Document Type

Response or Comment

Publication Date

1-22-2024

Identifier

DOI: 10.1186/s40337-024-00972-7; PMCID: PMC10804643

Abstract

Existing descriptions of the treatment of avoidant/restrictive food intake disorder (ARFID) at higher levels of care (HLOC) for eating disorders are limited, despite HLOC settings frequently serving patients with ARFID. The purpose of this commentary is to expand on the preliminary literature that describes pediatric ARFID treatment at HLOC by describing two specific components of our approach to treating pediatric ARFID that may not yet have traction in the current literature. Specifically, we highlight the utility of (1) treatment accommodations that appropriately account for patients' neurodevelopmental needs (e.g., executive functioning, sensory processing) and (2) the adjunctive use of Dialectical Behavior Therapy (DBT) elements within family-based pediatric ARFID treatment. We also describe necessary future directions for research in these domains to clarify if incorporating these considerations and approaches into pediatric ARFID treatment at HLOC does indeed improve treatment outcomes.

Journal Title

J Eat Disord

Volume

12

Issue

1

First Page

13

Last Page

13

Keywords

ARFID; Cognitive-behavioral therapy; Dialectical behavior therapy; Eating disorders; Executive functioning; Family-based treatment; Neurodevelopment

Comments

Grants and funding

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Publisher's Link: https://jeatdisord.biomedcentral.com/articles/10.1186/s40337-024-00972-7

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