Avoidant Restrictive Food Intake Disorder (ARFID) was first included as a diagnostic category in 2013, and over the past 10 years has been adopted by the international eating disorder community. While greater awareness of these difficulties has increased identification, demand and enabled advocacy for clinical services, the heterogeneous nature of ARFID poses unique challenges for eating disorder clinicians and researchers. This commentary aims to reflect on some of these challenges, focussing specifically on the risk of viewing ARFID through an eating disorder lens. This includes potential biases in the literature as most recent research has been conducted in specialist child and adolescent eating disorder clinic settings, bringing in to question the generalisability of findings to the broad spectrum of individuals affected by ARFID. We also consider whether viewing ARFID predominantly through an eating disorder lens risks us as a field being blinkered to the range of effective skills our multi‐disciplinary feeding colleagues may bring. There are opportunities that may come with the eating disorder field navigating treatment pathways for ARFID, including more joined up working with multi‐disciplinary colleagues, the ability to transfer skills used in ARFID treatment to individuals with eating disorder presentations, and most notably an opportunity to provide more effective treatment and service pathways for individuals with ARFID and their families. However, these opportunities will only be realised if eating disorder clinicians and researchers step out of their current silos.

中文翻译：

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回避型限制性食物摄入失调 (ARFID)——超越饮食失调的视角？

回避型限制性食物摄入失调 (ARFID) 于 2013 年首次被纳入诊断类别，并在过去 10 年来被国际饮食失调界采用。虽然对这些困难的更多认识增加了对临床服务的识别、需求和支持，但 ARFID 的异质性给饮食失调临床医生和研究人员带来了独特的挑战。本评论旨在反思其中一些挑战，特别关注通过饮食失调视角看待 ARFID 的风险。这包括文献中潜在的偏见，因为最近的研究是在专门的儿童和青少年饮食失调诊所环境中进行的，这使研究结果对受 ARFID 影响的广泛个体的普遍性产生了质疑。我们还考虑主要通过饮食失调的视角来看待 ARFID 是否会导致我们这个领域被我们的多学科喂养同事可能带来的有效技能范围所蒙蔽。饮食失调领域可能会带来一些机会，探索 ARFID 的治疗途径，包括更多地与多学科同事合作、将 ARFID 治疗中使用的技能传授给患有饮食失调的个人的能力，以及最值得注意的机会为 ARFID 患者及其家人提供更有效的治疗和服务途径。然而，只有饮食失调临床医生和研究人员走出目前的困境，这些机会才能实现。