Evidence map›Paper›PMID 40695253›Full record

ArticlePsychotherapy and psychosomatics2026

Psychopathology in Adults with Co-Occurring Avoidant/Restrictive Food Intake Disorder and Higher Weight.

Anne-Kathrin Merz, Lena Kramer, Alexander Nettlau, Anja Hilbert, Ricarda Schmidt

Abstract read
In one paragraph

Article in Psychotherapy and psychosomatics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
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  3. Article
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.

Anne-Kathrin MerzDepartment of Psychosomatic Medicine and Psychotherapy, Behavioral Medicine Research Unit, Integrated Research and Treatment Center AdiposityDiseases, Leipzig University Medical Center, Leipzig, Germany.
Lena KramerDepartment of Psychosomatic Medicine and Psychotherapy, Behavioral Medicine Research Unit, Integrated Research and Treatment Center AdiposityDiseases, Leipzig University Medical Center, Leipzig, Germany.
Alexander NettlauDepartment of Psychosomatic Medicine and Psychotherapy, Behavioral Medicine Research Unit, Integrated Research and Treatment Center AdiposityDiseases, Leipzig University Medical Center, Leipzig, Germany.
Anja HilbertDepartment of Psychosomatic Medicine and Psychotherapy, Behavioral Medicine Research Unit, Integrated Research and Treatment Center AdiposityDiseases, Leipzig University Medical Center, Leipzig, Germany.
Ricarda SchmidtDepartment of Psychosomatic Medicine and Psychotherapy, Behavioral Medicine Research Unit, Integrated Research and Treatment Center AdiposityDiseases, Leipzig University Medical Center, Leipzig, Germany, ricarda.schmidt@medizin.uni-leipzig.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

<p>Introduction: Avoidant/restrictive food intake disorder (ARFID) occurs in individuals across all weight ranges and age groups. While previous studies primarily focused on children and individuals with underweight, research on ARFID in adults with higher weight is virtually non-existent. Therefore, this study aimed to examine whether adults with (1) ARFID symptoms and (2) ARFID diagnosis differ clinically based on weight status (underweight, normal weight, overweight/obesity).

methodsAdults from the population participated in an online survey and optional clinical interview to verify ARFID diagnostic criteria. Data from 369 adults with ARFID symptoms (online survey) and 77 adults with ARFID diagnosis (interview) were analyzed.

resultsOverweight/obesity was present in 34% of the online sample (30 ± 9 years, 77% female) and 39% of the interview sample (29 ± 8 years, 62% female). Adults with both ARFID symptoms and ARFID diagnosis and overweight/obesity showed less lack of interest in eating, higher eating disorder psychopathology, and more metabolic comorbidities compared to those with underweight or normal weight. Additionally, adults with ARFID and overweight/obesity exhibited more psychosocial impairment than those with underweight (100% vs. 65%) but no weight loss due to restricted food intake. There were no group differences in terms of food neophobia, smell and texture sensitivities, and depressive symptoms.

conclusionThis study provides a first detailed analysis of ARFID in adults as a function of weight status, emphasizing its relevance for diagnosis and treatment of ARFID. Future longitudinal studies are needed to explore the role of ARFID in the development and management of higher weight. </p>.

Indexed as

Avoidant Restrictive Food Intake DisorderFeeding and Eating DisordersObesityOverweightThinnessAdultBody WeightComorbidityFemaleHumansMaleMiddle AgedYoung AdultAdultAvoidant/restrictive food intake disorderEating disorderObesityOverweightPsychopathologyWeight stigma

Identifiers

PMID40695253
PMCPMC12503570

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Registered trials

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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.