Kendra R. Becker
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View article: Patterns of Symptom Change in Behaviors and Cognitions During 10‐Session Cognitive Behavioral Therapy (<scp>CBT</scp>‐T) for Non‐Underweight Eating Disorders
Patterns of Symptom Change in Behaviors and Cognitions During 10‐Session Cognitive Behavioral Therapy (<span>CBT</span>‐T) for Non‐Underweight Eating Disorders Open
Objective Little is known about the timing of behavioral versus cognitive change in 10‐session cognitive‐behavioral therapy for non‐underweight eating disorders (CBT‐T). We aimed to: (a) evaluate the magnitude of behavioral and cognitive s…
View article: Frequency and Predictors of Shape/Weight Concerns and Objective Binge Eating in Avoidant/Restrictive Food Intake Disorder (ARFID)
Frequency and Predictors of Shape/Weight Concerns and Objective Binge Eating in Avoidant/Restrictive Food Intake Disorder (ARFID) Open
Objective DSM‐5 prohibits the diagnosis of avoidant/restrictive food intake disorder (ARFID) in the context of clinically significant shape/weight concerns. However, emerging data suggest that ARFID and shape/weight concerns may co‐occur, …
View article: Neural Response to Food Cues in Avoidant/Restrictive Food Intake Disorder
Neural Response to Food Cues in Avoidant/Restrictive Food Intake Disorder Open
Importance The neurobiology of avoidant/restrictive food intake disorder (ARFID) is poorly understood. Objective To evaluate whether individuals with ARFID exhibit disruptions in fear, appetite, and disgust brain regions compared with heal…
View article: Amygdala and insula activation in youth with avoidant/restrictive food intake disorder in response to aversive food-specific fear images
Amygdala and insula activation in youth with avoidant/restrictive food intake disorder in response to aversive food-specific fear images Open
Background Avoidant/restrictive food intake disorder (ARFID) leads to faltering growth and psychosocial impairment. Three phenotypes can co-occur: fear of aversive consequences of eating ( ARFID-fear phenotype), sensory sensitivity, and la…
View article: Predictors of Outcome in Cognitive‐Behavioral Therapy for Avoidant/Restrictive Food Intake Disorder
Predictors of Outcome in Cognitive‐Behavioral Therapy for Avoidant/Restrictive Food Intake Disorder Open
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…
View article: Empirical Approaches to the Classification of Avoidant/Restrictive Food Intake Disorder
Empirical Approaches to the Classification of Avoidant/Restrictive Food Intake Disorder Open
Objective Avoidant/restrictive food intake disorder (ARFID) is a relatively new formal diagnosis for which empirical classification research (defined here as studies using latent class/latent profile analysis‐type methods) is still emergin…
View article: Difficulties in Emotion Regulation in Avoidant/Restrictive Food Intake Disorder
Difficulties in Emotion Regulation in Avoidant/Restrictive Food Intake Disorder Open
Objective Despite substantial research indicating difficulties with emotion regulation across eating disorder presentations, emotion regulation has yet to be studied in adults with avoidant/restrictive food intake disorder (ARFID). We hypo…
View article: Medical Comorbidities, Nutritional Markers, and Cardiovascular Risk Markers in Youth With <scp>ARFID</scp>
Medical Comorbidities, Nutritional Markers, and Cardiovascular Risk Markers in Youth With <span>ARFID</span> Open
Objective Avoidant/restrictive food intake disorder (ARFID) is common among populations with nutrition‐related medical conditions. Less is known about the medical comorbidity/complication frequencies in youth with ARFID. We evaluated the m…
View article: Latent profile analysis reveals overlapping ARFID and shape/weight motivations for restriction in eating disorders
