Cognitive-behavioral Therapy vs. Nutrition Counseling for Avoidant/Restrictive Food Intake Disorder

Description

This study is a randomized controlledlinical trial, assessing the efficacy of cognitive- behavioral therapy (CBT-AR) and nutrition counseling for avoidant/restrictive food intake disorder (ARFID) for children and adolescents (ages 10-18 years).

Conditions

Avoidant/Restrictive Food Intake Disorder (ARFID)

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Study Overview

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Study Details

Study overview

This study is a randomized controlledlinical trial, assessing the efficacy of cognitive- behavioral therapy (CBT-AR) and nutrition counseling for avoidant/restrictive food intake disorder (ARFID) for children and adolescents (ages 10-18 years).

Cognitive and Neural Mechanisms of Cognitive-behavioral Therapy for Avoidant/Restrictive Food Intake Disorder

Cognitive-behavioral Therapy vs. Nutrition Counseling for Avoidant/Restrictive Food Intake Disorder

Condition
Avoidant/Restrictive Food Intake Disorder (ARFID)
Intervention / Treatment

-

Contacts and Locations

Boston

Eating Disorders Clinical and Research Program, Boston, Massachusetts, United States, 02139

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Males and Females ages 10-18 years old
  • * Current ARFID
  • * Normal TSH or free T4 levels to rule out thyroid disease as cause of symptoms
  • * Negative celiac screening panel indicating no active celiac disease as cause of symptoms
  • * Fluency and literacy in English
  • * BMI \< 5th percentile for sex and age
  • * Pregnancy, breastfeeding, or recent initiation/cessation of oral contraceptive pills within 8 weeks of the pre-treatment study visit
  • * Current/history of psychosis
  • * Substance/alcohol use disorder (active within the past month)
  • * Medical instability requiring inpatient care according to the American Psychiatric Association 2023 treatment guidelines for eating disorders
  • * Laboratory abnormalities indicating a need for higher level of care
  • * Complete lack of oral intake (suggesting a need for inpatient care)
  • * Tube feeding (suggesting a need for tube weaning)
  • * Active suicidal/homicidal ideation with intent or plan
  • * Contraindications to MRI
  • * History of major gastrointestinal tract surgery or serious medical condition (e.g., cancer)
  • * Medical history of intellectual disability
  • * Illiteracy

Ages Eligible for Study

10 Years to 18 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Massachusetts General Hospital,

Study Record Dates

2025-08-31