachel Bryant-Waugh

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Software Mentioned

SeysCentra
Shiny SCDA )
Shiny app for Single ‐ Case Data Analysis ( Shiny SCDA )
Shiny app for Single Case Data Analysis (
ARFID

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