{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T08:27:45Z","timestamp":1791966465220,"version":"4.3.4"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T00:00:00Z","timestamp":1740355200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["K23MH125143"],"award-info":[{"award-number":["K23MH125143"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["K23MH127465"],"award-info":[{"award-number":["K23MH127465"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["K24MH120568"],"award-info":[{"award-number":["K24MH120568"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["K24MH135189"],"award-info":[{"award-number":["K24MH135189"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01MH108595"],"award-info":[{"award-number":["R01MH108595"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01MH128246"],"award-info":[{"award-number":["R01MH128246"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["1UL1TR002541\u201001"],"award-info":[{"award-number":["1UL1TR002541\u201001"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p><jats:italic>DSM\u20105<\/jats:italic> prohibits the diagnosis of avoidant\/restrictive food intake disorder (ARFID) in the context of clinically significant shape\/weight concerns. However, emerging data suggest that ARFID and shape\/weight\u00a0concerns may co\u2010occur, and <jats:italic>DSM\u20105\u2010TR<\/jats:italic> now permits comorbid binge\u2010eating disorder alongside ARFID. We compared shape\/weight concerns in adults with ARFID to healthy controls (HCs) and nonclinical norms; assessed the frequency of clinical\u2010level shape\/weight concerns and past\u2010month objective binge episodes (OBE); and identified ARFID characteristics linked to elevated shape\/weight concerns and OBEs. We hypothesized that individuals with ARFID would exhibit lower shape\/weight concerns than HCs and nonclinical norms, that none would exhibit clinical\u2010level shape\/weight concerns, and that higher\u00a0weight would predict greater shape\/weight concerns. Our examination of OBEs was exploratory.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Participants with ARFID (<jats:italic>N\u2009=<\/jats:italic>\u200983) and HCs (<jats:italic>N\u2009=<\/jats:italic>\u200941) completed the Eating Disorder Examination\u2014Questionnaire (EDE\u2010Q).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Adults with ARFID scored significantly <jats:italic>higher<\/jats:italic> than HCs but significantly <jats:italic>lower<\/jats:italic> than nonclinical norms on shape\/weight concerns. Two percent exhibited clinical\u2010level shape\/weight concerns, and 15% reported past\u2010month OBEs. Higher weight uniquely predicted shape\/weight concerns.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Shape\/weight concerns are lower in ARFID than in the general population, and a small proportion of adults with ARFID\u2014particularly those at higher weights\u2014may experience clinical\u2010level shape\/weight concerns and OBEs.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24398","type":"journal-article","created":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T09:22:48Z","timestamp":1740561768000},"page":"986-992","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Frequency and Predictors of Shape\/Weight Concerns and Objective Binge Eating in Avoidant\/Restrictive Food Intake Disorder (ARFID)"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1950-3332","authenticated-orcid":false,"given":"P. Evelyna","family":"Kambanis","sequence":"first","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Mass General Brigham Eating Disorders Research Collaborative  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3608-5395","authenticated-orcid":false,"given":"Lilian P.","family":"Palmer","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Mass General Brigham Eating Disorders Research Collaborative  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3378-2526","authenticated-orcid":false,"given":"Grace","family":"Jhe","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Boston Children's Hospital  Boston Massachusetts USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts USA"},{"name":"Eating Disorders Program Boston Children's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1130-964X","authenticated-orcid":false,"given":"Iman","family":"McPherson","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Department of Psychology and Neuroscience University of North Carolina  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4293-6926","authenticated-orcid":false,"given":"Haley","family":"Graver","sequence":"additional","affiliation":[{"name":"Department of Psychology Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail G.","family":"Dalton","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Mass General Brigham Eating Disorders Research Collaborative  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6733-9696","authenticated-orcid":false,"given":"Chunni","family":"Ji","sequence":"additional","affiliation":[{"name":"Department of Biomedical Informatics Columbia University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6423-7726","authenticated-orcid":false,"given":"Elisa","family":"Asanza","sequence":"additional","affiliation":[{"name":"Mass General Brigham Eating Disorders Research Collaborative  Boston Massachusetts USA"},{"name":"Neuroendocrine Unit Massachusetts General Hospital  Boston Massachusetts 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