Myths and misconceptions
In ARFID, a person may experience food disturbances to the point that they do not meet their appropriate nutritional and/or energy needs. In simple terms, the person is not getting a wholesome diet due to the complications of ARFID and because it forces them to have a very limited interaction with food.
A person may feel unable to eat with other people. They may prefer to avoid new foods with intense textures, tastes or smells, opting instead to stay with foods they know well. This can make trying new foods challenging. Others may not feel hungry often, or feel full quickly.
Avoidance, once established, can become longstanding and hard to change. The more a person avoids eating, the scarier it becomes.
Underlying biological factors such as a flavour preferences are partly genetic and can influence food choice.
ARFID may occur during childhood, but it can also develop in adults.
People who are autistic or neurodivergent may experience ARFID.
There are three primary components to ARFID:
Brown, M. & Hildebrandt, T. (2020) Parent-facilitated behavioral treatment for avoidant/restrictive food intake disorder: A case report. Cognitive and Behavioral Practice, 27(2), 231-251.
Bryant-Waugh, R. (2020) Avoidant restrictive food intake disorder: In need of a dose of kindness? Clinical Child Psychology and Psychiatry, 25(3), 712-715.
Eddy, K.T. et al. (2014) Prevalence of DSM-5 avoidant/restrictive food intake disorder in a pediatric gastroenterology healthcare network. International Journal of Eating Disorders, 48(5), 464-70.
Fink, M., Simons, M., Tomasino, K., Pandit, A., Taft, T. (2021) When Is Patient Behavior Indicative of Avoidant Restrictive Food Intake Disorder (ARFID) Vs Reasonable Response to Digestive Disease? Clinical Gastroenterology and Hepatology,
Fisher, M.M. et al. (2014) Characteristics of avoidant/restrictive food intake disorder in children and adolescents: a “new disorder” in DSM-5. Journal of Adolescent Health, 55, 49-52.
Harshman, S.G. et al. (2019) A diet high in processed foods, total carbohydrates and added sugars, and low in vegetables and protein is characteristic of youth with avoidant/restrictive food intake disorder. Nutrients, 11(9), doi: 10.3390/nu11092013.
Iron-Segev, S., Best, D., Arad-Rubinstein, S., Efron, M., Serur, Y., Dickstein, H., & Stein, D. (2020) Feeding, Eating, and Emotional Disturbances in Children with Avoidant/Restrictive Food Intake Disorder (ARFID). Nutrients, 12(11), 3385.
Kenney, L. & Walsh, B. T. (2013) Avoidant/Restrictive Food Intake Disorder (ARFID). Eating Disorders Review, 24(3). Accessed 23 September 2014. Available from: http://eatingdisordersreview.com/print/nl_edr_24_3print.html
Kurz, S. et al. (2015) Early-onset restrictive eating disturbances in primary school boys and girls. European Child & Adolescent Psychiatry, 24(7), 779-85.
Kurotori, I., Shioda, K., Abe, T., Kato, R., Ishikawa, S., & Suda, S. (2019) An Inpatient Observational Study: Characteristics And Outcomes Of Avoidant/Restrictive Food Intake Disorder (ARFID) In Children And Adolescents In Japan. Neuropsychiatric Disease and Treatment, 15, 3313–3321.
Lange, A, Ekedahl Fjertorp, H, Holmer, R, Wijk, E, Wallin, U. (2019) Long-term follow-up study of low-weight avoidant restrictive food intake disorder compared with childhood-onset anorexia nervosa: Psychiatric and occupational outcome in 56 patients. International Journal of Eating Disorders, 52, 435–438.
Nicely, T.A. et al. (2014) Prevalence and characteristics of avoidant/restrictive food intake disorder in a cohort of young patients in day treatment for eating disorders. Journal of Eating Disorders, 2(21).
Nitsch, A., Knopf, E., Manwaring, J. et al. (2021) Avoidant/Restrictive Food Intake Disorder (ARFID): Its Medical Complications and Their Treatment—an Emerging Area. Current Pediatrics Reports 9(5), 1-9.
Norris, M. L. et al. (2013) Exploring avoidant/restrictive food intake disorder in eating disordered patients: A descriptive study. International Journal of Eating Disorders, 47(5), 495-499.
Shimshoni, Yaara & Silverman, Wendy & Lebowitz, Eli. (2020) SPACE‐ARFID: A pilot trial of a novel parent‐based treatment for avoidant/restrictive food intake disorder. International Journal of Eating Disorders, 53(10), 1623-1635.
Spettigue, W., Norris, M.L., Santos, A. & Obeid, N. (2018) Treatment of children and adolescents with avoidant/restrictive food intake disorder: A case series examining the feasibility of family therapy and adjunctive treatments. Journal of Eating Disorders, 6: 20
Thomas, J.J., Wons, O.B., Eddy, K.T. (2018) Cognitive-behavioral treatment of avoidant/restrictive food intake disorder. Current Opinion in Psychiatry, 31(6), 425-430.
Wildes, J.E., Zucker, N.L. & Marcus, M.D. (2012) Picky eating in adults: Results of a web-based survey. International Journal of Eating Disorders, 45(4), 575-582.
Zucker, NL, LaVia, MC, Craske, MG, et al. (2019) Feeling and body investigators (FBI): ARFID division—An acceptance-based interoceptive exposure treatment for children with ARFID. International Journal of Eating Disorders, 52(4), 466–472.