Latent profile analysis reveals overlapping ARFID and shape/weight motivations for restriction in eating disorders Open
Background DSM-5 differentiates avoidant/restrictive food intake disorder (ARFID) from other eating disorders (EDs) by a lack of overvaluation of body weight/shape driving restrictive eating. However, clinical observations and research dem…
View article: Cognitive‐behavioral therapy for avoidant/restrictive food intake disorder: <scp>A</scp> proof‐of‐concept for mechanisms of change and target engagement
Cognitive‐behavioral therapy for avoidant/restrictive food intake disorder: <span>A</span> proof‐of‐concept for mechanisms of change and target engagement Open
Background Cognitive‐behavioral therapy for avoidant/restrictive food intake disorder (ARFID; CBT‐AR) theoretically targets three prototypic motivations (sensory sensitivity, lack of interest/low appetite, fear of aversive consequences), a…
View article: Anticipatory and consummatory pleasure in avoidant/restrictive food intake disorder
Anticipatory and consummatory pleasure in avoidant/restrictive food intake disorder Open
Background Recent research suggests that individuals with eating disorders (EDs) report elevated anhedonia, or loss of pleasure. Although individuals with avoidant/restrictive food intake disorder (ARFID) often express that they do not loo…
View article: CEREBROSPINAL FLUID BIOMARKERS AMONG INDIVIDUALS WITH ANOREXIA NERVOSA: A SYSTEMATIC REVIEW PROTOCOL
CEREBROSPINAL FLUID BIOMARKERS AMONG INDIVIDUALS WITH ANOREXIA NERVOSA: A SYSTEMATIC REVIEW PROTOCOL Open
Background: Biomarkers quantified in the cerebrospinal fluid (CSF) provide first-hand information on ongoing pathophysiology and biochemical activity within the brain of individuals with anorexia nervosa (AN). Evidence supporting involveme…
View article: Oxytocin response to food intake in avoidant/restrictive food intake disorder
Oxytocin response to food intake in avoidant/restrictive food intake disorder Open
Objective To investigate the response of anorexigenic oxytocin to food intake among adolescents and young adults with avoidant/restrictive food intake disorder (ARFID), a restrictive eating disorder characterized by lack of interest in foo…
View article: Low bone mineral density is found in low weight female youth with avoidant/restrictive food intake disorder and associated with higher PYY levels
Low bone mineral density is found in low weight female youth with avoidant/restrictive food intake disorder and associated with higher PYY levels Open
Background Avoidant/restrictive food intake disorder (ARFID) is a restrictive eating disorder commonly associated with medical complications of undernutrition and low weight. In adolescence, a critical time for bone accrual, the impact of …
View article: Neural activation of regions involved in food reward and cognitive control in young females with anorexia nervosa and atypical anorexia nervosa versus healthy controls
Neural activation of regions involved in food reward and cognitive control in young females with anorexia nervosa and atypical anorexia nervosa versus healthy controls Open
Anorexia nervosa (AN) and atypical AN (AtypAN) are complex neurobiological illnesses that typically onset in adolescence with an often treatment-refractory and chronic illness trajectory. Aberrant eating behaviors in this population have b…
View article: Lower Ghrelin Levels Are Associated With Higher Anxiety Symptoms in Adolescents and Young Adults With Avoidant/Restrictive Food Intake Disorder
Lower Ghrelin Levels Are Associated With Higher Anxiety Symptoms in Adolescents and Young Adults With Avoidant/Restrictive Food Intake Disorder Open
Conclusions: These findings demonstrate that lower levels of ghrelin are associated with more severe anxiety symptoms in youth with ARFID and raise the question of whether ghrelin pathways could be targeted in the treatment of ARFID.
