Considering a Functional Conceptualisation of Avoidant/Restrictive Food Intake Disorder (ARFID): A Systematic Scoping Review of Emerging Evidence on ARFID

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2025-02-08 DOI:10.1002/erv.3180

Yvette Karvay

{"title":"Considering a Functional Conceptualisation of Avoidant/Restrictive Food Intake Disorder (ARFID): A Systematic Scoping Review of Emerging Evidence on ARFID","authors":"Yvette Karvay","doi":"10.1002/erv.3180","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Introduction</h3>\n \n <p>Avoidant/restrictive food intake disorder (ARFID) only recently emerged in the DSM-5 and ICD-11. Relatedly, emerging conceptualisations of ARFID are equivocal. A functional conceptualisation of ARFID (i.e., cohesive conceptualisation that can guide research and clinical work) is needed. The present systematic scoping review aimed to synthesise ARFID literature to develop a functional conceptualisation model with recommendations for ongoing research and clinical work.</p>\n </section>\n \n <section>\n \n <h3> Method</h3>\n \n <p>Utilising PRISMA guidelines, 25 references were found eligible for inclusion and categorised using a bottom-up approach into 6 (not mutually exclusive) conceptualisations of ARFID: clinical presentation subtypes (<i>n</i> = 16), symptom presentation (<i>n</i> = 4), biological (<i>n</i> = 3), behavioural (<i>n</i> = 4), learning (<i>n</i> = 3), and biopsychosocial (<i>n</i> = 4) models.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Conceptually, both clinical presentation subtype and biopsychosocial models posed important avenues for further exploration of the aetiology, maintenance, and treatment of ARFID. Clinical presentation subtype models were most common, echoing and extending previous research support for the DSM's subtype categorisation. Biopsychosocial models were agnostic to ARFID subtypes, but encompassed elements of the biological, behavioural, and learning models, and suggested factors related to the aetiology and maintenance of ARFID subtypes.</p>\n </section>\n \n <section>\n \n <h3> Discussion</h3>\n \n <p>Together, these conceptualisations allow for streamlined, nuanced research and clinical work aimed at understanding and treating ARFID.</p>\n </section>\n </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 4","pages":"730-750"},"PeriodicalIF":3.4000,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Eating Disorders Review","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/erv.3180","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction

Avoidant/restrictive food intake disorder (ARFID) only recently emerged in the DSM-5 and ICD-11. Relatedly, emerging conceptualisations of ARFID are equivocal. A functional conceptualisation of ARFID (i.e., cohesive conceptualisation that can guide research and clinical work) is needed. The present systematic scoping review aimed to synthesise ARFID literature to develop a functional conceptualisation model with recommendations for ongoing research and clinical work.

Method

Utilising PRISMA guidelines, 25 references were found eligible for inclusion and categorised using a bottom-up approach into 6 (not mutually exclusive) conceptualisations of ARFID: clinical presentation subtypes (n = 16), symptom presentation (n = 4), biological (n = 3), behavioural (n = 4), learning (n = 3), and biopsychosocial (n = 4) models.

Results

Conceptually, both clinical presentation subtype and biopsychosocial models posed important avenues for further exploration of the aetiology, maintenance, and treatment of ARFID. Clinical presentation subtype models were most common, echoing and extending previous research support for the DSM's subtype categorisation. Biopsychosocial models were agnostic to ARFID subtypes, but encompassed elements of the biological, behavioural, and learning models, and suggested factors related to the aetiology and maintenance of ARFID subtypes.

Discussion

Together, these conceptualisations allow for streamlined, nuanced research and clinical work aimed at understanding and treating ARFID.

查看原文本刊更多论文

考虑回避/限制性食物摄入障碍（ARFID）的功能概念化：ARFID新证据的系统范围综述。

简介：回避/限制性食物摄入障碍（ARFID）最近才出现在DSM-5和ICD-11中。与此相关，ARFID的新兴概念是模棱两可的。ARFID的功能性概念化（即，可以指导研究和临床工作的内聚概念化）是必要的。目前的系统范围综述旨在综合ARFID文献，以开发一个功能概念化模型，并为正在进行的研究和临床工作提供建议。方法：利用PRISMA指南，发现25篇文献符合纳入条件，并使用自下而上的方法将其分类为ARFID的6个概念（不相互排斥）：临床表现亚型（n = 16）、症状表现（n = 4）、生物学（n = 3）、行为（n = 4）、学习（n = 3）和生物心理社会（n = 4）模型。结果：从概念上讲，临床表现亚型和生物心理社会模型为进一步探索ARFID的病因、维持和治疗提供了重要的途径。临床表现亚型模型是最常见的，呼应并扩展了先前对DSM亚型分类的研究支持。生物心理社会模型对ARFID亚型是不可知的，但包含了生物学、行为和学习模型的元素，并提出了与ARFID亚型的病因和维持相关的因素。讨论：总之，这些概念允许简化、细致的研究和临床工作，旨在理解和治疗ARFID。

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

European Eating Disorders Review PSYCHOLOGY, CLINICAL-

CiteScore

8.90

自引率

7.50%

发文量

期刊介绍： European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.