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Table 18 Cognitive behavioural therapy for ARFID

From: Canadian practice guidelines for the treatment of children and adolescents with eating disorders

Certainty assessmentImpactCertaintyImportance
№ of studiesStudy designRisk of biasInconsistencyIndirectnessImprecisionOther considerations
Avoidance of Food (assessed with: clinical impression)
 12Case Reportsvery serious a,bnot seriousnot seriousnot seriousnone28 cases are described in which various cognitive behavioural strategies including systematic desensitization (17), hypnosis (6) and EMDR (4) were used. Patients were aged 3 to 16 years (12 male, 16 female). Improvement in food avoidance behaviour was reported in all cases.
VERY LOW
IMPORTANT
Telemedicine - Increased food variety (assessed with: bites of nonpreferred food)
 1Case Reportvery serious a,bnot seriousnot seriousnot seriousnoneCase report with CBT delivered by teleconsultation to parents of 8 year old boy with ARFID. Increased frequency of bites of nonpreferred food was noted.
VERY LOW
IMPORTANT
  1. Explanations
  2. ano randomization
  3. bno control condition
  4. Bibliography:
  5. Case Reports - Murphy 2016 [125], Fischer 2015 [124], Nock 2002 [119], Okada 2007 [122], Ciyiltepe 2006 [121], de Roos 2008 [123], Culbert 1996 [117], Siegel 1982 [115], Reid 2016 [126], Chatoor 1988 [116], Chorpita 1997 [118], Bloomfield 2018 [127], Bailly 2003 [120]