Avoidant/Restrictive Food Intake Disorder (ARFID) Symptoms in Adolescent Patients With Disorders of Gut–Brain Interaction

International Journal of Eating Disorders, Год журнала: 2025, Номер unknown

Опубликована: Фев. 6, 2025

ABSTRACT Objective Disorders of gut–brain interaction (DGBI) and avoidant/restrictive food intake disorder (ARFID) share clinical characteristics. However, research on the prevalence ARFID symptoms in youth with DGBI presentation varying levels is limited. Method In this cross‐sectional observational study, 38 adolescents (range 12–17 years; 71% female) a diagnosed receiving treatment at pediatric gastroenterology clinic primary caregiver completed Nine Item Screen (NIAS). Gastrointestinal (GI), psychiatric, quality life (QOL), weight/growth outcomes were assessed via youth‐ caregiver‐reported questionnaires, anthropometrics, water load test. characterized, their associations GI, psychiatric symptoms, QOL, analyzed. Results Clinically significant reported by 42% 55% caregivers. associated more severe GI lower clinically weight loss or faltering growth. While became non‐significant after false discovery rate correction, effect sizes medium to large, clearly demonstrating meaningful associations. Agreements between NIAS reports good excellent. Discussion are common severity. Further elucidating co‐morbidity developing guidelines for effective co‐management priorities.

Язык: Английский

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Improving eating disorder care for underserved groups: a lived experience and quality improvement perspective

Journal of Eating Disorders, Год журнала: 2025, Номер 13(1)

Опубликована: Янв. 22, 2025

Improvements to eating disorder (ED) care are urgently needed in the United Kingdom (UK) and around world. Informed by my lived experiences, independent research, involvement underappreciated field of quality improvement (QI), I have written this article offer ideas on how improve individuals' access experiences ED care. As live UK, QI UK's National Health Service (NHS). However, much article's content can be applied broadly healthcare providers world, as similar improvements internationally. Furthermore, commentary is informed latest international research. In paper, will identify discuss 12 groups individuals whom believe more likely underserved The 'underserved groups' (USGs) follows: [USG. 1] People with longstanding EDs and/or older-age sufferers; 2] Younger children/preadolescents; 3] under-recognised/underappreciated EDs; 4] higher weights; 5] comorbidities; 6] neurodevelopmental conditions (neurodiverse people); 7] Digitally excluded people; 8] Socioeconomically sociogeographically disadvantaged 9] Ethnic/racial minorities; 10] Sexual gender-diverse 11] Males; 12] Caregivers/loved ones. sufferers/caregivers also an group a whole general mental health care, so broader considerations for improving explored future publication; these include stigma, research biases, inadequate clinical monitoring diagnosing, poor-quality treatments, disorganised service transitions, systemic problems/inefficiencies, underfunding/under-resourcing. Specific recommendations USGs 1–12 must considered alongside other issues. Throughout both articles, advocate humanistic model/approach based inexpensive principles compassion, hope, empathy, appreciation (of identity), patience ('CHEAP').

Язык: Английский

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The impact of incorporating an eating disorder screening tool and an eating disorder diagnostic workshop in outpatient general psychiatry settings in publicly insured populations: a case series

Eating Disorders, Год журнала: 2025, Номер unknown, С. 1 - 10

Опубликована: Фев. 11, 2025

With an elevated prevalence of disordered eating in low-income settings, efforts to optimize the detection disorders (EDs) such settings are necessary. A significant barrier relates scarcity training for clinicians not working specialized ED settings. This manuscript assessed impact screening tool and assessment workshop upon EDs publicly insured psychiatry Leveraging a case series design assess 165 consecutive adult patients outpatient we indexed diagnoses rendered by psychiatrists when assessing (i) without prior knowledge symptoms, (ii) after being made aware patient scores from measure, (iii) undergoing workshop, scores. While 27% sample reported clinically symptoms on were only 2% assessment. In contrast, incorporating altered rates diagnoses, with 18% receiving diagnosis. Moreover, combinatorial introduction both measure further diagnostic practice—with this resulting sample. The findings suggest that workshops can have impacts accuracy and, little cost, provide would otherwise go undetected.

Язык: Английский

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Clinical and scientific review of severe and enduring anorexia nervosa in intensive care settings: introducing an innovative treatment paradigm

Journal of Eating Disorders, Год журнала: 2024, Номер 12(1)

Опубликована: Сен. 3, 2024

Язык: Английский

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