Evidence map›Paper›PMID 30597590›Full record

ArticleThe International journal of eating disorders2019

Feeling and body investigators (FBI): ARFID division-An acceptance-based interoceptive exposure treatment for children with ARFID.

Nancy L Zucker, Maria C LaVia, Michelle G Craske, Martha Foukal, Adrianne A Harris, Nandini Datta, Erik Savereide, Gary R Maslow

Registry-linked trialOpen access · greenAbstract readCase Reports
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. It is linked to trial NCT05105308 (Chompions! A Treatment Study for Childhood Avoidant/Restrictive Food Intake Disorder), which is not on this map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% of its field
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.

NCT05105308 nacompletednot on this mapstarted 2022, after this paper: background citation

Chompions! A Treatment Study for Childhood Avoidant/Restrictive Food Intake Disorder (ARFID)

TypeinterventionalSponsorDuke UniversityRan2022 to 2025Enrolled203ConditionsARFID, Picky Eating, Eating Disorders in ChildrenArmsFamily Assisted Diet (FAD), Feeling and Body Investigator_ARFID Division (FBI-ARFID)
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.

  1. Pooled it
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  12. Perceptual Dysfunction in Eating Disorders.Current topics in behavioral neurosciences · 2025
    Review
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  16. Avoidant/Restrictive Food Intake Disorder: Review and Recent Advances.Focus (American Psychiatric Publishing) · 2024
    Review
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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 at 3 institutions in 1 country.

Nancy L ZuckerDepartment of Psychology and Neuroscience, Duke University, Durham, North Carolina.ORCID 0000-0003-2278-5008
Maria C LaViaDepartment of Psychiatry, University of North Carolina, Chapel Hill, North Carolina.
Michelle G CraskeDepartment of Psychology, University of California Los Angeles, Los Angeles, California.
Martha FoukalDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina.
Adrianne A HarrisDepartment of Psychology and Neuroscience, Duke University, Durham, North Carolina.
Nandini DattaDepartment of Psychology and Neuroscience, Duke University, Durham, North Carolina.
Erik SavereideDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina.
Gary R MaslowDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina.
Duke University · USUniversity of California, Los Angeles · USUniversity of North Carolina at Chapel Hill · US

Funding

Feelings/Body Investigators:Interoceptive Exposure for Children w/Abdominal PainR33MH097959 · NIMH · DUKE UNIVERSITY · PI ZUCKER, NANCY L · 2016 to 2018
$819k
NIMH NIH HHS R33 MH097959
6 · The paper itself

Abstract

objectiveIndividuals with Avoidant Restrictive Food Intake Disorder (ARFID) experience impairing health consequences from insufficient nutritional variety and/or quantity. Early medical conditions and/or somatic symptoms such as abdominal pain may lead some with ARFID to experience somatic sensations as aversive. As such, food avoidance may be part of a broader behavioral repertoire aimed at suppressing bodily sensations. Avoiding these necessary and informative signals (e.g., growls of hunger) may subvert the emergence of healthy self-awareness and self-regulation. Teaching children with ARFID to engage adaptively with bodily sensations may help decrease aversiveness, increase self-awareness, and increase approach behaviors.

methodDrawing from interventions for panic disorder and irritable bowel syndrome, we developed an acceptance-based interoceptive exposure treatment for young children with ARFID, Feeling and Body Investigators (FBI)-ARFID Division. Using playful cartoons and developmentally sensitive exposures, we teach young children how to map interoceptive sensations onto meanings (e.g., emotions) and actions (e.g., if I feel nervous, I'll hold someone's hand).

resultsWe present a case study of a 4-year old child with lifelong poor appetite/food indifference. DISCUSSION: Some individuals with ARFID may avoid food to avoid internal sensations. Developmentally appropriate interoceptive exposures may decrease ARFID symptoms while increasing more general self-regulation skills.

Indexed as

AppetiteChild, PreschoolEmotionsFeeding and Eating DisordersFemaleHumansARFIDexposureinteroceptiontreatment

Identifiers

PMID30597590
PMCPMC6511273
OpenAlexW2908356430

What OpenQuestion holds

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Registered trials

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.