{"doi":"10.1002/eat.24358","title":"Differences in Perceived Versus Actual Sensory Perception in Avoidant/Restrictive Food Intake Disorder","abstract":"BACKGROUND: Individuals with avoidant/restrictive food intake disorder (ARFID) self-report heightened sensitivity to taste and smell, but neither phenomenon has been systematically explored in the laboratory. We hypothesized that, compared to healthy controls (HC, n = 34), children, adolescents, and adults with full/subthreshold ARFID (n = 100; ages 9 to 23 years) would self-report heightened response to taste/smell stimuli and exhibit stronger bitter taste perception and heightened smell perception in performance-based tasks, and these differences would be especially prominent in those with the ARFID-sensory sensitivity presentation. METHOD: We measured self-reported sensitivity to taste/smell with the adolescent/adult sensory profile (AASP). We measured performance-based bitter taste perception with the regional taste intensity test (RTIT) and 6-N-propylthiouracil (PROP) test, and olfactory performance with the Sniffin' Sticks test (including the odor threshold, odor detection, and odor identification subscales). RESULTS: As expected, the ARFID group self-reported heightened response to taste/smell on the AASP, compared to HC, with an especially large effect size in the subset with the ARFID-sensory sensitivity presentation. Contrary to hypotheses, on performance-based measures, neither the ARFID group-nor the ARFID-sensory sensitivity group specifically-demonstrated heightened sensitivity to bitter taste on the RTIT or PROP tests, nor heightened smell perception on the Sniffin' Sticks test. CONCLUSION: These first laboratory findings in a clinically diagnosed sample of individuals with full/subthreshold ARFID highlight the discrepancy between perceived versus actual sensitivity to taste/smell stimuli. Future research should explore whether this discrepancy can be replicated and therapeutically leveraged to facilitate successful food exposures.","journal":"International Journal of Eating Disorders","year":2025,"id":530948,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":4,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9565,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1411262,"name":"Katherine Holman","orcid":null,"position":1,"is_corresponding":false},{"id":1410868,"name":"Stephanie G. Harshman","orcid":"0000-0003-4523-1630","position":2,"is_corresponding":false},{"id":1411263,"name":"Madeline Rogers Stull","orcid":null,"position":3,"is_corresponding":false},{"id":859211,"name":"Megan Kuhnle","orcid":"0000-0002-6003-489X","position":4,"is_corresponding":false},{"id":1410869,"name":"Olivia Wons","orcid":"0000-0002-1701-5490","position":5,"is_corresponding":false},{"id":921090,"name":"Elisa Asanza","orcid":null,"position":6,"is_corresponding":false},{"id":1026620,"name":"Kristine Hauser","orcid":"0000-0001-7317-5440","position":7,"is_corresponding":false},{"id":859209,"name":"Casey M. Stern","orcid":"0000-0002-0127-8667","position":8,"is_corresponding":false},{"id":767776,"name":"Kendra R. Becker","orcid":"0000-0002-8946-9977","position":9,"is_corresponding":false},{"id":1214430,"name":"P. Evelyna Kambanis","orcid":"0000-0002-1950-3332","position":10,"is_corresponding":false},{"id":388582,"name":"Madhusmita Misra","orcid":"0000-0002-9405-2981","position":11,"is_corresponding":false},{"id":706227,"name":"Kamryn T. Eddy","orcid":"0000-0002-1586-0930","position":12,"is_corresponding":false},{"id":399696,"name":"Nadia Micali","orcid":"0000-0001-5571-2273","position":13,"is_corresponding":false},{"id":640393,"name":"Elizabeth A. Lawson","orcid":"0000-0001-8619-3349","position":14,"is_corresponding":false},{"id":767777,"name":"Jennifer J. 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