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Sensory Sensitivity and Food Selectivity in Children with Autism Spectrum Disorders

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Abstract

Food selectivity has frequently been reported in children with autism spectrum disorder. It is likely that the causes of food selectivity are attributable to a variety of factors. One factor contributing to food selectivity is sensory sensitivity. The relation between sensory sensitivity and food selectivity is highlighted in this chapter using literature review and examples from individuals with autism spectrum disorders and parents of children with autism spectrum disorders. The role of occupational therapy in sensory processing disorders and the importance of an interdisciplinary approach are highlighted.

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References

  • Ackerman L. Picky kids, eating, and autism: creative ways for healthy nutrition. Talking about curing autism. 2003. http://www.tacanow.org/family-resources/picky-kids-eating-and-autism. Accessed 7 Sept 2012.

  • Ahearn WH, Castine T, Nault K, Green G. An assessment of food acceptance in children with autism or pervasive developmental disorder-not otherwise specified. J Autism Dev Disord. 2001;31(5):505–11.

    Article  PubMed  Google Scholar 

  • Anderson SE, Must A, Curtin C, Bandini LG. Meals in our household: reliability and initial validation of a questionnaire to assess child mealtime behaviors and family mealtime environments. J Am Diet Assoc. 2012;112(2):276–84.

    Google Scholar 

  • Attwood T. The complete guide to Asperger’s syndrome. Philadelphia: Jessica Kingsley Publishers; 2007.

    Google Scholar 

  • Autism Speaks. DSM-5 diagnostic criteria. Autism speaks. 2013. http://www.autismspeaks.org/what-autism/diagnosis/dsm-5-diagnostic-criteria. Accessed 7 Aug 2013.

  • Ayres AJ. Tactile functions. Their relationship to hyperactive and perceptual motor behavior. Am J Occup Ther. 1964;18:6–11.

    PubMed  Google Scholar 

  • Ayres AJ. Sensory integration and the child: understanding hidden sensory challenges. 2nd ed. Los Angeles: Western Psychological Services; 2005.

    Google Scholar 

  • Bachmeyer MH. Treatment selective and inadequate food intake in children: a review and practical guide. Behav Anal Pract. 2009;2(1):43–50.

    PubMed  Google Scholar 

  • Bandini L, Anderson SE, Curtin C, et al. Food selectivity and sensory issues in children with autism spectrum disorders. Proceedings from the International Meeting for Autism Research (May 7–9, 2009) Chicago.

    Google Scholar 

  • Bandini LG, Anderson SE, Curtin C, et al. Food selectivity in children with autism spectrum disorders and typically developing children. J Pediatr. 2010;157(2):259–64.

    Article  PubMed  Google Scholar 

  • Baranek GT, David FJ, Poe MD, Stone WL, Watson LR. Sensory experiences questionnaire: discriminating sensory features in young children with autism, developmental delays, and typical children. J Child Psychol Psyc. 2006;47:591–601.

    Article  Google Scholar 

  • Bennetto L, Kuschner ES, Hyman SL. Olfaction and taste processing in autism. Biol Psychiat. 2007;62:1015–21.

    Article  PubMed  Google Scholar 

  • Ben-Sasson A, Cermak S, Orsmond G, et al. Extreme sensory processing behaviors in toddlers with autism spectrum disorders. Am J Occup Ther. 2007;61:584–92.

    Article  PubMed  Google Scholar 

  • Ben-Sasson A, Hen L, Fluss R, Cermak SA, Engel-Yeger B, Gal E. A meta-analysis of sensory modulation symptoms in individuals with autism spectrum disorders. J Autism Dev Disord. 2009;39:1–11.

    Article  PubMed  Google Scholar 

  • Brown CE, Dunn W. Adolescent/Adult sensory profile: user’s manual. San Antonio: Pearson Education; 2002.

    Google Scholar 

  • Bruns DA, Thompson S. Time to eat: improving mealtimes of young children with autism. Young Except Child. 2011;14(4):3–18.

    Article  Google Scholar 

  • Cascio CJ, Foss-Feig JH, Heacock JL, et al. Response of neural reward regions to food cues in autism spectrum disorders. J Neuro Dev Disord. 2012;4(1):9–19.

    Article  Google Scholar 

  • Cermak SA, Curtin C, Bandini L. Food selectivity and sensory sensitivity in children with autism spectrum disorders. J Am Diet Assoc. 2010;110:238–46.

    Article  PubMed  Google Scholar 

  • Chamak B, Bonniau B, Jaunay E, Cohen D. What can we learn about autism from autistic individuals? Psychother Psychosom. 2008;77:277–9.

