Department of Child and Adolescent Mental Health, Great Ormond Street Hospital, London, United Kingdom WC1N 3J, UK.
Int J Eat Disord. 2013 Jul;46(5):420-3. doi: 10.1002/eat.22093.
Avoidant/restrictive food intake disorder (ARFID) is a new diagnostic category in DSM-5. Although replacing Feeding Disorder of Infancy or Early Childhood, it is not restricted to childhood presentations. In keeping with the broader aim of revising and updating criteria and text to better reflect lifespan issues and clinical expression across the age range, ARFID is a diagnosis relevant to children, adolescents, and adults. This case example of a 13-year old boy with ARFID illustrates key issues in diagnosis and treatment planning. The issues discussed are not exhaustive, but serve as a guide for central diagnostic and treatment issues to be considered by the clinician. It is anticipated that the inclusion of specific criteria for ARFID as a category within Feeding and Eating Disorders in DSM-5 will stimulate research into its typology, prevalence, and incidence in different populations and facilitate the development of effective, evidence-based interventions for this patient group.
回避/限制型食物摄入障碍（ARFID）是 DSM-5 中的一个新的诊断类别。尽管它取代了婴儿或幼儿期喂养障碍，但不限于儿童表现。为了更好地反映整个年龄段的生命期问题和临床表现，修订和更新标准和文本的更广泛目标是，ARFID 是与儿童、青少年和成人相关的诊断。本 ARFID 病例示例为一名 13 岁男孩，说明了诊断和治疗计划中的关键问题。所讨论的问题并非详尽无遗，但可作为临床医生考虑的核心诊断和治疗问题的指南。预计 DSM-5 中将 ARFID 作为进食和饮食障碍的一个类别纳入特定标准，将刺激对其在不同人群中的类型、流行率和发生率的研究，并为这一患者群体制定有效的循证干预措施。
