Evidence map›Paper›PMID 40251946›Full record

ArticleAutism research : official journal of the International Society for Autism Research2025

Screening for Avoidant/Restrictive Food Intake Disorder Symptoms Among Autistic Adults: Measurement Invariance With a Comparison General Sample.

Courtney E Breiner, Goldie A McQuaid, Gregory L Wallace, Hana F Zickgraf

Abstract readComparative Study
In one paragraph

Article in Autism research : official journal of the International Society for Autism Research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Courtney E BreinerNew York State Psychiatric Institute, Columbia University Irving Medical Center, New York, New York, USA.ORCID 0000-0002-5002-3871
Goldie A McQuaidDepartment of Psychology, George Mason University, Fairfax, Virginia, USA.ORCID 0000-0003-3614-616X
Gregory L WallaceDepartment of Speech, Language, and Hearing Sciences, The George Washington University, Washington, DC, USA.
Hana F ZickgrafResearch Center, Rogers Behavioral Health, Oconomowoc, Wisconsin, USA.

Funding

Research Training in Biobehavioral Disturbances of Eating DisordersT32MH096679 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI EVELYN ATTIA, B. TIMOTHY WALSH · 2013 to 2026
$2.4M
NIMH NIH HHS T32 MH096679NIMH NIH HHS T32MH096679The George Washington UniversityThe University of South Alabama
6 · The paper itself

Abstract

Research suggests a higher prevalence of avoidant/restrictive food intake disorder (ARFID) in autistic people across the lifespan compared to the general population. However, ARFID symptoms in autistic people may be misattributed to core autistic traits and gastrointestinal symptoms that often co-occur with autism. This diagnostic overshadowing could lead to the under-recognition and under-treatment of modifiable symptoms of psychopathology in autistic people. Validating ARFID symptom measures in this population is essential to screening for ARFID and tracking treatment outcomes in this population. Multigroup confirmatory factor analysis was used to evaluate the equivalence of the factor structure, factor loadings, and item intercepts of the Nine-Item ARFID Screen (NIAS) between a sample of autistic adults (n = 248) who self-disclosed their diagnosis and a comparison general sample (n = 398). There was support for strong measurement invariance (configural, metric, and scalar) on the NIAS. Autistic adults scored significantly higher on each of the three subscales: selective eating (d = 0.54), appetite impairment (d = 0.27), and fear-driven avoidance of eating (d = 0.37). The NIAS is a valid instrument for measuring ARFID symptomatology in autistic adults. Autistic adults experience elevated symptomatology across all three ARFID eating restrictions. Future research should address whether evidence-based ARFID treatments are efficacious for autistic adults or need to be modified.

Indexed as

Autistic DisorderAvoidant Restrictive Food Intake DisorderMass ScreeningAdolescentAdultFactor Analysis, StatisticalFemaleHumansMaleMiddle AgedReproducibility of ResultsSurveys and QuestionnairesYoung Adultadultsautism spectrum disorderavoidant/restrictive food intake disordergeneral populationmeasurement invariance

Identifiers

PMID40251946
PMCPMC12353346

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.