Department of Translational Medical Science, University of Naples Federico II, 80131 Naples, Italy.
ImmunoNutritionLab at CEINGE Advanced Biotechnologies, University of Naples Federico II, 80131 Naples, Italy.
Nutrients. 2024 Sep 8;16(17):3034. doi: 10.3390/nu16173034.
Avoidant/Restrictive Food Intake Disorder (ARFID) and food neophobia present significant challenges in pediatric healthcare, particularly among children with food allergies (FAs). These eating disorders, characterized by the persistent avoidance or restriction of food, can lead to severe nutritional deficiencies and psychosocial impairments. The presence of FAs further complicates these eating behaviors, as the fear of allergic reactions exacerbates avoidance and restrictive patterns. This comprehensive review synthesizes current knowledge on ARFID and food neophobia, focusing on their definitions, characteristics, and the unique challenges they present in the context of FAs. The review explores the critical role of healthcare professionals, especially nurses, in integrating psychological and clinical care to improve outcomes for affected children. A multidisciplinary approach, including Cognitive Behavioral Therapy (CBT) and Family-Based Therapy (FBT), is emphasized as essential in addressing the complex needs of these patients. The review also highlights the need for standardized treatment protocols and further research on the long-term outcomes of these disorders, aiming to enhance therapeutic strategies and family support systems. Effective management of ARFID and food neophobia in the context of FAs requires a holistic and integrated approach to mitigate the profound impacts on a child's growth, development, and overall well-being.
回避/限制型食物摄入障碍（ARFID）和食物恐惧症在儿科医疗保健中带来了重大挑战，尤其是在食物过敏（FA）儿童中。这些饮食障碍的特征是持续回避或限制食物，可能导致严重的营养缺乏和心理社会障碍。FA 的存在使这些饮食行为更加复杂，因为对过敏反应的恐惧加剧了回避和限制模式。本综述综合了目前关于 ARFID 和食物恐惧症的知识，重点关注它们在 FA 背景下的定义、特征和独特挑战。综述探讨了医疗保健专业人员，特别是护士的关键作用，他们在整合心理和临床护理以改善受影响儿童的预后方面发挥着重要作用。强调了多学科方法，包括认知行为疗法（CBT）和家庭为基础的疗法（FBT），这是满足这些患者复杂需求的关键。该综述还强调了制定标准化治疗方案和进一步研究这些障碍长期结果的必要性，旨在增强治疗策略和家庭支持系统。在 FA 背景下管理 ARFID 和食物恐惧症需要采用整体和综合的方法，以减轻其对儿童生长、发育和整体健康的深远影响。
