![]() RD is characterized by repeated regurgitation of food for a period of at least a month. Pica is characterised by persistent eating of non-nutritive substances/items for at least one month its occurrence should be inappropriate to the individual’s developmental level, and not part of a culturally or socially normative practice ( APA, 2013 Hartmann, Becker, Hampton, & Bryant-Waugh, 2012). choking, vomiting) associated with eating ( APA, 2013 Thomas & Eddy, 2018). ![]() Instead, in ARFID, intake is restricted for reasons that may include avoidance based on sensory aspects of food or eating (e.g., taste, smell, texture) lack of interest in food or eating or because of the feared negative consequences (e.g. While AN is associated with body image disturbance and body weight or shape concerns, these are not core features of ARFID ( APA, 2013 Becker et al., under review). Although some presentations of ARFID resemble those of anorexia nervosa (AN) in terms of very restricted food intake and resultant weight loss or faltering growth, underlying motivations differ markedly ( APA, 2013). ARFID is characterized by avoidant and restrictive eating associated with failure to meet nutritional and/or energy requirements leading to: significant weight loss or failure to gain expected weight (or faltering growth in children) dependence on oral nutritional supplements or enteral feeding nutritional deficiencies and/or significant difficulties with psychosocial functioning. ARFID represents a revised and expanded version of the DSM-IV ( APA, 1994) feeding disorder of infancy and early childhood, in recognition that ARFID symptoms can occur at all ages. DSM-5 took a new lifespan approach, removing the DSM-IV section “Disorders Usually First Diagnosed During Infancy, Childhood and Adolescence” and introducing a “Feeding and Eating Disorders” chapter, which allows for diagnoses in adulthood as well as in childhood and adolescence. Subsequent treatment-focused plenaries highlighted complicated ethical issues involved in compulsory treatment (including a poignant perspective by someone with lived experience compulsory treatment for an eating disorder), as well as an examination of leading-edge therapeutic approaches that leverage novel findings in neuroscience and neurobiology.Avoidant/restrictive food intake disorder (ARFID), pica, and rumination disorder (RD) were recently added to a combined Feeding and Eating Disorders chapter in DSM-5 ( APA, 2013). Speakers including Michael Barkham, PhD, Glenn Waller, DPhil, and Ivan Eisler, PhD presented data on brief interventions for eating disorders, and the discussant, Tracey Wade, PhD, helped attendees think through the utility of these interventions and how they might be made available to a greater proportion of the population. The first plenary session centered around examining the evidence regarding optimal duration for eating disorders treatment. ![]() In keeping with the larger theme of the conference, there were several plenary sessions that were geared toward expanding the reach and/or scope of eating disorders research and clinical interventions. This year’s keynote address was particularly salient as those with eating disorders have a disproportionately high risk for suicide, and thus had direct implications for the clinicians and researchers in attendance. The conference kicked off with a stimulating keynote address from one of the foremost researchers on suicide, Thomas Joiner, PhD (Florida State University) during which he discussed current epidemiological findings on death by suicide, as well as anecdotal, clinical, and scientific evidence that evaluates a new theory of suicidal behavior. The theme of this year’s conference was “Start Spreading the News: Education, Dissemination, and the Science of Eating Disorders,” and the content was aimed at disseminating the clinical and research science of eating disorders more broadly. The Academy for Eating Disorders (AED) recently held its 25 th annual International Conference on Eating Disorders (ICED) in New York, New York from March 14 th-16th.
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