View article: Development of a brief cognitive‐behavioral treatment for avoidant/restrictive food intake disorder in the context of disorders of gut–brain interaction: Initial feasibility, acceptability, and clinical outcomes
Development of a brief cognitive‐behavioral treatment for avoidant/restrictive food intake disorder in the context of disorders of gut–brain interaction: Initial feasibility, acceptability, and clinical outcomes Open
Background Avoidant/restrictive food intake disorder (ARFID) symptoms are common (up to 40%) among adults with disorders of gut‐brain interaction (DGBI), but treatments for this population (DGBI + ARFID) have yet to be evaluated. We aimed …
View article: Neural activation of food reward and cognitive control regions in young femaleswith anorexia nervosa and atypical anorexia nervosa versus healthy controls
Neural activation of food reward and cognitive control regions in young femaleswith anorexia nervosa and atypical anorexia nervosa versus healthy controls Open
Anorexia nervosa (AN) and atypical AN (AtypAN) are complex neurobiological illnesses that typically onset in adolescence with an often treatment-refractory and chronic illness trajectory. Aberrant eating behaviors in this population have b…
View article: PMON58 Endogenous Oxytocin Response to Food Intake in Avoidant/Restrictive Food Intake Disorder Compared to Healthy Controls
PMON58 Endogenous Oxytocin Response to Food Intake in Avoidant/Restrictive Food Intake Disorder Compared to Healthy Controls Open
Context In healthy individuals, serum levels of oxytocin, an anxiolytic hypothalamic-pituitary hormone involved in appetite regulation and response to stress, decrease post-prandially. Oxytocin response to a meal in Avoidant/Restrictive Fo…
View article: The factor structure and validity of a diagnostic interview for avoidant/restrictive food intake disorder in a sample of children, adolescents, and young adults
The factor structure and validity of a diagnostic interview for avoidant/restrictive food intake disorder in a sample of children, adolescents, and young adults Open
Objective There is a paucity of validated diagnostic interviews for avoidant/restrictive food intake disorder (ARFID) to aid identification and classification of cases for both clinical and research purposes. To evaluate the factor structu…
View article: Differential comorbidity profiles in avoidant/restrictive food intake disorder and anorexia nervosa: Does age play a role?
Differential comorbidity profiles in avoidant/restrictive food intake disorder and anorexia nervosa: Does age play a role? Open
Objective Research comparing psychiatric comorbidities between individuals with avoidant/restrictive food intake disorder (ARFID) and anorexia nervosa (AN) is limited. ARFID often develops in childhood, whereas AN typically develops in ado…
View article: Elevated Fasting Satiety-Promoting Cholecystokinin (CCK) in Avoidant/Restrictive Food Intake Disorder Compared to Healthy Controls
Elevated Fasting Satiety-Promoting Cholecystokinin (CCK) in Avoidant/Restrictive Food Intake Disorder Compared to Healthy Controls Open
Conclusions: CCK may contribute to etiology and/or maintenance of ARFID, as children and adolescents with heterogeneous presentations of avoidant/restrictive eating appear to show elevated fasting levels compared to healthy youth. Further …
View article: Food neophobia as a mechanism of change in video‐delivered cognitive‐behavioral therapy for avoidant/restrictive food intake disorder: A case study
Food neophobia as a mechanism of change in video‐delivered cognitive‐behavioral therapy for avoidant/restrictive food intake disorder: A case study Open
Objective The mechanisms through which cognitive‐behavioral therapies (CBTs) for avoidant/restrictive food intake disorder (ARFID) may work have yet to be elucidated. To inform future treatment revisions to increase parsimony and potency o…
View article: Eighteen-month Course and Outcome of Adolescent Restrictive Eating Disorders: Persistence, Crossover, and Recovery
Eighteen-month Course and Outcome of Adolescent Restrictive Eating Disorders: Persistence, Crossover, and Recovery Open
Across groups, intake diagnosis persisted in about two-thirds, and recovery was infrequent, underscoring the urgent need for innovative treatment approaches to these illnesses. Frequent crossover between AN and atyp-AN supports continuity …
View article: A Moving Target
A Moving Target Open
Conclusions: Comparison of diagnostic definitions for ARFID among children, adolescents, and young adults confirmed a broad range of statistically distinct proportions within a single sample. Our findings support the need for additional co…
View article: What Is ARFID?
What Is ARFID? Open
This chapter explains what avoidant/restrictive food intake disorder (ARFID) is and provides diverse and relatable case examples of each of the three prototypical ARFID presentations, including sensory sensitivity, fear of aversive consequ…