    Article  Google Scholar 

  • Collins MSR, Laverty A, Roberts S, Kyle R, Smith SM, Eaton-Evans J. Eating behaviour and food choices in children with Down’s syndrome, autistic spectrum disorder or cri du chat syndrome and comparison group of siblings. J Learn Disabil. 2004;8:331–50.

    Google Scholar 

  • Cornish E. A balanced approach towards healthy eating in autism. J Hum Nutr Diet. 1998;11:501–9.

    Article  Google Scholar 

  • Coulthard H, Blissett J. Fruit and vegetable consumption in children and their mothers. Moderating effects of sensory sensitivity. Appetite. 2009;52:410–5.

    Article  PubMed  Google Scholar 

  • Dominick KC, Davis NO, Lainhart J, Tager-Flusberg H, Folstein S. Atypical behaviors in children with autism and children with a history of language impairment. Res Dev Disabil. 2007;28:145–62.

    Article  PubMed  Google Scholar 

  • Dovey TM, Staples PA, Gibson EL, Halford JCG. Food neophobia and “picky/fussy” eating in children: a review. Appetite. 2008;50:181–93.

    Article  PubMed  Google Scholar 

  • Dunn W. The impact of sensory processing abilities on the daily lives of young children and their families: a conceptual model. Infant Young Child. 1997;9(4):23–5.

    Article  Google Scholar 

  • Dunn W. The sensory profile manual. San Antonio: The Psychological Corporation; 1999.

    Google Scholar 

  • Dunn W. The infant/toddler sensory profile manual. San Antonio: The Psychological Corporation; 2002.

    Google Scholar 

  • Dunn W. Sensory profile school companion: user’s manual. San Antonio: Psychological Corporation; 2006.

    Google Scholar 

  • Dunn W, Smith-Myles BS, Orr S. Sensory processing issues associated with Asperger syndrome: a preliminary investigation. Am J Occup Ther. 2003;56:97–102.

    Article  Google Scholar 

  • Ecker C, Parham D. Sensory processing measure – preschool version, home form. Torrance: Western Psychological Services; 2010.

    Google Scholar 

  • Emond A, Emmett P, Steer C, Golding J. Feeding symptoms, dietary patterns, and growth in young children with autism spectrum disorders. Pediatrics. 2010;126:3337–43.

    Article  Google Scholar 

  • Epstein T, Saltzmann-Benaiah J, O’Hare A, Goll JC, Tuck S. Associated features of Asperger syndrome and their relationship to parenting stress. Child Care Hlth Dev. 2008;34(4):503–11.

    Article  Google Scholar 

  • Ernsperger L, Stegen-Hanson T. Just take a bite. Easy, effective answers to food aversions and eating challenges. Arlington: Future Horizons; 2004.

    Google Scholar 

  • Field D, Garland M, Williams K. Correlates of specific childhood feeding problems. J Paediatr Child H. 2003;39:299–304.

    Article  Google Scholar 

  • Fiese BH, Schwartz M. Reclaiming the family table: mealtimes and child health and wellbeing. Soc Res Child Dev: Soc Policy Rep. 2008;22(3–9):13–20.

    Google Scholar 

  • Gale CM, Elkeseeth S, Rudrud E. Functional assessment and behavioral intervention for eating difficulties in children with autism: a study conducted in the natural environment using parents and ABA tutors as therapists. J Autism Dev Disord. 2011;41:1383–6.

    Article  PubMed  Google Scholar 

  • Geraghty ME, Depasquale GM, Lane AE. Nutritional intake and therapies in autism a spectrum of what we know: part 1. Infant Child Adolesc Nutr. 2010;2(1):62–9.

    Article  Google Scholar 

  • Grandin T. Calming effects of deep touch pressure in patients with autistic disorder, college students, and animals. J Child Adol Psychop. 1992;2(1):63–72.

    Article  Google Scholar 

  • Gray C. The new social stories book. Arlington: Future Horizons; 2000.

    Google Scholar 

  • Groden J, Diller A, Bausman M, Velicer W, Normal G, Cautela J. The development of a stress survey schedule for persons with autism and other developmental disabilities. J Autism Dev Disord. 2001;31:207–17.

    Article  PubMed  Google Scholar 

  • Herndon AC, DiGuiseppi C, Johnson SL, Leiferman J, Reynolds A. Does nutritional intake differ between children with autism spectrum disorders and children with typical development? J Autism Dev Disord. 2009;39(2):212–22.

    Article  PubMed  Google Scholar 

  • Kern J, Trivedi M, Garver C, et al. The pattern of sensory processing abnormalities in autism. Autism. 2006;10(5):480–94.

