Evidence map›Paper›PMID 32776570›Full record

ArticleThe International journal of eating disorders2020

Cognitive-behavioral therapy for avoidant/restrictive food intake disorder: Feasibility, acceptability, and proof-of-concept for children and adolescents.

Jennifer J Thomas, Kendra R Becker, Megan C Kuhnle, Jenny H Jo, Stephanie G Harshman, Olivia B Wons, Ani C Keshishian, Kristine Hauser, Lauren Breithaupt, Rachel E Liebman and 4 more

Open access · greenAbstract read
In one paragraph

Article in The International journal of eating disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 2 pooled it
5.8field-weighted citation impact, top 3% 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.

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

69 citing papers in PubMed, 2 syntheses or guidelines pooled it, 140 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Associations Between Avoidant/Restrictive Food Intake Disorder Dimensions and Obsessive-Compulsive Symptomatology.European eating disorders review : the journal of the Eating Disorders Association · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Clinician Practices in Determining Expected Body Weights Across Eating Disorders: A Mixed Methods Study.European eating disorders review : the journal of the Eating Disorders Association · 2026
    Article
  15. Article
  16. Article
  17. Article
  18. Recent developments in treatments for eating disorders.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
  19. Article
  20. Article

9 more citing papers are in PubMed but not listed here.

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

14 authors at 4 institutions in 3 countries.

Jennifer J ThomasEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0003-2601-581X
Kendra R BeckerEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-8946-9977
Megan C KuhnleEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-6003-489X
Jenny H JoEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.
Stephanie G HarshmanEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.
Olivia B WonsEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.
Ani C KeshishianEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.
Kristine HauserNeuroendocrine Unit, Massachusetts General Hospital, Boston, Massachusetts, USA.
Lauren BreithauptEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-2439-6519
Rachel E LiebmanEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-4015-2071
Madhusmita MisraHarvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-9405-2981
Sabine WilhelmHarvard Medical School, Boston, Massachusetts, USA.
Elizabeth A LawsonHarvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0001-8619-3349
Kamryn T EddyEating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-1586-0930
Harvard University · USMassachusetts General Hospital · USRELX Group (Netherlands) · NLUniversity of Louisville · US

Funding

ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI MARTIN TORRIANI · 1994 to 2026
$31.6M
Neurobiological and Behavioral Risk Mechanisms of Youth Avoidant/Restrictive Eating TrajectoriesR01MH108595 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI LAWSON, ELIZABETH AUSTEN, MICALI, NADIA · 2016 to 2020
$3.4M
Neurobiology of avoidant/restrictive eating in youthK24MH120568 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI LAWSON, ELIZABETH AUSTEN · 2019 to 2023
$961k
Impact of gut microbiome composition on neuroendocrine signaling and feeding behavior in avoidant/restrictive food intake disorderF32MH118824 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI HARSHMAN, STEPHANIE GERIS · 2018 to 2020
$196k
NIDDK NIH HHS P30 DK040561NIMH NIH HHS F32 MH118824NIMH NIH HHS K24 MH120568NIMH NIH HHS R01 MH108595
6 · The paper itself

Abstract

objectiveLittle is known about the optimal treatment of avoidant/restrictive food intake disorder (ARFID). The purpose of this study was to evaluate feasibility, acceptability, and proof-of-concept for cognitive-behavioral therapy for ARFID (CBT-AR) in children and adolescents.

methodMales and females (ages 10-17 years) were offered 20-30 sessions of CBT-AR delivered in a family-based or individual format.

resultsOf 25 eligible individuals, 20 initiated treatment, including 17 completers and 3 dropouts. Using intent-to-treat analyses, clinicians rated 17 patients (85%) as "much improved" or "very much improved." ARFID severity scores (on the Pica, ARFID, and Rumination Disorder Interview) significantly decreased per both patient and parent report. Patients incorporated a mean of 16.7 (SD = 12.1) new foods from pre- to post-treatment. The underweight subgroup showed a significant weight gain of 11.5 (SD = 6.0) pounds, moving from the 10th to the 20th percentile for body mass index. At post-treatment, 70% of patients no longer met criteria for ARFID. DISCUSSION: This is the first study of an outpatient manualized psychosocial treatment for ARFID in older adolescents. Findings provide evidence of feasibility, acceptability, and proof-of-concept for CBT-AR. Randomized controlled trials are needed.

Indexed as

Avoidant Restrictive Food Intake DisorderAdolescentChildCognitive Behavioral TherapyFeasibility StudiesFeeding and Eating DisordersFemaleHumansMalePatient Acceptance of Health CareProof of Concept StudyARFIDavoidant/restrictive food intake disorderCBTchildren and adolescentsclinical trialcognitive-behavioral therapyexposure therapyfeeding and eating disordersmodular treatmentsensory sensitivity

Identifiers

PMID32776570
PMCPMC7719612
OpenAlexW3048392172

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.