دورية أكاديمية
A new cognitive behavior therapy for adolescents with avoidant/restrictive food intake disorder in a day treatment setting:A clinical case series
| العنوان: | A new cognitive behavior therapy for adolescents with avoidant/restrictive food intake disorder in a day treatment setting:A clinical case series |
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| المؤلفون: | Dumont, Eric, Jansen, Anita, Kroes, Diana, de Haan, Eline, Mulkens, Sandra |
| المصدر: | Dumont , E , Jansen , A , Kroes , D , de Haan , E & Mulkens , S 2019 , ' A new cognitive behavior therapy for adolescents with avoidant/restrictive food intake disorder in a day treatment setting : A clinical case series ' , International Journal of Eating Disorders , vol. 52 , no. 4 , pp. 447-458 . https://doi.org/10.1002/eat.23053Test |
| سنة النشر: | 2019 |
| المجموعة: | Maastricht University Research Publications |
| مصطلحات موضوعية: | adolescents, ARFID, avoidant, restrictive food intake disorder, cognitive behavior(al) therapy, eating disorders, expectancy violation, exposure, PEDIATRIC FEEDING DISORDERS, EATING-DISORDERS, EXPOSURE THERAPY, ANXIETY, REFUSAL |
| الوصف: | Objective Avoidant/restrictive food intake disorder (ARFID) is a new diagnosis in the DSM-5 Feeding and Eating Disorders section, for which very limited treatment research has been carried out, yet. A new, 4-week exposure based cognitive behavioral therapy (CBT) day treatment, which integrated the inhibitory learning principles, was developed for adolescents with ARFID, and tested in the current study. Method A nonconcurrent multiple baseline design was used in a clinical case series of eleven 10- to 18-year-old patients. After baseline, the 4-week CBT followed. Measurements of DSM-5 ARFID diagnosis, food neophobia and related measures such as body weight and length, were taken at baseline (t1), at the end of the 4-week intensive day treatment (t2) and 3 months after treatment (follow-up, t3). A food selectivity test, a 1-week food diary, and behavioral measures on food intake were also taken at baseline and at 3-month follow-up. Furthermore, continuous measurements of believability of dysfunctional cognitions, anxiety, and food acceptance were taken throughout the 4-weeks day treatment. Results At follow-up, 10 out of 11 patients were in remission and had a healthy body weight and an average, age-adequate nutritional intake. For most patients, food neophobia scores decreased to a nonclinical range. The belief in dysfunctional cognitions and anxiety levels decreased during treatment. Discussion This new exposure-based CBT for adolescents with ARFID seems promising. These results may be very useful for clinical practice and stimulate further development of effective CBT interventions in the area of ARFID. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1002/eat.23053 |
| الإتاحة: | https://doi.org/10.1002/eat.23053Test https://cris.maastrichtuniversity.nl/en/publications/486488ab-46ae-4887-a7dc-315a0fd600c1Test |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.448AA20A |
| قاعدة البيانات: | BASE |
| DOI: | 10.1002/eat.23053 |
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