Eating disorders are characterized by certain eating patterns that may be followed by compensatory behavior. ARFID is characterized by a restrictive pattern of food intake not associated with distortion of the body image, but is the result of concerns about the consequences of food intake, the sensory properties of food products or a lack of interest in eating. Observation of patients with ARFID shows compensatory behaviors of a different etiology than in the case of other eating disorders.
ARFID; Compensatory behaviors; Eating disorders
ARFID is an eating disorder that is characterized by several factors such as: A clear lack of interest in eating or avoidance of food based on sensory characteristics (e.g. smell, taste, texture), fear of the aversive consequences of eating, such as persistent vomiting and thus, the body's energy and nutritional needs are not met. These factors must be related to one (or more) of the following criteria:
The very disorder that is ARFID can be considered as compensatory behavior, namely - avoidance and limitation. However, in the case of ARFID, the products that the patient is afraid of, refuses to touch and the consequences that may follow their consumption are avoided and limited . A patient with ARFID consumes a very limited range of products that, in his opinion, are safe for him .
Compensatory avoidance behaviors result from a reluctance to touch, manipulate, smell or taste products, often because of their sensory properties. Avoidance of certain foods may also result from the fear of ailments that, in the patient's opinion, may appear after eating them .
Avoiding food intake is not always possible, therefore there are times when patients decide to try very small amounts of other products. Then, subsequent compensatory behaviors are observed, consisting in drinking very large amounts of water inadequate to the needs (even up to 1l) immediately after tasting even a minimal amount of food. The desire to get rid of the taste, smell and consumption of a given food is very high.
Typically, people with ARFID choose not to eat foods that they think are unsafe. However, it happens that they can manipulate such food products to a certain point, they willingly participate in the preparation of meals, but when it comes to the act of eating - they withdraw. This usually applies to adolescents and adults. Children with ARFID more firmly refuse to both manipulate and consume foods that they believe are not safe. Hence, in the case of ARFID in smaller children, diagnosis presents many problems, as ARFID may appear during the period of food neophobia, thus prolonging the time of diagnosis, which may, unfortunately, contribute to the formation of large nutritional deficiencies. In the case of young children, this is a critical period and any deficiency may cause irreversible health consequences [4,5].
Compensatory behaviors encountered in the daily practice of specialists dealing with eating disorders are usually related to the pursuit of a slim figure. In ARFID, the motivation for restrictive behavior is not distortion of the body image, but fear of the consequences of consumed products, fear of trying new products, sensory properties of products or a quick feeling of satiety. Hence, compensatory behaviors are related to the quick elimination of the fact of consuming a given food by consuming a large amount of water immediately after eating, washing hands quickly and thoroughly, or using only cutlery to manipulate food. In the case of ARFID, vomiting or the use of laxatives is not induced as compensatory behaviors. In the case of this disorder, it is precisely the avoidance of such unpleasant situations as e.g. vomiting, regurgitation, constipation, diarrhea that predisposes to avoiding or restricting food consumption.
Citation: Szymanska D (2022) Compensatory Behaviors in Avoidant Restrictive Food Intake Disorder. J Psychiatry Depression Anxiety 8: 45
Copyright: © 2022 Dorota Szymanska, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.