PDF(Pubmed)
Abstract：
BACKGROUND: Avoidant/restrictive food intake disorder (ARFID), an eating disorder not associated with weight and shape concerns, results in nutrient or energy deficiencies related with further health consequences and a pronounced need for specialized treatment. These interventions need to be tailored to individual health behavior. However, research about health behavior and treatment utilization in ARFID is scarce, particularly in adults, as ARFID is more common in children despite occurring across the lifespan. One important aspect of health behavior is the individual\'s health regulatory focus (i.e., health prevention and health promotion). Additionally, symptoms of eating disorders have generally been associated with various health risk behaviors, such as smoking, drinking, or unhealthy physical (in)activity. Therefore, the present study aimed to investigate health behavior and psychological treatment utilization in adults with symptoms of ARFID.
METHODS: A representative adult population sample (N = 2415) completed several self-report questionnaires assessing symptoms of eating disorders and health behavior. Differences between groups (symptoms of ARFID vs. no symptoms of ARFID) were tested with analysis of variance, Mann-Whitney-U-tests, and binary logistic regression.
RESULTS: Individuals with symptoms of ARFID (n = 20) did not differ in their health regulatory focus, smoking status, physical activity or psychological treatment utilization from individuals without symptoms of ARFID (n = 2395). However, they reported higher alcohol misuse than individuals without symptoms of ARFID.
CONCLUSIONS: The findings suggest a relevance of further exploration of the relationship between alcohol misuse and ARFID, given the preliminary nature of these results. This exploration could inform treatment strategies for addressing potential comorbid substance misuse. Furthermore, the low psychological treatment utilization in adults with symptoms of ARFID suggest a need for more specialized psychological treatment services, public education about ARFID being an indication for psychological treatment, and further research about treatment barriers.
Avoidant/restrictive food intake disorder (ARFID), an eating disorder not associated with body image or weight concerns, results in nutrient or energy deficiencies related with further health consequences. It is most common in children, but can occur across the lifespan, although there is little research in adults. Therefore, the study investigated if adults with symptoms of ARFID differ from adults without symptoms of ARFID in health behaviors. A total of 2415 adults from a German national population sample completed questionnaires assessing symptoms of ARFID, health regulatory focus (health promotion focus with the aim of improving one’s health and health prevention focus aiming to avoid any deterioration in health), alcohol misuse, smoking behavior, physical activity and psychological treatment utilization. Adults with symptoms of ARFID did not differ from those without symptoms of ARFID in treatment utilization or any of the assessed health behaviors except reporting higher alcohol misuse. We, therefore, suggest to further explore potential alcohol misuse in individuals with ARFID. Furthermore, more research about treatment barriers in ARFID and more specialized psychological treatment services as well as public education about ARFID being an indication for psychological treatment, are needed to address the low psychological treatment utilization.
METHODS: A representative adult population sample (N = 2415) completed several self-report questionnaires assessing symptoms of eating disorders and health behavior. Differences between groups (symptoms of ARFID vs. no symptoms of ARFID) were tested with analysis of variance, Mann-Whitney-U-tests, and binary logistic regression.
RESULTS: Individuals with symptoms of ARFID (n = 20) did not differ in their health regulatory focus, smoking status, physical activity or psychological treatment utilization from individuals without symptoms of ARFID (n = 2395). However, they reported higher alcohol misuse than individuals without symptoms of ARFID.
CONCLUSIONS: The findings suggest a relevance of further exploration of the relationship between alcohol misuse and ARFID, given the preliminary nature of these results. This exploration could inform treatment strategies for addressing potential comorbid substance misuse. Furthermore, the low psychological treatment utilization in adults with symptoms of ARFID suggest a need for more specialized psychological treatment services, public education about ARFID being an indication for psychological treatment, and further research about treatment barriers.
Avoidant/restrictive food intake disorder (ARFID), an eating disorder not associated with body image or weight concerns, results in nutrient or energy deficiencies related with further health consequences. It is most common in children, but can occur across the lifespan, although there is little research in adults. Therefore, the study investigated if adults with symptoms of ARFID differ from adults without symptoms of ARFID in health behaviors. A total of 2415 adults from a German national population sample completed questionnaires assessing symptoms of ARFID, health regulatory focus (health promotion focus with the aim of improving one’s health and health prevention focus aiming to avoid any deterioration in health), alcohol misuse, smoking behavior, physical activity and psychological treatment utilization. Adults with symptoms of ARFID did not differ from those without symptoms of ARFID in treatment utilization or any of the assessed health behaviors except reporting higher alcohol misuse. We, therefore, suggest to further explore potential alcohol misuse in individuals with ARFID. Furthermore, more research about treatment barriers in ARFID and more specialized psychological treatment services as well as public education about ARFID being an indication for psychological treatment, are needed to address the low psychological treatment utilization.