    Article  PubMed  Google Scholar 

  • Kimball J. Sensory integration frame of reference: theoretical base, function/dysfunction continua, and guide to evaluation. In: Kramer P, Hinojosa JJ, editors. Frames of reference for pediatric occupational therapy. 2nd ed. Philadelphia: Lippincott, Williams, & Wilkins; 1999. p. 119–68.

    Google Scholar 

  • Koegel RL, Bharoocha AA, Ribnick CB, et al. Using individualized reinforcers and hierarchical exposure to increase food flexibility in children with autism spectrum disorders. J Autism Dev Disord. 2012;42(8):1574–81.

    Article  PubMed  Google Scholar 

  • Laud RB, Girolami PA, Boscoe JH, Gulotta CS. Treatment outcomes for severe feeding problems in children with autism spectrum disorder. Behav Modif. 2009;33(5):520.

    Article  PubMed  Google Scholar 

  • Leekam S, Nieto C, Libby S, Wing L, Gould J. Describing the sensory abnormalities of children and adults with autism. J Autism Dev Disord. 2007;37:894–910.

    Article  PubMed  Google Scholar 

  • Legge B. Can’t eat, won’t eat. Dietary difficulties and autistic spectrum disorder. Philadelphia: Jessica Kingsley Publishers; 2002.

    Google Scholar 

  • Lewis D. Feeding intervention. The best practices newsletter of the interdisciplinary council on developmental & learning disorders. 2006;6(3–4):3.

    Google Scholar 

  • Lockner DW, Crowe T, Skipper BJ. Dietary intake and parents’ perception of mealtime behaviors in preschool-age children with autism spectrum disorder and in typically developing children. J Am Diet Assoc. 2008;108:1360–3.

    Article  PubMed  Google Scholar 

  • Marquenie K, Rodger S, Mangohig K, Cronin A. Dinnertime and bedtime routines and rituals in families with a young child with an autism spectrum disorder. Aust Occup Ther J. 2011;58:145–54.

    Article  PubMed  Google Scholar 

  • Marr D, Nackley V. Sensory stories. Framingham: Therapro; 2006.

    Google Scholar 

  • Marr D, Mika H, Miraglia J, Roerig M, Sinnott R. The effect of sensory stories on targeted behaviors in preschool children with autism. Phys Occup Ther Pedi. 2007;27(1):63–79.

    Article  Google Scholar 

  • Martins Y, Young RL, Robson DC. Feeding and eating behaviors in children with autism and typically developing children. J Autism Dev Disord. 2008;38:1878–87.

    Article  PubMed  Google Scholar 

  • Matson JL, Fodstad JC, Dempsey T. The relationship of children’s feeding problems to core symptoms of autism and PDD-NOS. Res Autism Spect Dis. 2009;3:759–66.

    Article  Google Scholar 

  • Miller-Kuhaneck H, Henry DA, Glennon TJ. Sensory processing measure – school form. Torrance: Western Psychological Services; 2007.

    Google Scholar 

  • Miller-Kuhaneck H, Henry DA, Glennon TJ. Sensory Processing Measure – Preschool version, school form. Torrance: Western Psychological Services; 2010.

    Google Scholar 

  • Morettini D. The “good eater”. The best practices newsletter of the interdisciplinary council on developmental & learning disorders. 2006;6(3/4):4–6.

    Google Scholar 

  • Nadon G, Feldman DE, Dunn W, Gisel E. Association of sensory processing and eating problems in children with autism spectrum disorders. Autism Res Treat. 2011a;2011(2011):1–8.

    Article  Google Scholar 

  • Nadon G, Feldman DE, Dunn W, Gisel E. Mealtime problems in children with autism spectrum disorder and their typically developing siblings: a comparison study. Autism. 2011b;15(1):98–113.

    Article  PubMed  Google Scholar 

  • Ornitz EM, Ritvo ER. The syndrome of autism: a critical review. Am J Psychiat. 1976;133:609–21.

    PubMed  Google Scholar 

  • Parham D, Ecker C. Sensory processing measure – home form. Torrance: Western Psychological Services; 2000.

    Google Scholar 

  • Paul C, Williams KE, Riegel K, Gibbons B. Combining repeated taste exposure and escape prevention: an intervention for the treatment of extreme food selectivity. Appetite. 2007;40:708–11.

    Article  Google Scholar 

  • Pelchat ML. Picky eater profile: what is normal? Pediatr Basics. 1996;75:8–12.

    Google Scholar 

  • Provost B, Crowe TK, Osbourn PL, McClain C, Skipper BJ. Mealtime behaviors of preschool children: comparison of children with autism spectrum disorder and children with typical development. Phys Occupl Ther Pedi. 2010;30(3):220–33.

