Early-onset restrictive eating disturbances in primary school boys and girls.

Eur Child Adolesc Psychiatry

Department of Psychology, University of Fribourg, Rue P.-A. Faucigny 2, 1700, Fribourg, Switzerland,

Published: July 2015

This study sought to determine the distribution of early-onset restrictive eating disturbances characteristic of the new DSM-5 diagnosis, avoidant/restrictive food intake disorder (ARFID) in middle childhood, as well as to evaluate the screening instrument, Eating Disturbances in Youth-Questionnaire (EDY-Q). A total of 1,444 8- to 13-year-old children were screened in regular schools (3rd to 6th grade) in Switzerland using the self-report measure EDY-Q, consisting of 12 items based on the DSM-5 criteria for ARFID. 46 children (3.2%) reported features of ARFID in the self-rating. Group differences were found for body mass index, with underweight children reporting features of ARFID more often than normal and overweight children. The EDY-Q revealed good psychometric properties, including adequate discriminant and convergent validity. Early-onset restrictive eating disturbances are commonly reported in middle childhood. Because of possible negative short- and long-term impact, early detection is essential. Further studies with structured interviews and parent reports are needed to confirm this study's findings.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4490181PMC
http://dx.doi.org/10.1007/s00787-014-0622-zDOI Listing

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