{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T10:09:18Z","timestamp":1792145358370,"version":"4.4.0"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,8,20]],"date-time":"2014-08-20T00:00:00Z","timestamp":1408492800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100005197","name":"Hilda and Preston Davis Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100005197","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      Few published studies have evaluated the clinical utility of new diagnostic criteria for avoidant\/restrictive food intake disorder (ARFID), a\n                      <jats:italic>DSM\u20105<\/jats:italic>\n                      reformulation of feeding and eating disorder of infancy or early childhood. We examined the prevalence of ARFID and inter\u2010rater reliability of its diagnostic criteria in a pediatric gastrointestinal sample.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      We conducted a retrospective chart review of 2,231 consecutive new referrals (ages 8\u201318 years) to 19 Boston\u2010area pediatric gastroenterology clinics for evidence of\n                      <jats:italic>DSM\u20105<\/jats:italic>\n                      ARFID.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We identified 33 (1.5%) ARFID cases; 22 of whom (67%) were male. Most were characterized by insufficient intake\/little interest in feeding (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200919) or limited diet due to sensory features of the food (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20097). An additional 54 cases (2.4%) met one or more ARFID criteria but there was insufficient information in the medical record to confer or exclude the diagnosis. Diagnostic agreement between coders was adequate (\u03ba\u2009=\u20090.72). Common challenges were (i) distinguishing between diagnoses of ARFID and anorexia nervosa or anxiety disorders; (ii) determination of whether the severity of the eating\/feeding disturbance was sufficient to warrant diagnosis in the presence of another medical or psychiatric disorder; and (iii) assessment of psychosocial impairment related to eating\/feeding problems.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>In a pediatric treatment\u2010seeking sample where ARFID features were common, cases meeting full criteria were rare, suggesting that the diagnosis is not over\u2010inclusive even in a population where eating\/feeding difficulties are expected. \u00a9 2014 Wiley Periodicals Inc. (Inc. Int J Eat Disord 2015; 48:464\u2013470)<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.22350","type":"journal-article","created":{"date-parts":[[2014,8,20]],"date-time":"2014-08-20T09:06:18Z","timestamp":1408525578000},"page":"464-470","source":"Crossref","is-referenced-by-count":169,"title":["Prevalence of DSM\u20105 avoidant\/restrictive food intake disorder in a pediatric gastroenterology healthcare network"],"prefix":"10.1002","volume":"48","author":[{"given":"Kamryn T.","family":"Eddy","sequence":"first","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital Boston Massachusetts"},{"name":"Department of Psychiatry Harvard Medical School Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer J.","family":"Thomas","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital Boston Massachusetts"},{"name":"Department of Psychiatry Harvard Medical School Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Hastings","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Edkins","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan","family":"Lamont","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlin M.","family":"Nevins","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca M.","family":"Patterson","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen B.","family":"Murray","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Bryant\u2010Waugh","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Mental Health Great Ormond Street Hospital for Children NHS Foundation Trust London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne E.","family":"Becker","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital Boston Massachusetts"},{"name":"Department of Psychiatry Harvard Medical School Boston Massachusetts"},{"name":"Department of Global Health &amp; 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