Recent Submissions

  • Observation and comparison of mealtime behaviors in a sample of children with avoidant/restrictive food intake disorders and a control sample of children with typical development

    Aldridge, Victoria K.; Dovey, Terence; El Hawi, Nicole; Martiniuc, Antonie; Martin, Clarissa I.; Meyer, Caroline; Meyer, Caroline; Applied Psychology; Additional Professional Scientific and Technical Field; De Montfort University; University College London; Brunel University; Midlands Psychology, Stafford; University of Warwick; Coventry and Warwickshire Partnership NHS Trust (Wiley, 2018-06-28)
    Despite widespread use of behavioral observations to evaluate child feeding behaviors in research and clinical practice, few studies have comprehensively characterized mealtimes or identified features that differentiate children with and without disordered feeding; these were the aims of the current study. Mealtime observations were conducted for 18 children with avoidant restrictive food intake disorder (ARFID) and 21 typically developing children. Observations were coded inductively, and associations between disorder and observed mealtime actions were examined. Most behaviors were observed across both clinical and nonclinical mealtimes, and many did not differ in frequency between children with and without ARFID. However, significant group differences were observed in the frequencies of behaviors relating to food intake, visual and physical engagement with feeding, and movement during mealtimes. The comparability of behaviors across clinical and nonclinical groups suggests that eating behaviors exist on a continuum from “normal” to “abnormal,” with group differences relating to frequency rather than type of behavior. The behavioral differences observed in this study suggest that identification of children with ARFID should focus on child engagement with food and restlessness during mealtimes. Reliance on emotional and escape-maintained behaviors will lead to underrecognition of families in need of clinical support.
  • Management of transitions to adult services for young people with eating disorders: survey of current practice in England

    Winston, Anthony P; Child, Samantha; Jackson, Joseph; Paul, Moli; Winston, Anthony P; Child, Samantha; Jackson, Joseph; Paul, Moli; Eating Disorders; Medical and Dental; et al. (Cambridge University Press, 2023-02)
    Aims and method: The Royal College of Psychiatrists has published recommendations for managing transitions between child and adolescent mental health services (CAMHS) and adult services for eating disorders. A self-report questionnaire was designed to establish how many CAMHS teams meet these recommendations and was distributed to 70 teams providing eating disorders treatment in England. Results: Of the 38 services that participated, 31 (81.6%) reported a flexible upper age limit for treatment. Only 6 services (15.8%) always transferred young people to a specialist adult eating disorders service and the majority transferred patients to either a specialist service or a community mental health team. Most services complied with recommended provision such as a written transition protocol (52.6%), individualised transition plans (78.9%), joint care with adult services (89.5%) and transition support for the family (73.7%). Clinical implications: Services are largely compliant with the recommendations. It is a concern that only a small proportion of services are always able to refer to a specialist adult service and this is likely to be due to a relative lack of investment in adult services.