Saravia Susana, Díaz-Castrillón Fernanda, Cruzat-Mandich Claudia, Lizana-Calderón Paula, Gómez Daniela, Corona Francisca
Centro de Estudios de la Conducta Alimentaria (CECA), Escuela de Psicología, Universidad Adolfo Ibáñez, Santiago, Chile.
Clínica Psiquiátrica Universitaria, Universidad de Chile, Santiago, Chile.
Andes Pediatr. 2022 Dec;93(6):851-859. doi: 10.32641/andespediatr.v93i6.3903.
Avoidance/Restriction of Food Intake Disorder (ARFID) is characterized by persistent avoidance and/or restriction of food intake, with three clinical presentations: lack of interest in food, selectivity based on sensory sensitivity, and fear of aversive consequences. The strategies used by parents during mealtimes may predispose or maintain the child's food refusal.
to determine the associa tion between parental strategies used during mealtimes and food refusal behavior in ARFID children.
Cross-sectional research. Non-probabilistic sampling was used for the selec tion of participants. Twenty-four parents whose children had been diagnosed with ARFID participa ted. ARFID subtypes were considered according to DSM-5 criteria: limited appetite, selective eating and fear of eating. Exclusion criteria were ARFID of organic cause and/or pervasive developmental disorders. The Child Eating Behaviors Questionnaire and the Child Feeding Questionnaire were used for data collection.
An association was evidenced between the parental eating strategy of pressure to eat with food refusal behavior, and with child eating behaviors of emotional underfeeding (p = 0.046), slowness to eat (p = 0.016), refusal in front of food (p = 0.019) and satiety response (p = 0.003).
Eating behaviors frequently perceived by parents with children diagnosed with ARFID are related to the dimension of negative approach towards food, such as satiety response, food refusal, slowness to eat and emotional underfeeding.
回避/限制食物摄入障碍（ARFID）的特征是持续回避和/或限制食物摄入，有三种临床表现：对食物缺乏兴趣、基于感官敏感的选择性进食以及对不良后果的恐惧。父母在进餐时间所采用的策略可能会诱发或维持孩子的食物拒绝行为。
确定ARFID儿童进餐时父母所采用的策略与食物拒绝行为之间的关联。
横断面研究。采用非概率抽样选择参与者。24名孩子被诊断为ARFID的父母参与其中。根据《精神疾病诊断与统计手册》第5版标准考虑ARFID亚型：食欲缺乏、选择性进食和进食恐惧。排除标准为器质性原因导致的ARFID和/或广泛性发育障碍。使用儿童饮食行为问卷和儿童喂养问卷收集数据。
有证据表明，父母强迫进食的喂养策略与食物拒绝行为之间存在关联，并且与儿童情绪性喂养不足（p = 0.046）、进食缓慢（p = 0.016）、在食物面前拒绝（p = 0.019）和饱腹感反应（p = 0.003）等饮食行为有关。
被诊断为ARFID的孩子的父母经常察觉到的饮食行为与对食物的消极态度维度有关，如饱腹感反应、食物拒绝、进食缓慢和情绪性喂养不足。
