{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T17:18:35Z","timestamp":1777483115075,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2021,11,13]],"date-time":"2021-11-13T00:00:00Z","timestamp":1636761600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100011775","name":"BC Children\u2019s Hospital Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100011775","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100000066","name":"Canadian Child Health Clinician Scientist Program","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100000066","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100000245","name":"Michael Smith Foundation for Health Research","doi-asserted-by":"crossref","award":["HPI-2020-0710"],"award-info":[{"award-number":["HPI-2020-0710"]}],"id":[{"id":"10.13039\/501100000245","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Child Psychol Psychiatry"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:p>\n                    Certain presentations of Avoidant\/Restrictive Food Intake Disorder (ARFID) and Somatic Symptom and Related Disorders (SSRDs) have conceptual overlap, namely, distress and impairment related to a physical symptom. This study compared characteristics of pediatric patients diagnosed with ARFID to those with gastrointestinal (GI)-related SSRD. A 5-year retrospective chart review at a tertiary care pediatric hospital comparing assessment data of patients with a diagnosis of ARFID ( n = 62; 69% girls, M\n                    <jats:sub>age<\/jats:sub>\n                    = 14.08\u00a0years) or a GI-related SSRD ( n = 37; 68% girls, M\n                    <jats:sub>age<\/jats:sub>\n                    = 14.25\u00a0years). Patients diagnosed with ARFID had a significantly lower percentage of median BMI than those with GI-related SSRD. Patients diagnosed with ARFID were most often assessed in the Eating Disorders Program, whereas patients diagnosed with an SSRD were most often assessed by Consultation-Liaison Psychiatry. Groups did not differ on demographics, psychiatric diagnoses, illness duration, or pre-assessment services\/medications. GI symptoms were common across groups. Patients diagnosed with an SSRD had more co-occurring medical diagnoses. A subset (16%) of patients reported symptoms consistent with both diagnoses. Overlap is observed in the clinical presentation of pediatric patients diagnosed with ARFID or GI-related SSRD. Some group differences emerged, including anthropometric measurements and co-occurring medical conditions. Findings may inform diagnostic classification and treatment approach.\n                  <\/jats:p>","DOI":"10.1177\/13591045211048170","type":"journal-article","created":{"date-parts":[[2021,11,13]],"date-time":"2021-11-13T05:10:08Z","timestamp":1636780208000},"page":"385-398","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Pediatric Avoidant-Restrictive Food Intake Disorder and gastrointestinal-related Somatic Symptom Disorders: Overlap in clinical presentation"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1652-4813","authenticated-orcid":false,"given":"Katelynn E","family":"Boerner","sequence":"first","affiliation":[{"name":"Department of Pediatrics, BC Children\u2019s Hospital Research Institute and University of British Columbia, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9907-8067","authenticated-orcid":false,"given":"Jennifer S","family":"Coelho","sequence":"additional","affiliation":[{"name":"Provincial Specialized Eating Disorders Program for Children & Adolescents, BC Children\u2019s Hospital, Vancouver, BC, Canada"},{"name":"Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiza","family":"Syal","sequence":"additional","affiliation":[{"name":"Provincial Specialized Eating Disorders Program for Children & Adolescents, BC Children\u2019s Hospital, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepika","family":"Bajaj","sequence":"additional","affiliation":[{"name":"Provincial Specialized Eating Disorders Program for Children & Adolescents, BC Children\u2019s Hospital, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie","family":"Finner","sequence":"additional","affiliation":[{"name":"Division of Adolescent Medicine, Children\u2019s Hospital of Eastern Ontario, Ottawa, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amrit K","family":"Dhariwal","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada"},{"name":"Department of Psychiatry, BC Children\u2019s Hospital, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,11,13]]},"reference":[{"key":"bibr1-13591045211048170","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric 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