{"doi":"10.1002/eat.24398","title":"Frequency and Predictors of Shape/Weight Concerns and Objective Binge Eating in Avoidant/Restrictive Food Intake Disorder (ARFID)","abstract":"OBJECTIVE: DSM-5 prohibits the diagnosis of avoidant/restrictive food intake disorder (ARFID) in the context of clinically significant shape/weight concerns. However, emerging data suggest that ARFID and shape/weight concerns may co-occur, and DSM-5-TR now permits comorbid binge-eating disorder alongside ARFID. We compared shape/weight concerns in adults with ARFID to healthy controls (HCs) and nonclinical norms; assessed the frequency of clinical-level shape/weight concerns and past-month objective binge episodes (OBE); and identified ARFID characteristics linked to elevated shape/weight concerns and OBEs. We hypothesized that individuals with ARFID would exhibit lower shape/weight concerns than HCs and nonclinical norms, that none would exhibit clinical-level shape/weight concerns, and that higher weight would predict greater shape/weight concerns. Our examination of OBEs was exploratory. METHOD: Participants with ARFID (N = 83) and HCs (N = 41) completed the Eating Disorder Examination-Questionnaire (EDE-Q). RESULTS: Adults with ARFID scored significantly higher than HCs but significantly lower than nonclinical norms on shape/weight concerns. Two percent exhibited clinical-level shape/weight concerns, and 15% reported past-month OBEs. Higher weight uniquely predicted shape/weight concerns. DISCUSSION: Shape/weight concerns are lower in ARFID than in the general population, and a small proportion of adults with ARFID-particularly those at higher weights-may experience clinical-level shape/weight concerns and OBEs.","journal":"International Journal of Eating Disorders","year":2025,"id":517955,"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":7,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9657,"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":1248780,"name":"Lilian P. Palmer","orcid":"0000-0003-3608-5395","position":1,"is_corresponding":false},{"id":736049,"name":"Grace Jhe","orcid":"0000-0002-3378-2526","position":2,"is_corresponding":false},{"id":1214431,"name":"Iman McPherson","orcid":"0000-0002-1130-964X","position":3,"is_corresponding":false},{"id":1253497,"name":"Haley Graver","orcid":"0000-0003-4293-6926","position":4,"is_corresponding":false},{"id":1385399,"name":"Abigail G. 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Eddy","orcid":"0000-0002-1586-0930","position":12,"is_corresponding":false},{"id":388582,"name":"Madhusmita Misra","orcid":"0000-0002-9405-2981","position":13,"is_corresponding":false},{"id":399696,"name":"Nadia Micali","orcid":"0000-0001-5571-2273","position":14,"is_corresponding":false},{"id":368938,"name":"Laura M. Holsen","orcid":"0000-0003-1292-7789","position":15,"is_corresponding":false},{"id":640393,"name":"Elizabeth A. Lawson","orcid":"0000-0001-8619-3349","position":16,"is_corresponding":false},{"id":767776,"name":"Kendra R. Becker","orcid":"0000-0002-8946-9977","position":17,"is_corresponding":false},{"id":767777,"name":"Jennifer J. Thomas","orcid":"0000-0003-2601-581X","position":18,"is_corresponding":false},{"id":1214430,"name":"P. Evelyna Kambanis","orcid":"0000-0002-1950-3332","position":0,"is_corresponding":true}],"reference_count":25,"raw_metadata":null,"created_at":"2026-07-19T02:49:04.756302Z","pmid":"39992069","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}