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Avoidant/restrictive food intake disorder: Features and use of cognitive-behavioral therapy


Abstract Avoidant/restrictive food intake disorder (ARFID), first introduced as an eating disorder in DSM-5, is characterized by avoidant/restrictive eating due to sensory sensitivities, fear of aversive consequences, or lack of interest in food/eating. Cognitive-behavior therapy for ARFID (CBT-AR) is a treatment for ARFID designed to reduce nutritional compromise and increase opportunities for exposure to novel foods, in turn reducing negative feelings and predictions about eating. CBT-AR is a flexible and modular outpatient treatment for children, adolescents, and adults with ARFID. Treatment spans 20–30 sessions and is appropriate for individuals with ARFID who are medically stable, currently accepting at least some food by mouth, and not receiving enteral feeding. CBT-AR contains four stages (psychoeducation and early change, treatment planning, addressing maintaining mechanisms, and relapse prevention). Data suggest that CBT-AR is an effective and efficient treatment in expanding dietary intake by volume and variety.
Authors P. Evelyna Kambanis University of WyomingORCID , Christopher A Mancuso University of WyomingORCID , Angeline R. Bottera University of WyomingORCID
Journal Info Elsevier BV | Handbook of Cognitive Behavioral Therapy by Disorder , pages: 91 - 103
Publication Date 1/1/2023
ISSN Not listed
TypeKeyword Image book-chapter
Open Access closed Closed Access
DOI https://doi.org/10.1016/b978-0-323-85726-0.00046-6
KeywordsKeyword Image Mealtime Behaviors (Score: 0.537441) , Food Selectivity (Score: 0.531541) , Behavioral Treatment (Score: 0.527915) , Eating Disorders (Score: 0.515465) , Feeding Problems (Score: 0.501665)