ACUTE Center for Eating Disorders and Malnutrition at Denver Health, Denver, Colorado, USA.
Department of Medicine, University of Colorado School of Medicine, Denver, Colorado, USA.
Eat Disord. 2024 Jan 2;32(1):13-28. doi: 10.1080/10640266.2023.2241266. Epub 2023 Aug 3.
Most research on avoidant/restrictive food intake disorder (ARFID) has been with children and adolescents, while the limited research on adults with ARFID has been in the domain of outpatient treatment. This descriptive study sought to explore psychological characteristics ( = 45; measured with self-report questionnaires) and physiological characteristics ( = 66; e.g. vital signs, bloodwork) at admission for 66 adults with ARFID seeking residential and inpatient levels of care. While adults with ARFID presented with significant food restriction as well as mild depressive symptoms, high anxiety symptoms, and impaired quality of life, patients presented with mostly normal physiology, except for low bone density, and trivial abnormalities in serum creatinine and hepatic enzymes. Patients in this sample were most likely to endorse fear of aversive consequences, especially those for whom ARFID symptoms had first arisen in adulthood. These results note the psychological impairment and relative physiological normalcy of treatment-seeking adults with ARFID at the outset of residential and inpatient treatment, identifying future treatment and outcome research priorities in this understudied population.
大多数关于回避/限制型食物摄入障碍（ARFID）的研究都集中在儿童和青少年，而有限的成人 ARFID 研究则集中在门诊治疗领域。本描述性研究旨在探讨寻求住院和住院治疗的 66 名 ARFID 成年患者的心理特征（ = 45；通过自我报告问卷测量）和生理特征（ = 66；例如生命体征、血液检查）。虽然 ARFID 成年人表现出明显的食物限制以及轻度抑郁症状、高焦虑症状和生活质量受损，但患者的生理状况大多正常，除了骨密度低、血清肌酐和肝酶有轻微异常。该样本中的患者最有可能认同对不良后果的恐惧，尤其是那些 ARFID 症状首先出现在成年期的患者。这些结果表明，在开始住院和住院治疗时，寻求治疗的 ARFID 成年患者存在心理障碍和相对正常的生理机能，确定了在这一研究不足的人群中未来治疗和预后研究的重点。
