Evidence map›Paper›PMID 40611447›Full record

ArticleJournal of human nutrition and dietetics : the official journal of the British Dietetic Association2025

Dietetic-Led Cognitive Behavioral Therapy for ARFID: A Novel Approach to Avoidant/Restrictive Food Intake Disorder With Case Studies.

Copeland G Winten, Lynda J Ross, Esben Strodl, Gabriella Heruc, Jennifer J Thomas

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In one paragraph

Article in Journal of human nutrition and dietetics : the official journal of the British Dietetic Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

5 authors.

Copeland G WintenSchool of Exercise and Nutrition Science, Faculty of Health, Queensland University of Technology, Kelvin, Grove, Australia.ORCID https://orcid.org/0000-0001-9132-1982
Lynda J RossSchool of Exercise and Nutrition Science, Faculty of Health, Queensland University of Technology, Kelvin, Grove, Australia.
Esben StrodlSchool of Counselling and Psychology, Faculty of Health, Queensland University of Technology, Kelvin, Grove, Australia.
Gabriella HerucEating Disorders and Nutrition Research Group, School of Medicine and Translational Health and Medical Research Institute, Western Sydney University, Sydney, Australia.
Jennifer J ThomasEating Disorders Clinical and Research Program, Massachusetts General Hospital, Massachusetts, Boston, USA.

Funding

Mentorship in Biobehavioral Mechanisms of Avoidant/Restrictive Food Intake DisorderK24MH135189 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI JENNIFER JOANNE THOMAS · 2023 to 2026
$747k
Ms. Winten acknowledges funding for her Eating Disorders Clinical and Research Program summer research fellowship from the Rubenstein Charitable Foundation. Dr. Thomas acknowledges funding from the National Institute of Mental Health (K24MH135189).NIMH NIH HHS K24 MH135189
6 · The paper itself

Abstract

backgroundCognitive-behavioral therapy for avoidant/restrictive food intake disorder (CBT-AR) is an emerging treatment for adults with avoidant/restrictive food intake disorder (ARFID). This article explores how CBT-AR can be integrated with and enhanced by the dietetics skillset and presents two case studies in which a dietitian primarily provided treatment within a multidisciplinary team.

methodsThe dietetic-led CBT-AR treatment journeys are described for two patients. We utilised dietetic and psychological assessments to measure change, including: nutrient pathology; weight; Pica, ARFID and Rumination Disorder Interview scores; Australian Core Food Score; and Structured Assessment of Gastrointestinal Symptoms. We describe the stages of CBT-AR with examples of how a dietitian's skillset might be utilised within this treatment approach.

resultsBoth patients demonstrated significant improvements in ARFID psychopathology and dietetic measures after completing dietitian-led CBT-AR. These findings provide preliminary evidence that dietitians with specialised expertise in eating disorders could effectively deliver CBT-AR as part of a multidisciplinary team.

conclusionsThese case studies highlight the potential for dietitians to act as primary clinicians in delivering CBT-AR and provide preliminary evidence on how their skillset could lead to clinically meaningful improvements for adults living with ARFID. Future research trials are required to confirm that dietitian-led CBT-AR could be a viable treatment option for ARFID.

Indexed as

Avoidant Restrictive Food Intake DisorderCognitive Behavioral TherapyDieteticsFeeding and Eating DisordersAdultHumansNutritionistsTreatment OutcomeARFIDavoidant/restrictive food intake disordercognitive‐behavioural therapydietitianfeeding and eating disordersfussy eatingmalnutritionpicky eating

Identifiers

PMID40611447
PMCPMC12231925

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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.