Early-onset restrictive food intake disorders in children: a latent class analysis.

The two most frequent early-onset restrictive food intake disorders are early-onset anorexia nervosa (EOAN) and avoidant/restrictive food intake disorders (ARFID). Although the core symptoms of EOAN (i.e., fear of gaining weight and disturbed body image) are not present in ARFID, these symptoms are...

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Publicado en:European Child & Adolescent Psychiatry Vol. 33; no. 7; pp. 2273 - 2280
Autores principales: Stordeur, Coline, Ayrolles, Anaël, Trebossen, Vincent, Barret, Ségolène, Baillin, Florence, Poncet-Kalifa, Hélène, Meslot, Carine, Clarke, Julia, Bargiacchi, Anne, Peyre, Hugo, Delorme, Richard
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jul2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2024
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00787-023-02316-3
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        atl: Early-onset restrictive food intake disorders in children: a latent class analysis.
      aug:
        au:
          Stordeur, Coline
          Ayrolles, Anaël
          Trebossen, Vincent
          Barret, Ségolène
          Baillin, Florence
          Poncet-Kalifa, Hélène
          Meslot, Carine
          Clarke, Julia
          Bargiacchi, Anne
          Peyre, Hugo
          Delorme, Richard
        affil: Child and Adolescent Psychiatry Department, Rare Disease Refence Center for Early-Onset Anorexia Nervosa, Robert Debré University Hospital, APHP, Paris, France
      sug:
        subj:
          Avoidant Restrictive Food Intake Disorder Diagnosis
          Avoidant Restrictive Food Intake Disorder Classification
          Age of Onset
          Anorexia Nervosa
          Human
          Female
          Male
          Child
          Adolescence
          Retrospective Design
          DSM
          Child, Hospitalized
          Sociodemographic Factors
          Latent Structure Analysis
          Descriptive Statistics
          Child: 6-12 years
          Adolescent: 13-18 years
          Female
          Male
      ab: The two most frequent early-onset restrictive food intake disorders are early-onset anorexia nervosa (EOAN) and avoidant/restrictive food intake disorders (ARFID). Although the core symptoms of EOAN (i.e., fear of gaining weight and disturbed body image) are not present in ARFID, these symptoms are difficult to assess during the initial phase of hospitalisation. Our aim was to identify restrictive food intake disorder subtypes in children using latent class analysis (LCA) based on the information available at admission to hospital, and to determine the agreement between the subtypes identified using LCA and the final diagnosis: EOAN or ARFID. We retrospectively included 97 children under 13 years old with severe eating disorders (DSM-5) at their first hospitalisation in a specialised French paediatric unit. LCA was based on clinical information, growth chart analyses and socio-demographic parameters available at admission. We then compared the probabilities of latent class membership with the diagnosis (EOAN or ARFID) made at the end of the hospitalisation. The most parsimonious LCA model was a 2-class solution. Children diagnosed with EOAN at the end of hospitalisation had a 100% probability of belonging to class 1 while children diagnosed with ARFID had an 8% probability of belonging to class 1 based on parameters available at admission. Our results indicate that clinical and socio-demographic characteristics other than the core symptoms of EOAN may be discriminating for a differential diagnosis.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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