Abstract：
Avoidant Restrictive Food Intake Disorder (ARFID) was first included as a diagnostic category in 2013, and over the past 10 years has been adopted by the international eating disorder community. While greater awareness of these difficulties has increased identification, demand and enabled advocacy for clinical services, the heterogeneous nature of ARFID poses unique challenges for eating disorder clinicians and researchers. This commentary aims to reflect on some of these challenges, focussing specifically on the risk of viewing ARFID through an eating disorder lens. This includes potential biases in the literature as most recent research has been conducted in specialist child and adolescent eating disorder clinic settings, bringing in to question the generalisability of findings to the broad spectrum of individuals affected by ARFID. We also consider whether viewing ARFID predominantly through an eating disorder lens risks us as a field being blinkered to the range of effective skills our multi-disciplinary feeding colleagues may bring. There are opportunities that may come with the eating disorder field navigating treatment pathways for ARFID, including more joined up working with multi-disciplinary colleagues, the ability to transfer skills used in ARFID treatment to individuals with eating disorder presentations, and most notably an opportunity to provide more effective treatment and service pathways for individuals with ARFID and their families. However, these opportunities will only be realised if eating disorder clinicians and researchers step out of their current silos.
摘要：
避免限制性食品摄入障碍（ARFID）于2013年首次被列为诊断类别，在过去的10年中已被国际饮食失调界采用。虽然对这些困难的认识提高了认同感，对临床服务的需求和有力的倡导，ARFID的异质性对饮食失调临床医师和研究者提出了独特的挑战.本评论旨在反思其中一些挑战，特别关注通过饮食失调镜片观察ARFID的风险。这包括文献中的潜在偏见，因为最近的研究是在专门的儿童和青少年饮食失调诊所环境中进行的。质疑研究结果对受ARFID影响的广泛个体的普遍性。我们还考虑是否主要通过饮食失调的镜头来观看ARFID，这是否会使我们的多学科喂养同事可能带来的有效技能范围眨眼。饮食失调领域可能会有机会导航ARFID的治疗途径，包括更多与多学科同事合作，将ARFID治疗中使用的技能转移给进食障碍患者的能力，最值得注意的是，有机会为ARFID患者及其家人提供更有效的治疗和服务途径。然而,只有当饮食失调的临床医生和研究人员走出目前的孤岛时，这些机会才能实现。
