Evidence map›Paper›PMID 30578644›Full record

ArticleThe International journal of eating disorders2019

Impact of expanded diagnostic criteria for avoidant/restrictive food intake disorder on clinical comparisons with anorexia nervosa.

Kendra R Becker, Ani C Keshishian, Rachel E Liebman, Kathryn A Coniglio, Shirley B Wang, Debra L Franko, Kamryn T Eddy, Jennifer J Thomas

Abstract read
In one paragraph

Article in The International journal of eating disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed.

  1. A Multi-Site Study of Brief Cognitive-Behavioural Therapy for Eating Disorders for Individuals With BMI ≥ 30.European eating disorders review : the journal of the Eating Disorders Association · 2026
    Observational
  2. Article
  3. Review
  4. Review
  5. Observational
  6. Article
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  8. Endorsement of Avoidant/Restrictive Eating Motivations Across Restrictive Eating Disorders: A Trait- and State-Level Examination.European eating disorders review : the journal of the Eating Disorders Association · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Anorexia nervosa in a child with cerebral palsy.PCN reports : psychiatry and clinical neurosciences · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kendra R BeckerEating Disorders Clinical and Research Program, Massachusetts General Hospital.ORCID 0000-0002-8946-9977
Ani C KeshishianEating Disorders Clinical and Research Program, Massachusetts General Hospital.
Rachel E LiebmanEating Disorders Clinical and Research Program, Massachusetts General Hospital.
Kathryn A ConiglioDepartment of Psychology, Rutgers University, New Brunswick, New Jersey.
Shirley B WangEating Disorders Clinical and Research Program, Massachusetts General Hospital.ORCID 0000-0002-8583-3014
Debra L FrankoEating Disorders Clinical and Research Program, Massachusetts General Hospital.
Kamryn T EddyEating Disorders Clinical and Research Program, Massachusetts General Hospital.
Jennifer J ThomasEating Disorders Clinical and Research Program, Massachusetts General Hospital.ORCID 0000-0003-2601-581X

Funding

Reward Processing in Anorexia Nervosa and Avoidant/Restrictive Food Intake Disorder: Behavior, Hormonal Concentrations, and Brain Activation in Low-Weight Eating Disorders.F32MH111127 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI BECKER, KENDRA R · 2016 to 2018
$185k
National Institute of Mental Health of the National Institutes of Health F32MH111127NIMH NIH HHS F32 MH111127
6 · The paper itself

Abstract

objectiveAvoidant/restrictive food intake disorder (ARFID) and anorexia nervosa (AN) are restrictive eating disorders. There is a proposal before the American Psychiatric Association to broaden the current DSM-5 criteria for ARFID, which currently require dietary intake that is inadequate to support energy or nutritional needs. We compared the clinical presentations of ARFID and AN in an outpatient sample to determine how a more inclusive definition of ARFID, heterogeneous for age and weight status, is distinct from AN.

methodsAs part of standard care, 138 individuals with AN or ARFID completed an online assessment battery and agreed to include their responses in research.

resultsIndividuals with ARFID were younger, reported earlier age of onset, and had higher percent median BMI (%mBMI) than those with AN (all ps < .001). Individuals with ARFID scored lower on measures of eating pathology, depression, anxiety, and clinical impairment (all ps < .05), but did not differ from those with AN on restrictive eating (p = .52), and scored higher on food neophobia (p < .001). DISCUSSION: Allowing psychosocial impairment to be sufficient for an ARFID diagnosis resulted in a clinical picture of ARFID such that %mBMI was higher (and in the normal range) compared with AN. Differences in gender distribution, age, and age of onset remained consistent with previous research. Both groups reported similar levels of dietary restriction, although ARFID can be distinguished by relatively higher levels of food neophobia. Currently available measures of eating pathology may capture certain ARFID symptoms, but highlight the need for measures of impairment relative to ARFID.

Indexed as

AdolescentAdultAgedAnorexia NervosaChildFeeding and Eating DisordersHumansMiddle AgedRetrospective StudiesYoung Adultanorexia nervosaavoidant/restrictive food intake disorderfood neophobiaimpairmentoutpatientrestriction

Identifiers

PMID30578644
PMCPMC7191972

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.