Clinical takeawayConsider screening IBS patients for DSM-5-compatible ARFID using validated tools like NIAS-Fr, particularly in those with depressive symptoms, severe IBS, or functional dyspepsia, to identify those at risk of medical/psychosocial impairment.
What it found33.4% of IBS patients met DSM-5-compatible ARFID criteria, defined by NIAS-Fr subscale cutoffs ('picky' ≥10, 'fear' ≥10, 'appetite' ≥9), medical/psychosocial impairment, and absence of eating disorder diagnosis, with depressive symptoms and IBS severity independently associated (Nagelkerke R2 = 0.203). Functional dyspepsia was prevalent in 60.4% of patients and associated with ARFID-like symptoms.
ContextRefines understanding of ARFID prevalence in IBS, distinguishing ARFID-like symptoms (47.5%) from DSM-5-compatible ARFID (33.4%), and highlights associations with depressive symptoms, IBS severity, and functional dyspepsia.
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