title: Psychological and Psychosocial Impairment in Preschoolers With Selective Eating.
abstract: OBJECTIVE
  We examined the clinical significance of moderate and severe selective eating (SE). Two levels of SE were examined in relation to concurrent psychiatric symptoms and as a risk factor for the emergence of later psychiatric symptoms. Findings are intended to guide health care providers to recognize when SE is a problem worthy of intervention.
  
  
  METHODS
  A population cohort sample of 917 children aged 24 to 71 months and designated caregivers were recruited via primary care practices at a major medical center in the Southeast as part of an epidemiologic study of preschool anxiety. Caregivers were administered structured diagnostic interviews (the Preschool Age Psychiatric Assessment) regarding the child's eating and related self-regulatory capacities, psychiatric symptoms, functioning, and home environment variables. A subset of 188 dyads were assessed a second time ∼24.7 months from the initial assessment.
  
  
  RESULTS
  Both moderate and severe levels of SE were associated with psychopathological symptoms (anxiety, depression, attention-deficit/hyperactivity disorder) both concurrently and prospectively. However, the severity of psychopathological symptoms worsened as SE became more severe. Impairment in family functioning was reported at both levels of SE, as was sensory sensitivity in domains outside of food and the experience of food aversion.
  
  
  CONCLUSIONS
  Findings suggest that health care providers should intervene at even moderate levels of SE. SE associated with impairment in function should now be diagnosed as avoidant/restrictive food intake disorder, an eating disorder that encapsulates maladaptive food restriction, which is new to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, and zucke001@mc.duke.edu.
authors.forename: Nancy
authors.initials: N
authors.lastname: Zucker
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, and.
authors.forename: William
authors.initials: W
authors.lastname: Copeland
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, and.
authors.forename: Lauren
authors.initials: L
authors.lastname: Franz
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, and.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Carpenter
authors.affiliation: Department of Psychology and Neuroscience, Duke University, Durham, North Carolina.
authors.forename: Lori
authors.initials: L
authors.lastname: Keeling
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, and.
authors.forename: Adrian
authors.initials: A
authors.lastname: Angold
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, and.
authors.forename: Helen
authors.initials: H
authors.lastname: Egger
mesh_terms: D002653:Child Behavior Disorders / Q000175:diagnosis* / Q000523:psychology*; D002675:Child, Preschool; D015331:Cohort Studies; D019959:Feeding and Eating Disorders of Childhood / Q000175:diagnosis* / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology