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Prevalence and correlates of psychiatric comorbidities in children and adolescents with full and subthreshold avoidant/restrictive food intake disorder
- Source :
- Int J Eat Disord, International Journal of Eating Disorders, Vol. 53, No 2 (2020) pp. 256-265
- Publication Year :
- 2019
-
Abstract
- Objective We aimed to characterize the current and lifetime prevalence of comorbid psychiatric diagnoses and suicidality in treatment- and nontreatment-seeking individuals with full and subthreshold avoidant/restrictive food intake disorder (ARFID). We also sought to examine unique associations between the three DSM-5 ARFID profiles (i.e., sensory sensitivity, fear of aversive consequences, and lack of interest in food or eating) and specific categories of psychiatric diagnoses and suicidality. Method We conducted structured clinical interviews with 74 children and adolescents with full or sub threshold ARFID to assess the presence of comorbid psychiatric diagnoses, suicidality, and the severity of each of the three ARFID profiles. Results Nearly half of the sample (45%) met criteria for a current comorbid psychiatric diagnosis, and over half (53%) met criteria for a lifetime comorbid diagnosis. A total of 8% endorsed current suicidality and 14% endorsed lifetime suicidality. Severity in the sensory sensitivity profile was uniquely associated with greater odds of comorbid disorders in the neurodevelopmental, disruptive, and conduct disorders category; the anxiety, obsessive-compulsive, and trauma-related disorders category; and the depressive and bipolar-related disorders category. Severity in the fear of aversive consequences profile was associated with greater odds of disorders in the anxiety, obsessive-compulsive, and trauma-related disorders category. Discussion Our findings underscore the severity of psychopathology among individuals with ARFID and related presentations, and also highlight the potential that shared psychopathology between specific ARFID profiles and other psychiatric disorders represent transdiagnostic constructs (e.g., avoidant behavior) that may be relevant treatment targets.
- Subjects :
- Adult
Male
050103 clinical psychology
Food intake
medicine.medical_specialty
Adolescent
Comorbidity
Article
Odds
Avoidant/restrictive food intake disorder
Feeding and Eating Disorders
03 medical and health sciences
ddc:616.89
Young Adult
0302 clinical medicine
medicine
Prevalence
Humans
0501 psychology and cognitive sciences
Psychiatry
Child
ddc:618
Avoidant Restrictive Food Intake Disorder
Psychopathology
business.industry
05 social sciences
Feeding and Eating Disorders/psychology
medicine.disease
030227 psychiatry
Psychopathology/methods
Psychiatry and Mental health
Institutional repository
Structured interview
Anxiety
Female
medicine.symptom
business
Subjects
Details
- ISSN :
- 1098108X and 02763478
- Volume :
- 53
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- The International journal of eating disorders
- Accession number :
- edsair.doi.dedup.....effc05e84250bc075fd39bc1b4a42511