Pilot Case Series Studying a Psychoeducational and Motivational Treatment for Children With Low-Weight Avoidant Restrictive Food Intake Disorder

IF 4.7 2区医学 Q1 NUTRITION & DIETETICS

International Journal of Eating Disorders Pub Date : 2024-08-09 DOI:10.1002/eat.24273

Brittany Matheson, Nandini Datta, Eliza Van Wye, Hyun-Joon Yang, James Lock

{"title":"Pilot Case Series Studying a Psychoeducational and Motivational Treatment for Children With Low-Weight Avoidant Restrictive Food Intake Disorder","authors":"Brittany Matheson, Nandini Datta, Eliza Van Wye, Hyun-Joon Yang, James Lock","doi":"10.1002/eat.24273","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>Research on treatments for children with avoidant restrictive food intake disorder (ARFID) is needed. This pilot case series describes outcome data for 20 children ages 6–12 years old with a diagnosis of ARFID and who are low-weight.</p>\n </section>\n \n <section>\n \n <h3> Method</h3>\n \n <p>Participants were recruited nationwide as part of an ongoing randomized clinical trial. All participants in this study received a 14-session psychoeducational and motivational treatment (PMT) protocol. Parents completed measures of ARFID severity (the Pica, ARFID, Rumination Disorder Interview) and parental self-efficacy (Parents vs. ARFID scale). Height and weight were self-reported by parents and percent of estimated body weight (%EBW) was calculated. Assessments occurred at baseline, 1-month within treatment, 2-months within treatment, end-of-treatment (EOT), and 6-month follow-up.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Twenty children (10.34 ± 1.76 years; 85% Non-Hispanic; 75% White; 70% female; 84.16 ± 4.66% EBW) with low-weight ARFID and their parents received PMT-ARFID with a clinician specializing in eating disorders. By EOT, PARDI severity scores decreased (large effect size) parental self-efficacy increased (medium effect size), but %EBW remained unchanged.</p>\n </section>\n \n <section>\n \n <h3> Discussion</h3>\n \n <p>Additional research evaluating PMT in adequately powered clinical trials for youth with ARFID is needed.</p>\n </section>\n </div>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"57 11","pages":"2176-2180"},"PeriodicalIF":4.7000,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Eating Disorders","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/eat.24273","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

Research on treatments for children with avoidant restrictive food intake disorder (ARFID) is needed. This pilot case series describes outcome data for 20 children ages 6–12 years old with a diagnosis of ARFID and who are low-weight.

Method

Participants were recruited nationwide as part of an ongoing randomized clinical trial. All participants in this study received a 14-session psychoeducational and motivational treatment (PMT) protocol. Parents completed measures of ARFID severity (the Pica, ARFID, Rumination Disorder Interview) and parental self-efficacy (Parents vs. ARFID scale). Height and weight were self-reported by parents and percent of estimated body weight (%EBW) was calculated. Assessments occurred at baseline, 1-month within treatment, 2-months within treatment, end-of-treatment (EOT), and 6-month follow-up.

Results

Twenty children (10.34 ± 1.76 years; 85% Non-Hispanic; 75% White; 70% female; 84.16 ± 4.66% EBW) with low-weight ARFID and their parents received PMT-ARFID with a clinician specializing in eating disorders. By EOT, PARDI severity scores decreased (large effect size) parental self-efficacy increased (medium effect size), but %EBW remained unchanged.

Discussion

Additional research evaluating PMT in adequately powered clinical trials for youth with ARFID is needed.

查看原文本刊更多论文

对患有低体重回避性限制性食物摄入障碍的儿童进行心理教育和动机治疗的试点病例系列研究。

目的：需要对回避性限制性食物摄入障碍（ARFID）儿童的治疗方法进行研究。本试验性病例系列描述了 20 名被诊断为 ARFID 且体重偏低的 6-12 岁儿童的治疗结果数据：方法：作为正在进行的随机临床试验的一部分，在全国范围内招募参与者。本研究的所有参与者都接受了为期 14 个疗程的心理教育和激励治疗（PMT）方案。家长完成了 ARFID 严重程度测量（Pica、ARFID、反刍障碍访谈）和家长自我效能感测量（家长 vs. ARFID 量表）。身高和体重由家长自行报告，并计算估计体重的百分比（%EBW）。评估在基线、治疗1个月、治疗2个月、治疗结束（EOT）和6个月随访时进行：20名患有低体重ARFID的儿童（10.34 ± 1.76岁；85%为非西班牙裔；75%为白人；70%为女性；84.16 ± 4.66% EBW）及其父母接受了饮食失调专业临床医生的PMT-ARFID治疗。到EOT时，PARDI严重程度评分降低（大效应量），家长自我效能感提高（中效应量），但EBW%保持不变：讨论：需要进行更多的研究，在有充分支持的临床试验中评估针对患有 ARFID 的青少年的 PMT。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Eating Disorders 医学-精神病学

CiteScore

10.00

自引率

12.70%

发文量

204

审稿时长

4-8 weeks

期刊介绍： Articles featured in the journal describe state-of-the-art scientific research on theory, methodology, etiology, clinical practice, and policy related to eating disorders, as well as contributions that facilitate scholarly critique and discussion of science and practice in the field. Theoretical and empirical work on obesity or healthy eating falls within the journal’s scope inasmuch as it facilitates the advancement of efforts to describe and understand, prevent, or treat eating disorders. IJED welcomes submissions from all regions of the world and representing all levels of inquiry (including basic science, clinical trials, implementation research, and dissemination studies), and across a full range of scientific methods, disciplines, and approaches.