Case series: gaming vs. eating—comorbidity of ARFID and IGD

  • Ashley N. Hadwiger
  • Amy B. Middleman
  • Paulette D. PittEmail author
Case Report
Part of the following topical collections:
  1. Food and Addiction


This case series includes innovative information regarding the relationship between Avoidant/Restrictive Food Intake Disorder and the recently formulated diagnosis of Internet Gaming Disorder. The series illustrates two clinical cases in which both disorders were simultaneously recognized during diagnosis and treatment. Both disorders were utilized by patients as maladaptive coping strategies in efforts to avoid emotional distress and are potential risk factors that interfere with physical and mental health functioning. This case series highlights the unique relationship between these disorders and the compounding contribution of these two risk factors to poor physical and mental health outcomes, which is a unique contribution to the eating disorder literature.

Level IV Evidence obtained from multiple time series with or without the intervention, such as case studies.


Avoidant/restrictive food intake disorder Gaming disorder Eating disorders 


Author contributions

ANH contributed to conception and design, acquisition, analysis, and interpretation, drafted and critically revised the manuscript, gave final approval of the manuscript, and agrees to be accountable for aspects of the work ensuring integrity and accuracy. ABM and PDP contributed to the conception and design, analysis and interpretation, critically revised the manuscript, gave final approval of the manuscript, and agree to be accountable for the aspects of the work ensuring integrity and accuracy.

Compliance with ethical standards

Conflict of interest

No author has any conflicts of interests to disclose. No monies, including honorariums, grants, or other forms of payment, were received in connection with writing this manuscript.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent is not required in the United States or by authors’ institution in case series including less than three patients.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Section of Adolescent Medicine, Department of PediatricsThe University of Oklahoma Health Sciences CenterOklahoma CityUSA

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