{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T21:37:42Z","timestamp":1789162662488,"version":"build-2803163510"},"reference-count":36,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T00:00:00Z","timestamp":1751500800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T00:00:00Z","timestamp":1751500800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cognitive\u2010behavioral therapy for avoidant\/restrictive food intake disorder (CBT\u2010AR) is an emerging treatment for adults with avoidant\/restrictive food intake disorder (ARFID). This article explores how CBT\u2010AR can be integrated with and enhanced by the dietetics skillset and presents two case studies in which a dietitian primarily provided treatment within a multidisciplinary team.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The dietetic\u2010led CBT\u2010AR treatment journeys are described for two patients. We utilised dietetic and psychological assessments to measure change, including: nutrient pathology; weight; Pica, ARFID and Rumination Disorder Interview scores; Australian Core Food Score; and Structured Assessment of Gastrointestinal Symptoms. We describe the stages of CBT\u2010AR with examples of how a dietitian's skillset might be utilised within this treatment approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Both patients demonstrated significant improvements in ARFID psychopathology and dietetic measures after completing dietitian\u2010led CBT\u2010AR. These findings provide preliminary evidence that dietitians with specialised expertise in eating disorders could effectively deliver CBT\u2010AR as part of a multidisciplinary team.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These case studies highlight the potential for dietitians to act as primary clinicians in delivering CBT\u2010AR and provide preliminary evidence on how their skillset could lead to clinically meaningful improvements for adults living with ARFID. Future research trials are required to confirm that dietitian\u2010led CBT\u2010AR could be a viable treatment option for ARFID.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70087","type":"journal-article","created":{"date-parts":[[2025,7,4]],"date-time":"2025-07-04T00:35:02Z","timestamp":1751589302000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Dietetic\u2010Led Cognitive Behavioral Therapy for ARFID: A Novel Approach to Avoidant\/Restrictive Food Intake Disorder With Case Studies"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9132-1982","authenticated-orcid":false,"given":"Copeland G.","family":"Winten","sequence":"first","affiliation":[{"name":"School of Exercise and Nutrition Science, Faculty of Health Queensland University of Technology Kelvin Grove Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynda J.","family":"Ross","sequence":"additional","affiliation":[{"name":"School of Exercise and Nutrition Science, Faculty of Health Queensland University of Technology Kelvin Grove Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esben","family":"Strodl","sequence":"additional","affiliation":[{"name":"School of Counselling and Psychology, Faculty of Health Queensland University of Technology Kelvin Grove Australia"},{"name":"QUT Eating Disorder Clinic QUT Kelvin, Grove Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriella","family":"Heruc","sequence":"additional","affiliation":[{"name":"Eating Disorders and Nutrition Research Group School of Medicine and Translational Health and Medical Research Institute Western Sydney University Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer J.","family":"Thomas","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program, Massachusetts General Hospital Massachusetts Boston USA"},{"name":"Department of Psychiatry Harvard Medical School Massachusetts Boston USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,3]]},"reference":[{"key":"e_1_2_15_2_1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders: DSM\u20105. 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BDA accessed October 8 2024 https:\/\/www.bda.uk.com\/specialist-groups-and-branches\/mental-health-specialist-group\/child-adolescent-mental-health-services-sub-group\/arfid-position-statement.html."},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2017.11.111"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23520"},{"key":"e_1_2_15_16_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.1995.9.2.83"},{"key":"e_1_2_15_17_1","unstructured":"Queensland Eating Disorders Service. QuEDS.2020. QuEDS Guide to Admission and Inpatient Treatment https:\/\/metronorth.health.qld.gov.au\/rbwh\/wp-content\/uploads\/sites\/2\/2017\/07\/guide-to-admission-and-inpatient-treatment-eating-disorder.pdf."},{"key":"e_1_2_15_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-022-00706-7"},{"key":"e_1_2_15_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-017-4599-6"},{"key":"e_1_2_15_20_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.59.1.12"},{"key":"e_1_2_15_21_1","unstructured":"World Health Organisation.Malnutrition.World Health Organisation accessed October 8 2024 https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/malnutrition."},{"key":"e_1_2_15_22_1","unstructured":"S.JeffreyThe RAVESTMEating Model accessed October 8 2024 https:\/\/www.raveseatingmodel.com\/."},{"key":"e_1_2_15_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-018-0192-4"},{"key":"e_1_2_15_24_1","unstructured":"USDA. Dietary Guidelines for Americans. 2025 https:\/\/www.dietaryguidelines.gov\/."},{"key":"e_1_2_15_25_1","unstructured":"National Health and Medical Research Council NHMRC. Australian guide to healthy eating [Internet]. 2021 https:\/\/www.eatforhealth.gov.au\/guidelines\/australian-guide-healthy-eating."},{"key":"e_1_2_15_26_1","unstructured":"The Office for Health Improvement and Disparities GOV.UK.2024The Eatwell Guide https:\/\/www.gov.uk\/government\/publications\/the-eatwell-guide."},{"key":"e_1_2_15_27_1","volume-title":"How to Nourish Yourself Throughan Eating Disorder: Recovery For Adults With The Plate\u2010by\u2010plate Approach","author":"Sterling W.","year":"2023"},{"key":"e_1_2_15_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10802-024-01260-3"},{"key":"e_1_2_15_29_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2022.884003"},{"key":"e_1_2_15_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2005.05143_3.x"},{"key":"e_1_2_15_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-024-01126-5"},{"key":"e_1_2_15_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2021.105243"},{"key":"e_1_2_15_33_1","volume-title":"Family Therapy for Adolescent Eating and Weight Disorders","author":"Fitzpatrick K. 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