背景:患有避免性/限制性食物摄入障碍(ARFID)的个体会遇到限制性或高度选择性的饮食问题,从而干扰生长和发育。尽管越来越多的人推荐ARFID,不存在循证治疗。这种案例组合汇编描述了一种新颖的手动处理,ARFID儿童的心理教育和动机治疗(PMT),专注于探索改变饮食行为的动机。这种方法基于动机非指导性心理治疗模型,心理教育干预,以及游戏对支持学龄儿童心理治疗学习的有用性。
方法:介绍了3例使用PMT治疗的ARFID儿童:7岁,一个10岁的孩子,和一个12岁的孩子.这些案例说明了临床医生如何在与ARFID相关的发育能力和常见合并症的背景下提供PMT干预措施。
结论:PMT是学龄儿童ARFID的一种有希望的治疗方法。讨论了挑战和战略,包括解决年轻等障碍的方法,合并症,和虚拟环境的使用。
BACKGROUND: Individuals with Avoidant/Restrictive Food Intake Disorder (ARFID) experience restrictive or highly selective eating problems that interfere with growth and development. Despite the increasing number of referrals for ARFID, no evidence-based treatments exist. This compilation of
case composites describes a novel manualized treatment, Psychoeducational and Motivational Treatment (PMT) for children with ARFID, focusing on exploring motivation to change eating behaviors. This approach is based on motivational non-directive psychotherapy models, psychoeducational interventions, and the usefulness of
play to support psychotherapeutic learning in school-age children.
METHODS: Three cases of children with ARFID treated using PMT are presented: a 7-year-old, a 10-year-old, and a 12-year-old. These cases illustrate how a clinician delivers PMT interventions in the context of developmental abilities and common comorbidities associated with ARFID.
CONCLUSIONS: PMT is a promising therapy for ARFID in school-age children. Challenges and strategies are discussed, including ways to address obstacles such as young age, comorbidities, and use of the virtual environment.