Avoidant/restrictive food intake disorder

Avoidant/restrictive food intake disorder
SpecialtyPsychiatry
SymptomsAversion towards eating, hypersensitivity to food taste or texture, fear of trying new foods, weight loss, low appetite
ComplicationsMalnutrition, food neophobia, being underweight
DurationChronic
Risk factorsAutism, obsessive–compulsive disorder, anxiety disorders, negative experiences from eating (e.g., choking, nausea from eating)

Avoidant/restrictive food intake disorder (ARFID) is a feeding or eating disorder in which individuals significantly limit the volume or variety of foods they consume, causing malnutrition, weight loss, or psychosocial problems.[1] Unlike eating disorders such as anorexia nervosa and bulimia, body image disturbance is not a root cause.[1][2] Individuals with ARFID may have trouble eating due to the sensory characteristics of food (e.g., appearance, smell, texture, or taste), executive dysfunction, fears of choking or vomiting, low appetite, or a combination of these factors.[2] While ARFID is most often associated with low weight, ARFID occurs across the whole weight spectrum.[3]

ARFID was first included as a diagnosis in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) published in 2013, extending and replacing the diagnosis of feeding disorder of infancy or early childhood included in prior editions.[2][4] It was subsequently also included in the eleventh revision of the International Classification of Diseases (ICD-11) published in 2022.[5]

  1. ^ a b Ramirez Z (May 1, 2024). "Avoidant Restrictive Food Intake Disorder". NIH: National Library of Medicine. PMID 38753906. Retrieved June 29, 2024.
  2. ^ a b c American Psychiatric Association, ed. (2022). Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision. Washington, DC: American Psychiatric Association. pp. 376–381. ISBN 978-0-89042-575-6.
  3. ^ Watts R (September 2023). "The clinical presentation of avoidant restrictive food intake disorder in children and adolescents is largely independent of sex, autism spectrum disorder and anxiety traits". eClinicalMedicine. 63 102190. doi:10.1016/j.eclinm.2023.102190. PMC 10480549. PMID 37680940.
  4. ^ Fisher MM, Rosen DS, Ornstein RM, Mammel KA, Katzman DK, Rome ES, et al. (July 2014). "Characteristics of avoidant/restrictive food intake disorder in children and adolescents: a "new disorder" in DSM-5". The Journal of Adolescent Health. 55 (1): 49–52. doi:10.1016/j.jadohealth.2013.11.013. PMID 24506978.
  5. ^ "6B83 Avoidant-restrictive food intake disorder". ICD-11 for Mortality and Morbidity Statistics. World Health Organization. 2023.