{"title":"A Useful and Timely Proposal to Amend Diagnostic Criteria for ARFID: Commentary on Zickgraf et al. (2025).","authors":"Evelyn Attia, B Timothy Walsh","doi":"10.1002/eat.24399","DOIUrl":null,"url":null,"abstract":"<p><p>Diagnostic criteria for avoidant/restrictive food intake disorder (ARFID) were introduced in DSM-5 in 2013. In the ensuing years, substantial research has clarified the clinical characteristics, complications, and possible treatments for individuals with ARFID. On the basis of this emerging knowledge, in the current issue of the International Journal of Eating Disorders, Zickgraf et al. usefully propose a revision of the diagnostic criteria. The proposed revisions would bring the structure of the criteria more in line with the criteria for anorexia nervosa, bulimia nervosa, and binge-eating disorder. Zickgraf et al. also propose that ARFID could be diagnosed in the presence of another eating disorder, thereby differing from the current nosological hierarchy for anorexia nervosa, bulimia nervosa, and binge-eating disorder. Zickgraf et al. have done our field a significant service with their thoughtful proposal. Research is now needed to evaluate the performance of the suggested criteria.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7000,"publicationDate":"2025-02-22","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://doi.org/10.1002/eat.24399","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
摘要
2013年，DSM-5引入了回避/限制性食物摄入障碍（ARFID）的诊断标准。在随后的几年中，大量研究阐明了 ARFID 患者的临床特征、并发症和可能的治疗方法。在这些新知识的基础上，齐克格拉夫（Zickgraf）等人在本期《国际进食障碍杂志》（International Journal of Eating Disorders）上对诊断标准提出了有益的修订建议。建议的修订将使标准的结构与神经性厌食症、神经性贪食症和暴食症的标准更加一致。Zickgraf 等人还提出，ARFID 可在存在另一种进食障碍的情况下被诊断，从而有别于神经性厌食症、神经性贪食症和暴饮暴食症的现有分类体系。齐克格拉夫等人的建议考虑周到，为我们的领域做出了重大贡献。现在需要进行研究来评估建议标准的效果。
A Useful and Timely Proposal to Amend Diagnostic Criteria for ARFID: Commentary on Zickgraf et al. (2025).
Diagnostic criteria for avoidant/restrictive food intake disorder (ARFID) were introduced in DSM-5 in 2013. In the ensuing years, substantial research has clarified the clinical characteristics, complications, and possible treatments for individuals with ARFID. On the basis of this emerging knowledge, in the current issue of the International Journal of Eating Disorders, Zickgraf et al. usefully propose a revision of the diagnostic criteria. The proposed revisions would bring the structure of the criteria more in line with the criteria for anorexia nervosa, bulimia nervosa, and binge-eating disorder. Zickgraf et al. also propose that ARFID could be diagnosed in the presence of another eating disorder, thereby differing from the current nosological hierarchy for anorexia nervosa, bulimia nervosa, and binge-eating disorder. Zickgraf et al. have done our field a significant service with their thoughtful proposal. Research is now needed to evaluate the performance of the suggested criteria.
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.
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