A Commentary on the Increasing ARFID Referrals to a Tertiary Child and Adolescent NHS Specialist Feeding and Eating Disorder Service in the UK.

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2025-06-11 DOI:10.1002/erv.70003

Danielle Lambert, Emma Willmott, Jo Cryer

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引用次数: 0

Abstract

Background: Avoidant restrictive food intake disorder (ARFID) was introduced as a diagnosis to our mental health diagnostic manuals in 2013. Referrals to a UK-based tertiary feeding and eating disorder service for feeding difficulties, including ARFID, increased by 37% since 2019.

Objective: This commentary discusses potential reasons for the increase observed in referrals for feeding difficulties, including ARFID presentations.

Main discussion: We discuss several factors which may be contributing to the rise in referrals; a growing recognition of ARFID since its diagnostic introduction 10 years ago, the broad and inclusive diagnostic criteria for ARFID, the heterogeneous presentation of ARFID and its high co-occurrence of neurodevelopmental and mental health conditions, and a lack of established evidence-based interventions at present. We also consider broader contextual factors, including the possible impact of the COVID-19 pandemic, sociocultural changes in mealtime practices and food availability and increasing systemic pressures on services.

Conclusions and implications: Understanding the multi factorial causes behind increased referrals is crucial for developing effective services that can manage the demands, are responsive to the needs of patients and provide appropriate and timely care for children and their families.

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越来越多的ARFID转介到第三儿童和青少年NHS专家喂养和饮食失调服务在英国的评论。

背景：回避性限制性食物摄入障碍（ARFID）于2013年被引入我们的心理健康诊断手册。自2019年以来，向英国三级喂养和饮食失调服务机构（包括ARFID）转诊的喂养困难人数增加了37%。目的：这篇评论讨论了在喂养困难的转诊中观察到的增加的潜在原因，包括ARFID的介绍。主要讨论：我们讨论了可能导致转诊增加的几个因素；ARFID自10年前引入诊断以来，越来越多的人认识到ARFID， ARFID的诊断标准广泛而包容，ARFID的异质表现及其神经发育和精神健康状况的高度共发，以及目前缺乏已建立的循证干预措施。我们还考虑了更广泛的背景因素，包括2019冠状病毒病大流行可能产生的影响、用餐习惯和食物供应方面的社会文化变化，以及服务业面临的系统性压力日益增加。结论和意义：了解转诊增加背后的多因素原因对于开发有效的服务至关重要，这些服务可以管理需求，响应患者的需求，并为儿童及其家庭提供适当和及时的护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.