使用远程咨询加强治疗青少年男性回避/限制性食物摄入障碍

Pub Date : 2022-01-02 DOI:10.1080/07317107.2021.2024716

Hunter C. King, Russell Howarth, Sunny Choi, A. Fischer

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引用次数: 2

摘要

回避/限制性食物摄入障碍(ARFID)是第五版《精神障碍诊断与统计手册》(DSM-5)中一个相对较新的诊断。考虑到ARFID最近被认为是一种正式的诊断，关于ARFID的治疗仍有许多未知之处。本研究对一名患有ARFID、自闭症谱系障碍和对立违抗性障碍的17岁拉丁裔青少年男性进行了远程咨询，评估了远程咨询作为一种增强以家庭为基础、父母提供行为计划的手段。治疗包括父母提供的差异强化和应急管理程序，以及咨询师提供的认知行为治疗。结果表明，所有目标食品的食物消耗量都有所增加。讨论了远程提供家庭喂养方案的治疗结果和实用建议。

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Using a Teleconsultation-Enhanced Treatment for Avoidant/Restrictive Food Intake Disorder in an Adolescent Male

Abstract Avoidant/restrictive food intake disorder (ARFID) is a relatively new diagnosis in the fifth edition of the Diagnostic and Statistical Manual for Mental Disorders (DSM-5). Considering the recency of ARFID’s recognition as a formal diagnosis, much is still unknown regarding ARFID treatment. This study evaluated teleconsultation as a means to enhance a home-based, parent-delivered behavior program to a 17-year-old Latino adolescent male with ARFID, autism spectrum disorder, and oppositional defiant disorder. Treatment included parent-delivered differential reinforcement and contingency management procedures, and consultant-delivered cognitive behavioral therapy. Results indicated increases in food consumption for all target foods. Treatment outcomes and practical recommendations are discussed for the remote delivery of home-based feeding programs.

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