View in EDS HTML Full Text PDF Full Text

Predictors of Outcome in Cognitive‐Behavioral Therapy for Avoidant/Restrictive Food Intake Disorder.

Saved in:
Bibliographic Details
Title: Predictors of Outcome in Cognitive‐Behavioral Therapy for Avoidant/Restrictive Food Intake Disorder.
Authors: Palmer, Lilian P., Kambanis, P. Evelyna, Stern, Casey M., Rossman, Setareh M., Mancuso, Christopher J., Andrea, Alexandrea M., Burton‐Murray, Helen, Becker, Kendra R., Breithaupt, Lauren, Freid, Cathryn, Asanza, Elisa, Lawson, Elizabeth A., Eddy, Kamryn T., Thomas, Jennifer J.
Source: International Journal of Eating Disorders. Mar2025, Vol. 58 Issue 3, p647-653. 7p.
Subjects: Treatment of eating disorders, Fear, Patient compliance, Leanness, Research funding, Treatment effectiveness, Disease remission, Eating disorders, Motivation (Psychology), Cognitive therapy, Disease relapse, Evaluation
Abstract: Objective: Cognitive‐behavioral therapy for avoidant/restrictive food intake disorder (ARFID; CBT‐AR) shows promise in improving clinical outcomes in children/adolescents and adults. We aimed to identify predictors of outcomes in CBT‐AR. We hypothesized that younger age, non‐underweight status, and presence of the fear of aversive consequences profile of ARFID would predict greater likelihood of remission post–treatment, and that presence of the lack of interest in eating/food and sensory sensitivity profiles would predict greater likelihood of persistence post‐treatment. We included sex as an exploratory predictor. Method: Individuals (N = 94, ages 10–55 years) were offered 20–30 outpatient sessions of CBT‐AR. We collected clinical and demographic data at pre‐treatment, and remission status at post‐treatment. Results: Consistent with our hypothesis, presence (versus absence) of the fear profile predicted an almost three‐fold increased likelihood of remission. Presence of the sensory profile, lack of interest profile, age, weight status, and sex were not predictors of ARFID outcome. Discussion: The fear of aversive consequences profile of ARFID may be more amenable to treatment with CBT‐AR. This is the first study to identify predictors of treatment outcome following CBT‐AR. Randomized controlled trials are needed to confirm these findings and examine moderators. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 183926048
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Predictors of Outcome in Cognitive‐Behavioral Therapy for Avoidant/Restrictive Food Intake Disorder.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Palmer%2C+Lilian+P%2E%22">Palmer, Lilian P.</searchLink><br /><searchLink fieldCode="AR" term="%22Kambanis%2C+P%2E+Evelyna%22">Kambanis, P. Evelyna</searchLink><br /><searchLink fieldCode="AR" term="%22Stern%2C+Casey+M%2E%22">Stern, Casey M.</searchLink><br /><searchLink fieldCode="AR" term="%22Rossman%2C+Setareh+M%2E%22">Rossman, Setareh M.</searchLink><br /><searchLink fieldCode="AR" term="%22Mancuso%2C+Christopher+J%2E%22">Mancuso, Christopher J.</searchLink><br /><searchLink fieldCode="AR" term="%22Andrea%2C+Alexandrea+M%2E%22">Andrea, Alexandrea M.</searchLink><br /><searchLink fieldCode="AR" term="%22Burton‐Murray%2C+Helen%22">Burton‐Murray, Helen</searchLink><br /><searchLink fieldCode="AR" term="%22Becker%2C+Kendra+R%2E%22">Becker, Kendra R.</searchLink><br /><searchLink fieldCode="AR" term="%22Breithaupt%2C+Lauren%22">Breithaupt, Lauren</searchLink><br /><searchLink fieldCode="AR" term="%22Freid%2C+Cathryn%22">Freid, Cathryn</searchLink><br /><searchLink fieldCode="AR" term="%22Asanza%2C+Elisa%22">Asanza, Elisa</searchLink><br /><searchLink fieldCode="AR" term="%22Lawson%2C+Elizabeth+A%2E%22">Lawson, Elizabeth A.</searchLink><br /><searchLink fieldCode="AR" term="%22Eddy%2C+Kamryn+T%2E%22">Eddy, Kamryn T.</searchLink><br /><searchLink fieldCode="AR" term="%22Thomas%2C+Jennifer+J%2E%22">Thomas, Jennifer J.</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. Mar2025, Vol. 58 Issue 3, p647-653. 