Characteristics of Avoidant/Restrictive Food Intake Disorder in a Cohort of Adult Patients

Eur Eat Disord Rev. 2016 Nov;24(6):528-530. doi: 10.1002/erv.2476. Epub 2016 Sep 4.

Abstract

Objective: To assess and compare clinical symptoms and psychometric analysis of adult patients with avoidant/restrictive food intake disorder (ARFID) with those with anorexia nervosa (AN).

Method: We completed a retrospective review of adult patients with a feeding and eating disorder assessed between 1990 and 2005 that qualified for a diagnosis of ARFID. Patients with ARFID were compared with those with AN, with respect to the demographics, clinical symptoms and psychometric analysis.

Results: Using the criteria of the fifth edition of the Diagnostic and Statistical Manual, 95 (9.2%) of 1029 patients with a feeding and eating disorder met the criteria for ARFID. All patients with ARFID were women. The ARFID group had a significantly shorter duration of illness, lower rates of hospital admission history and less severe psychopathology than the AN group.

Conclusions: Adult patients with ARFID in this study were clinically distinct from those with AN and somewhat different from paediatric patients with ARFID in previous studies. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association.

Keywords: DSM-5; adult patients; anorexia nervosa; avoidant/restrictive food intake disorder.

MeSH terms

  • Adult
  • Anorexia Nervosa / diagnosis
  • Anorexia Nervosa / epidemiology
  • Anorexia Nervosa / psychology*
  • Child
  • China / epidemiology
  • Diagnostic and Statistical Manual of Mental Disorders
  • Eating
  • Feeding and Eating Disorders / diagnosis*
  • Feeding and Eating Disorders / epidemiology
  • Feeding and Eating Disorders / psychology*
  • Female
  • Hospitalization
  • Humans
  • Psychometrics
  • Psychopathology
  • Retrospective Studies
  • Time Factors