Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
Dietetic-Led Cognitive Behavioral Therapy for ARFID: A Novel Approach to Avoidant/Restrictive Food Intake Disorder With Case Studies.
СтатьяКлинический случайНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Winten Copeland G, Ross Lynda J, Strodl Esben, Heruc Gabriella, Thomas Jennifer J
Аннотация
BACKGROUND: Cognitive-behavioral therapy for avoidant/restrictive food intake disorder (CBT-AR) is an emerging treatment for adults with avoidant/restrictive food intake disorder (ARFID). This article explores how CBT-AR 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.
METHODS: The dietetic-led CBT-AR 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-AR with examples of how a dietitian's skillset might be utilised within this treatment approach.
RESULTS: Both patients demonstrated significant improvements in ARFID psychopathology and dietetic measures after completing dietitian-led CBT-AR. These findings provide preliminary evidence that dietitians with specialised expertise in eating disorders could effectively deliver CBT-AR as part of a multidisciplinary team.
CONCLUSIONS: These case studies highlight the potential for dietitians to act as primary clinicians in delivering CBT-AR 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-led CBT-AR could be a viable treatment option for ARFID.
METHODS: The dietetic-led CBT-AR 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-AR with examples of how a dietitian's skillset might be utilised within this treatment approach.
RESULTS: Both patients demonstrated significant improvements in ARFID psychopathology and dietetic measures after completing dietitian-led CBT-AR. These findings provide preliminary evidence that dietitians with specialised expertise in eating disorders could effectively deliver CBT-AR as part of a multidisciplinary team.
CONCLUSIONS: These case studies highlight the potential for dietitians to act as primary clinicians in delivering CBT-AR 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-led CBT-AR could be a viable treatment option for ARFID.