Early-onset restrictive eating disturbances in primary school boys and girls

Susanne Kurz · Zoé Van Dyck · Daniela Dremmel · Simone Munsch · Anja Hilbert

205 citations0/0 files storedEuropean Child & Adolescent Psychiatry

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Eating Disorders and Behaviors Nutrition, Health and Food Behavior Child Nutrition and Feeding Issues

Abstract

This study sought to determine the distribution of early-onset restrictive eating disturbances characteristic of the new DSM-5 diagnosis, avoidant/restrictive food intake disorder (ARFID) in middle childhood, as well as to evaluate the screening instrument, Eating Disturbances in Youth-Questionnaire (EDY-Q). A total of 1,444 8- to 13-year-old children were screened in regular schools (3rd to 6th grade) in Switzerland using the self-report measure EDY-Q, consisting of 12 items based on the DSM-5 criteria for ARFID. 46 children (3.2%) reported features of ARFID in the self-rating. Group differences were found for body mass index, with underweight children reporting features of ARFID more often than normal and overweight children. The EDY-Q revealed good psychometric properties, including adequate discriminant and convergent validity. Early-onset restrictive eating disturbances are commonly reported in middle childhood. Because of possible negative short- and long-term impact, early detection is essential. Further studies with structured interviews and parent reports are needed to confirm this study's findings.

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References

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2017Feeding and eating disorders in the DSM-5 era: a systematic review of prevalence rates in non-clinical male and female samples 2020Avoidant/restrictive food intake disorder: A systematic scoping review of the current literature 2016Update on eating disorders: current perspectives on avoidant/restrictive food intake disorder in children and youth 2022What do we know about the epidemiology of avoidant/restrictive food intake disorder in children and adolescents? A systematic review of the literature 2023Epidemiology of eating disorders: population, prevalence, disease burden and quality of life informing public policy in Australia—a rapid review

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