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Feeling and body investigators (FBI): ARFID division-An acceptance-based interoceptive exposure treatment for children with ARFID.

Publication ,  Journal Article
Zucker, NL; LaVia, MC; Craske, MG; Foukal, M; Harris, AA; Datta, N; Savereide, E; Maslow, GR
Published in: Int J Eat Disord
April 2019

OBJECTIVE: Individuals with Avoidant Restrictive Food Intake Disorder (ARFID) experience impairing health consequences from insufficient nutritional variety and/or quantity. Early medical conditions and/or somatic symptoms such as abdominal pain may lead some with ARFID to experience somatic sensations as aversive. As such, food avoidance may be part of a broader behavioral repertoire aimed at suppressing bodily sensations. Avoiding these necessary and informative signals (e.g., growls of hunger) may subvert the emergence of healthy self-awareness and self-regulation. Teaching children with ARFID to engage adaptively with bodily sensations may help decrease aversiveness, increase self-awareness, and increase approach behaviors. METHOD: Drawing from interventions for panic disorder and irritable bowel syndrome, we developed an acceptance-based interoceptive exposure treatment for young children with ARFID, Feeling and Body Investigators (FBI)-ARFID Division. Using playful cartoons and developmentally sensitive exposures, we teach young children how to map interoceptive sensations onto meanings (e.g., emotions) and actions (e.g., if I feel nervous, I'll hold someone's hand). RESULTS: We present a case study of a 4-year old child with lifelong poor appetite/food indifference. DISCUSSION: Some individuals with ARFID may avoid food to avoid internal sensations. Developmentally appropriate interoceptive exposures may decrease ARFID symptoms while increasing more general self-regulation skills.

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Published In

Int J Eat Disord

DOI

EISSN

1098-108X

Publication Date

April 2019

Volume

52

Issue

4

Start / End Page

466 / 472

Location

United States

Related Subject Headings

  • Humans
  • Female
  • Feeding and Eating Disorders
  • Emotions
  • Clinical Psychology
  • Child, Preschool
  • Appetite
  • 4206 Public health
  • 3210 Nutrition and dietetics
  • 17 Psychology and Cognitive Sciences
 

Citation

APA
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ICMJE
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Zucker, N. L., LaVia, M. C., Craske, M. G., Foukal, M., Harris, A. A., Datta, N., … Maslow, G. R. (2019). Feeling and body investigators (FBI): ARFID division-An acceptance-based interoceptive exposure treatment for children with ARFID. Int J Eat Disord, 52(4), 466–472. https://doi.org/10.1002/eat.22996
Zucker, Nancy L., Maria C. LaVia, Michelle G. Craske, Martha Foukal, Adrianne A. Harris, Nandini Datta, Erik Savereide, and Gary R. Maslow. “Feeling and body investigators (FBI): ARFID division-An acceptance-based interoceptive exposure treatment for children with ARFID.Int J Eat Disord 52, no. 4 (April 2019): 466–72. https://doi.org/10.1002/eat.22996.
Zucker NL, LaVia MC, Craske MG, Foukal M, Harris AA, Datta N, et al. Feeling and body investigators (FBI): ARFID division-An acceptance-based interoceptive exposure treatment for children with ARFID. Int J Eat Disord. 2019 Apr;52(4):466–72.
Zucker, Nancy L., et al. “Feeling and body investigators (FBI): ARFID division-An acceptance-based interoceptive exposure treatment for children with ARFID.Int J Eat Disord, vol. 52, no. 4, Apr. 2019, pp. 466–72. Pubmed, doi:10.1002/eat.22996.
Zucker NL, LaVia MC, Craske MG, Foukal M, Harris AA, Datta N, Savereide E, Maslow GR. Feeling and body investigators (FBI): ARFID division-An acceptance-based interoceptive exposure treatment for children with ARFID. Int J Eat Disord. 2019 Apr;52(4):466–472.
Journal cover image

Published In

Int J Eat Disord

DOI

EISSN

1098-108X

Publication Date

April 2019

Volume

52

Issue

4

Start / End Page

466 / 472

Location

United States

Related Subject Headings

  • Humans
  • Female
  • Feeding and Eating Disorders
  • Emotions
  • Clinical Psychology
  • Child, Preschool
  • Appetite
  • 4206 Public health
  • 3210 Nutrition and dietetics
  • 17 Psychology and Cognitive Sciences