摘要：
背景：避免性/限制性食物摄入障碍（ARFID），与体重和形状无关的饮食失调，导致与进一步的健康后果相关的营养或能量缺乏，以及对专门治疗的明显需求。这些干预措施需要针对个人的健康行为。然而,关于ARFID中健康行为和治疗利用的研究很少，尤其是成年人，因为ARFID在儿童中更常见，尽管发生在整个生命周期中。健康行为的一个重要方面是个人的健康监管重点(即，健康预防和健康促进)。此外,饮食失调的症状通常与各种健康危险行为有关，比如吸烟，饮酒,或不健康的身体活动。因此,本研究旨在调查有ARFID症状的成年人的健康行为和心理治疗利用情况。
方法：一个有代表性的成年人群样本（N=2415）完成了几个自我报告问卷，评估饮食失调和健康行为的症状。组间差异（ARFID的症状与无ARFID症状)进行方差分析测试，Mann-Whitney-U测试,和二元逻辑回归。
结果：有ARFID症状的个体（n=20）在健康监管重点方面没有差异，吸烟状况,没有ARFID症状的个体的身体活动或心理治疗利用(n=2395)。然而,他们报告的酒精滥用高于没有ARFID症状的个体.
结论：研究结果表明，进一步探索酒精滥用与ARFID之间的关系具有相关性。鉴于这些结果的初步性质。这种探索可以为解决潜在的合并症药物滥用的治疗策略提供信息。此外，有ARFID症状的成人心理治疗利用率低，这表明需要更专业的心理治疗服务，关于ARFID的公众教育是心理治疗的指征，以及对治疗障碍的进一步研究。
避免性/限制性食物摄入障碍（ARFID），与身体形象或体重无关的饮食失调，导致与进一步健康后果相关的营养或能量缺乏。这在儿童中最常见，但可以在整个生命周期中发生，虽然对成年人的研究很少。因此,该研究调查了有ARFID症状的成年人与没有ARFID症状的成年人在健康行为方面是否存在差异.来自德国国家人口样本的2415名成年人完成了评估ARFID症状的问卷，健康监管重点(健康促进重点，旨在改善健康，健康预防重点，旨在避免健康恶化)，酒精滥用,吸烟行为,身体活动和心理治疗的利用。有ARFID症状的成年人在治疗利用或任何评估的健康行为方面与没有ARFID症状的成年人没有区别，只是报告酒精滥用较高。我们,因此,建议进一步探索ARFID患者的潜在酒精滥用。此外，关于ARFID治疗障碍的更多研究和更专业的心理治疗服务，以及关于ARFID作为心理治疗指标的公众教育，需要解决心理治疗利用率低的问题。
方法：一个有代表性的成年人群样本（N=2415）完成了几个自我报告问卷，评估饮食失调和健康行为的症状。组间差异（ARFID的症状与无ARFID症状)进行方差分析测试，Mann-Whitney-U测试,和二元逻辑回归。
结果：有ARFID症状的个体（n=20）在健康监管重点方面没有差异，吸烟状况,没有ARFID症状的个体的身体活动或心理治疗利用(n=2395)。然而,他们报告的酒精滥用高于没有ARFID症状的个体.
结论：研究结果表明，进一步探索酒精滥用与ARFID之间的关系具有相关性。鉴于这些结果的初步性质。这种探索可以为解决潜在的合并症药物滥用的治疗策略提供信息。此外，有ARFID症状的成人心理治疗利用率低，这表明需要更专业的心理治疗服务，关于ARFID的公众教育是心理治疗的指征，以及对治疗障碍的进一步研究。
避免性/限制性食物摄入障碍（ARFID），与身体形象或体重无关的饮食失调，导致与进一步健康后果相关的营养或能量缺乏。这在儿童中最常见，但可以在整个生命周期中发生，虽然对成年人的研究很少。因此,该研究调查了有ARFID症状的成年人与没有ARFID症状的成年人在健康行为方面是否存在差异.来自德国国家人口样本的2415名成年人完成了评估ARFID症状的问卷，健康监管重点(健康促进重点，旨在改善健康，健康预防重点，旨在避免健康恶化)，酒精滥用,吸烟行为,身体活动和心理治疗的利用。有ARFID症状的成年人在治疗利用或任何评估的健康行为方面与没有ARFID症状的成年人没有区别，只是报告酒精滥用较高。我们,因此,建议进一步探索ARFID患者的潜在酒精滥用。此外，关于ARFID治疗障碍的更多研究和更专业的心理治疗服务，以及关于ARFID作为心理治疗指标的公众教育，需要解决心理治疗利用率低的问题。
