Applying family‐based treatment (FBT) to three clinical presentations of avoidant/restrictive food intake disorder: Similarities and differences from FBT for anorexia nervosa
| Autor: | Athena Robinson, Kimberly Rosania, James E. Lock, Linsey M. Utzinger, Shiri Sadeh-Sharvit, Nina Kirz, Jennifer Derenne, Lilya Osipov |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
050103 clinical psychology
Food intake Externalization media_common.quotation_subject 05 social sciences Anorexia nervosa medicine.disease Case material 030227 psychiatry Avoidant/restrictive food intake disorder 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine medicine 0501 psychology and cognitive sciences Patient group Psychology Family based Seriousness media_common Clinical psychology |
| Zdroj: | International Journal of Eating Disorders. 52:439-446 |
| ISSN: | 1098-108X 0276-3478 |
| DOI: | 10.1002/eat.22994 |
| Popis: | Objective This article uses three brief case reports to illustrate how family-based treatment (FBT) can be used to treat pre-adolescents with avoidant/restrictive food intake disorder (ARFID). Method We present case material illustrating how FBT can be used in three different clinical presentations of ARFID: (1) low appetite and lack of interest; (2) sensory sensitive eaters; and (3) fear of aversive consequences eaters-all without shape or weight concerns. Results This case material illustrates that the main principles of FBT-agnosticism as to the cause of the illness, externalization, emphasizing the seriousness of ARFID, parental empowerment, behavioral consultation, and practical behavioral focus-are applicable for a range of ARFID clinical presentations. Common challenges in this patient group include (1) promoting urgency; (2) challenging long term behavioral accommodation; (3) lack of parental alignment, parental fatigue, (4) and co-morbid psychiatric problems in the patients. Strategies to address these problems are described. Conclusion FBT can be adapted for children with ARFID using the main principles of the approach. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|