Avoidant and Restrictive Food Intake Disorders
Conditions
Keywords
Avoidant and Restrictive Food Intake Disorders, ARFID, Eating disorder, Adolescent, Depression, Autism, Anxiety, Sensory sensitivity
Brief summary
The purpose of this study is to assess if adolescents affected with Avoidant and Restrictive Food Intake Disorders (ARFID) had more frequent precocious pediatric feeding disorders before 4 years old compared to healthy adolescents.
Detailed description
This research focuses on retrospective analysis of early pediatric feeding disorders seen for ARFID in adolescence in two departments of the DMU MEFADO. This assessment will be implemented during a hospital visit by a questionnaire completed by the patient's parents covering the first years of the child's life in medical, behavioural and dietary terms. This questionnaire was created for this study and, therefore, is not validated for general population. The parents will also complete the Montreal Children Feeding scale based on their memories. The Montreal Children Feeding scale is a validated parental self-questionnaire, allowing the screening of feeding and eating disorders in children under 6 years old. Since the study specific questionnaire is not validated, 60 non-ARFID controls will be included in the study for questionnaires completion. The research also focuses on the psychopathological profile of these adolescents with ARFID regarding their degree of anxiety, their degree of depression, their possible autistic traits and their sensory sensitivity. These aspects will be studied by validated self- and hetero-questionnaires standardized for these fields. The emotional expression of the parents will be assessed during a brief qualitative interview type "Five-Minute Speech Sample".
Interventions
BEHAVIORALQuestionnaire
Questionnaire completion
Sponsors
Assistance Publique - Hôpitaux de Paris
URC-CIC Paris Descartes Necker Cochin
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
12 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
For all patients: * Adolescent aged 12 to 18 (minors = 17 years 11 months) * No opposition from parents and adolescent For ARFID patients: * Consulting at MDA or Necker for an ARFID diagnosed using DSM V criteria * Whose first consultation for this disorder was less than 2 years ago For non-ARFID patients: * Consulting or hospitalized in orthopaedic surgery at Necker Hospital or Robert Debré Hospital for an acute traumatic reason * Not diagnosed with a chronic illness
Exclusion criteria
For all patients: \- Parents and adolescents who do not speak French well enough to understand the questions on the scales and questionnaires For ARFID patients: \- Diagnosis of autism spectrum disorder already made at the time of the consultation For non-ARFID patients: \- Presence of a chronic organic or psychological illness, to limit the risk of including non ARFID patients at high risk of eating disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Frequency of pediatric feeding disorders (PFD) | 1 day | Determine whether adolescents recently diagnosed with ARFID have more frequent FPD before the age of 4 years compared to adolescents without ARFID by using the Montreal scale score (61 or more) and/or the specific study questionnaire (at least 4 positive answers) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Severity of eating disorders on growth consequences in ARFID adolescents | 1 day | Evaluation of growth effects of ARFID by measuring the Z score and Tanner stage. |
| Sensory profile in ARFID adolescents | 1 day | Determine whether adolescents recently diagnosed with ARFID have more frequent hypersensoring or hyposensoring traits compared to adolescents without ARFID by using Sensoring Processing Scale Inventory (SPSI) |
| Anxiety in ARFID adolescents | 1 day | Determine whether adolescents recently diagnosed with ARFID have more frequent anxiety compared to adolescents without ARFID by using the GAD-7 scale (score of 5 or more) |
| Depression in ARFID adolescents | 1 day | Determine whether adolescents recently diagnosed with ARFID have more frequent depression compared to adolescents without ARFID by using the ADRS (Adolescent Depression Rating Sclale) (score of 4 or more) |
| Autistic traits in ARFID adolescents | 1 day | Determine whether adolescents recently diagnosed with ARFID have more frequent autistic traits compared to adolescents without ARFID by using the Autism Spectrum Screening Questionnaire (ASSQ) (score of 13 or more) |
| Parental profile in ARFID adolescents | 1 day | Compare parent's emotional expression for adolescents recently diagnosed with ARFID to adolescents without ARFID by using the five minute speech sample. |
Countries
France
Outcome results
None listed