40 research outputs found
Avoidant/Restrictive Food Intake Disorder. A longitudinal study of malnutrition and psychopathological risk factors from 2 to 11 years of age
Aim: To evaluate different types and degrees of malnutrition over time in a sample of children diagnosed with Infantile Anorexia (IA), based on the DC:0-3R criteria, and recently defined by DSM-5 as the first subtype of Avoidant/Restrictive Food Intake Disorder (ARFID), and to investigate the relationship between children’s severity of malnutrition and emotional/behavioral development, and mothers’ long-term psychopathological symptoms. Methods: A total of 113 children (58 boys, 55 girls), originally diagnosed with IA, and their mothers, were evaluated at four assessment points at the children’s mean age of 2, 5, 7, and 11 years. Several measures were used to assess the children’s growth and level of malnutrition, mothers’ psychopathological symptoms and eating attitudes, as well as their children’s emotional/behavioral functioning. Results: A steady improvement in the severity of malnutrition over time emerged, but 73% of children still had ongoing mild to moderate to severe malnutrition at 11 years of age. Moreover, the children showed increasing internalizing and externalizing emotional/behavioral problems, and their mothers’ psychopathological symptoms and eating problems worsened as well over time. At 11 years of age, the girls’ emotional/behavioral problems and their mothers’ psychopathology and disturbed eating attitudes were more severe than that of the boys and their mothers. Finally, during the last assessment, significant associations between the mothers’ psychopathology and disturbed eating attitudes, the severity of the children’s malnutrition, and their emotional/behavioral problems emerged. Discussion: Our longitudinal study points out that the developmental course of children, originally diagnosed with IA and who received limited psychosocial treatment, is characterized by an enduring risk of malnutrition and increasing psychopathological symptoms in both, the children and their mothers, up to the sensitive period of pre-pubert
IEC01 Disturbi del sonno IEC02 Disturbi della nutrizione e dell'alimentazione IEC03 Disturbi dell'evacuazione
Feeding and eating disorders of infancy and early childhood
50th Anniversary Edition
The cornerstone text in the field for 50 years, Kaplan & Sadock's Comprehensive Textbook of Psychiatry has consistently kept pace with the rapid growth of research and knowledge in neural science, as well as biological and psychological science. This two-volume Tenth Edition shares the expertise of over 600 renowned contributors who cover the full range of psychiatry and mental health, including neural science, genetics, neuropsychiatry, psychopharmacology, and other key areas. It remains the gold standard of reference for all those who work with the mentally ill, including psychiatrists and other physicians, psychologists, psychiatric social workers, psychiatric nurses, and other mental health professionals.
New authors bring a fresh perspective to many topics, keeping you at the forefront of current developments in the field.
Thoroughly updated coverage of neural sciences, with new sections on epigenetics, the microbiome, systems neuroscience, the Human Connectome Project, neurodevelopment, and many more.
Extensively revised sections on schizophrenia, mood disorders, anxiety disorders, geriatric psychiatry and neurocognitive disorders.
Uniquely comprehensive information of psychosomatic medicine, including chapters on obesity, chronic pain, and psychiatric sequella of critical illness.
Timely information on public and global psychiatry, biological therapies, and psychotherapies.
“Text within a text” coverage of child psychiatry includes thorough information on neuroimaging, assessment, genetics, sleep disorders, and the impact on parents of raising a psychiatrically disabled child.
Abundant case histories add clarity and represent the vast clinical experiences and wisdom of hundreds of contributing authors
Avoidant/restrictive food intake disorder from early childhood to preadolescence: clinical assessment and treatment
Objectives: Avoidant/Restrictive Food Intake Disorder (ARFID) in DSM-5 has replaced Feeding Disorder of Infancy or Early Childhood in DSM-IV. It has expanded the earlier more limited diagnostic criteria by introducing 3 main categories and by applying the criteria to individuals of all ages. The new criteria describe an eating or feeding disturbance that is characterized by e.g. apparent lack or interest in eating or food; avoidance based on the sensory characteristics of food; concern about aversive consequences of eating. This workshop will clarify how to diagnose and treat the three different subtypes of ARFID at different ages. Methods: Drs. Chatoor and Lucarelli will present research, clinical cases, and videos demonstrating the longitudinal course of toddlers with “apparent lack of interest in food” into preadolescence, those with and without specific treatment. They will clarify the diagnosis of each of the three subtypes of ARFID at different ages and highlight the importance of specific treatments for each of the subtypes, including parent training, play therapy, psychotherapy, and medication. Results: The research shows continuation of symptoms of ARFID, when untreated, and highlights the importance of early diagnosis and treatment. Conclusions: The new diagnosis ARFID has expanded the spectrum of feeding/eating disorders that can be diagnosed and treated at different ages
Feeding Development and Disorders
An important developmental process in the first years of life is the acquisition of autonomous internal regulation of feeding. A model of 3 stages of feeding development is presented to provide an understanding of how children develop internal versus external regulation of eating. This model is used to understand how different feeding disorders develop at these 3 stages of feeding development, and how some feeding disorders can occur at any age of the child. A classification of 6 feeding disorders, which was developed by Chatoor and published in DC: 0-3R, is outlined and its relationship to Avoidant/Restrictive Food Intake Disorder in DSM-5 is discussed. Diagnostic criteria, clinical picture, review of the literature, comorbidity between various feeding disorders, and treatment guidelines are described by Chatoor and Lucarelli for each of the six subtypes in DC: 0-3R. Current research is examined addressing the challenges of treating feeding disorders in infants and young children
PART IV. INFANCY AND EARLY CHILDHOOD 10. Mental Health and Developmental Disorders in Infancy and Early Childhood-IEC 0-3 IEC01 Sleep Disorders IEC02 Feeding and Eating Disorders IEC03 Elimination Disorders
Now completely revised (over 90% new), this is the authoritative diagnostic manual grounded in psychodynamic clinical models and theories. Explicitly oriented toward case formulation and treatment planning, PDM-2 offers practitioners an empirically based, clinically useful alternative or supplement to DSM and ICD categorical diagnoses. Leading international authorities systematically address personality functioning and psychological problems of infancy, childhood, adolescence, adulthood, and old age, including clear conceptualizations and illustrative case examples