A US-Based Consensus on Diagnostic Overlap and Distinction for Pediatric Feeding Disorder and Avoidant/Restrictive Food Intake Disorder.

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Tác giả: Pamela Dodrill, Hayley H Estrem, Praveen S Goday, Colleen T Lukens, Sarah MacLaughlin, Jessie Menzel, Richard Noel, Jaclyn L Pederson, Cuyler Romeo, William G Sharp, Jennifer J Thomas, Kelsey Thompson, Hana Zickgraf, Nancy Zucker

Ngôn ngữ: eng

Ký hiệu phân loại: 616.8527 Diseases of nervous system and mental disorders

Thông tin xuất bản: United States : The International journal of eating disorders , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 689242

OBJECTIVE: As diagnoses covering dysfunctional feeding and eating in pediatrics, avoidant/restrictive food intake disorder (ARFID) and pediatric feeding disorder (PFD) contain inherent areas of overlap in their diagnostic criteria. Areas of overlap include criteria regarding nutritional consequences associated with feeding/eating dysfunction and shared emphasis on possible psychosocial impairment associated with restricted food intake. Complicating the differential diagnosis process is a lack of guidance regarding when the two conditions occur independently, co-qualify, and/or transition into the other. Feeding Matters' Research Initiatives Task Force planned and hosted a PFD-ARFID consensus meeting, with the aim of reaching a consensus regarding diagnostic clarity on PFD and ARFID. METHOD: Criteria for participation focused on US residents who either: (a) served as an author on the ARFID workgroup or PFD consensus papers, or (b) provided community representation via board or committee roles. The consensus process followed three stages: prework, the meeting, and post-work/writing. Twelve participants were present for the meeting, with 14 involved in pre- and post-work/writing. RESULTS: The final panel included four psychologists representing the ARFID community and seven multidisciplinary members representing PFD's four domains (medical, nutrition, skill, and psychosocial) plus a Zero-to-Three community representative and two representatives from Feeding Matters. Results yielded 10 consensus statements and visuals to support the consensus statements. DISCUSSION: The consensus process and results underscore an ongoing need to improve diagnostic systems and reinforce calls for strengthening healthcare expertise for both PFD and ARFID. Community-based participatory research is recommended to advance both diagnoses and reduce ambiguity in practice settings.
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