回避型/限制型食物摄入障碍:回顾与最新进展。

Focus (American Psychiatric Publishing) Pub Date : 2024-07-01 Epub Date: 2024-06-28 DOI:10.1176/appi.focus.20240008
Jessie E Menzel, Taylor R Perry
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引用次数: 0

摘要

回避型/限制型食物摄入障碍(ARFID)是一种饮食失调症,最近被编入《美国疾病分类与诊断标准》(DSM-5),影响着各个年龄段的人群。多年来,有关 ARFID 的研究层出不穷,本综述简要概述了目前对 ARFID 流行病学、症状、并发症、评估和治疗的理解。综述重点介绍了有关成人 ARFID 的最新研究进展、ARFID 潜在的神经生物学机制以及新的治疗试验。本综述的研究结果表明,ARFID 与其他进食障碍一样普遍,甚至在成年人中也是如此,而且与严重的医疗和精神并发症有关。针对儿童、青少年和成人的新的、有前途的治疗方法正处于早期开发阶段。目前有几种评估方法可以帮助筛查和诊断 ARFID,并已证明具有跨文化有效性。本文讨论了未来研究和临床指导的领域,包括 ARFID 分类和鉴别诊断方面尚未解决的问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Avoidant/Restrictive Food Intake Disorder: Review and Recent Advances.

Avoidant/restrictive food intake disorder (ARFID) is an eating disorder recently codified in DSM-5 that affects individuals of all ages. A proliferation of ARFID research has emerged over the years, and this review provides a brief overview of the current understanding of ARFID epidemiology, symptoms, comorbid conditions, assessment, and treatment. The review highlights recent research updates regarding ARFID among adults, putative neurobiological mechanisms underlying ARFID, and new treatment trials. Findings from this review demonstrate that ARFID is as prevalent as other eating disorders, even among adults, and is associated with significant medical and psychiatric comorbid conditions. New, promising treatments for children, adolescents, and adults are in the early stages of development. Several assessments are now available to aid in the screening and diagnosis of ARFID and have demonstrated cross-cultural validity. Areas for future research and clinical guidance, including unresolved questions regarding ARFID categorization and differential diagnosis, are discussed.

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