7p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Treatment+of+eating+disorders%22">Treatment of eating disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Fear%22">Fear</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+compliance%22">Patient compliance</searchLink><br /><searchLink fieldCode="DE" term="%22Leanness%22">Leanness</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+remission%22">Disease remission</searchLink><br /><searchLink fieldCode="DE" term="%22Eating+disorders%22">Eating disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Motivation+%28Psychology%29%22">Motivation (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+relapse%22">Disease relapse</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation%22">Evaluation</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Cognitive‐behavioral therapy for avoidant/restrictive food intake disorder (ARFID; CBT‐AR) shows promise in improving clinical outcomes in children/adolescents and adults. We aimed to identify predictors of outcomes in CBT‐AR. We hypothesized that younger age, non‐underweight status, and presence of the fear of aversive consequences profile of ARFID would predict greater likelihood of remission post–treatment, and that presence of the lack of interest in eating/food and sensory sensitivity profiles would predict greater likelihood of persistence post‐treatment. We included sex as an exploratory predictor. Method: Individuals (N = 94, ages 10–55 years) were offered 20–30 outpatient sessions of CBT‐AR. We collected clinical and demographic data at pre‐treatment, and remission status at post‐treatment. Results: Consistent with our hypothesis, presence (versus absence) of the fear profile predicted an almost three‐fold increased likelihood of remission. Presence of the sensory profile, lack of interest profile, age, weight status, and sex were not predictors of ARFID outcome. Discussion: The fear of aversive consequences profile of ARFID may be more amenable to treatment with CBT‐AR. This is the first study to identify predictors of treatment outcome following CBT‐AR. Randomized controlled trials are needed to confirm these findings and examine moderators. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=183926048
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1002/eat.24345
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 647
    Subjects:
      – SubjectFull: Treatment of eating disorders
        Type: general
      – SubjectFull: Fear
        Type: general
      – SubjectFull: Patient compliance
        Type: general
      – SubjectFull: Leanness
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Disease remission
        Type: general
      – SubjectFull: Eating disorders
        Type: general
      – SubjectFull: Motivation (Psychology)
        Type: general
      – SubjectFull: Cognitive therapy
        Type: general
      – SubjectFull: Disease relapse
        Type: general
      – SubjectFull: Evaluation
        Type: general
    Titles:
      – TitleFull: Predictors of Outcome in Cognitive‐Behavioral Therapy for Avoidant/Restrictive Food Intake Disorder.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Palmer, Lilian P.
      – PersonEntity:
          Name:
            NameFull: Kambanis, P. Evelyna
      – PersonEntity:
          Name:
            NameFull: Stern, Casey M.
      – PersonEntity:
          Name:
            NameFull: Rossman, Setareh M.
      – PersonEntity:
          Name:
            NameFull: Mancuso, Christopher J.
      – PersonEntity:
          Name:
            NameFull: Andrea, Alexandrea M.
      – PersonEntity:
          Name:
            NameFull: Burton‐Murray, Helen
      – PersonEntity:
          Name:
            NameFull: Becker, Kendra R.
      – PersonEntity:
          Name:
            NameFull: Breithaupt, Lauren
      – PersonEntity:
          Name:
            NameFull: Freid, Cathryn
      – PersonEntity:
          Name:
            NameFull: Asanza, Elisa
      – PersonEntity:
          Name:
            NameFull: Lawson, Elizabeth A.
      – PersonEntity:
          Name:
            NameFull: Eddy, Kamryn T.
      – PersonEntity:
          Name:
            NameFull: Thomas, Jennifer J.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 03
              Text: Mar2025
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-print
              Value: 02763478
          Numbering:
            – Type: volume
              Value: 58
            – Type: issue
              Value: 3
          Titles:
            – TitleFull: International Journal of Eating Disorders
              Type: main
ResultId 1