    Article  Google Scholar 

  • Raiten DJ, Massaro T. Perspectives on the nutritional ecology of autistic children. J Autism Dev Disord. 1986;16(2):133–42.

    Article  PubMed  Google Scholar 

  • Raspa M, Bailey DB, Bishop E, Holiday D, Olmsted M. Obesity, food selectivity, and physical activity in individuals with Fragile X syndrome. Am J Intellect Dev Disabil. 2010;115(6):482–95.

    Article  PubMed  Google Scholar 

  • Rogers SJ, Hepburn S, Wehner E. Parent report of sensory symptoms in toddlers with autism and other developmental disorders. J Autism Dev Disord. 2003;33(6):631.

    Article  PubMed  Google Scholar 

  • Rogers LG, Magill-Evans J, Rempel GR. Mothers’ challenges in feeding their children with autism spectrum disorder – Managing more than just picky eating. J Dev Phys Disabil. 2011;24(1):19–33.

    Article  Google Scholar 

  • Schmitt L, Heiss CJ, Campbell E. A comparison of nutrient intake and eating behaviors of boys with and without autism. Top Clin Nutr. 2008;23:23–31.

    Article  Google Scholar 

  • Schoen SA, Miller LJ, Green KE. Pilot study of the sensory over-responsivity scales: assessment and inventory. Am J Occup Ther. 2008;62:393–406.

    Article  PubMed  Google Scholar 

  • Schreck KA, Williams K. Food preferences and factors influencing food selectivity for children with autism spectrum disorders. Res Dev Disabil. 2006;27:353–63.

    Article  PubMed  Google Scholar 

  • Schreck KA, Williams K, Smith AF. A comparison of eating behaviors between children with and without autism. J Autism Dev Disord. 2004;34:433–8.

    Article  PubMed  Google Scholar 

  • Seiverling L, Williams K, Sturmey P. Assessment of feeding problems in children with Autism Spectrum Disorders. J Dev Phys Disabil. 2010;22:401–13.

    Article  Google Scholar 

  • Seiverling L, Hendy HM, Williams K. The Screening Tool of Feeding Problems applied to children (STEP-CHILD): psychometric characteristics and associations with child and parent variables. Res Dev Disabil. 2011;32:1122–9.

    Article  PubMed  Google Scholar 

  • Sharp WG, Jaquess DL, Morton JF, Herzinger CV. Pediatric feeding disorders: a quantitative synthesis of treatment outcomes. Clin Child Fam Psych. 2010;13(4):348–65.

    Article  Google Scholar 

  • Sharp WG, Jaquess DL, Morton JF, Miles AG. Retrospective chart review of dietary diversity and feeding behavior of children with autism spectrum disorder before and after admission to a day-treatment program. Focus Autism Other Dev Disabl. 2011;26(1):37–48.

    Article  Google Scholar 

  • Shore SM. Beyond the wall: personal experiences with autism and Asperger syndrome. Shawnee Mission: Autism Asperger Publishing; 2001.

    Google Scholar 

  • Smith AM, Roux S, Naidoo NY, Venter D. Food choices of tactile defensive children. Nutrition. 2005;21:14–9.

    Article  PubMed  Google Scholar 

  • Tang B, Piazza CC, Dolezal D, Stein MT. Severe feeding disorder and malnutrition in 2 children with autism. J Dev Behav Pediatr. 2011;32:264–7.

    Article  PubMed  Google Scholar 

  • Tavassoli T, Baron-Cohen S. Taste identification in adults with autism spectrum conditions. J Autism Dev Disord. 2012;42:1419–24.

    Article  PubMed  Google Scholar 

  • The Autism Life. “What’s for dinner?” The Autism Life. 2006. http://www.theautismlife.com/what-is-for-dinner. Accessed 10 Sept 2012.

  • Tomchek SD, Dunn W. Sensory processing in children with and without autism: a comparative study using the short sensory profile. Am J Occup Ther. 2007;61:190–200.

    Article  PubMed  Google Scholar 

  • Tucker MT, Neifert M. Mealtime stories: A guide for feeding therapists. 2nd ed. Seattle: Mealtime Stories, LLC; 2008.

    Google Scholar 

  • Twachtman-Reilly J, Amaral SC, Zebrowski PP. Addressing feeding disorders in children on the autism spectrum in school-based settings: physiological and behavioral issues. Lang Speech Hear Ser. 2008;39:261–72.

    Article  Google Scholar 

  • Volkert VM, Vaz PCM. Recent studies on feeding problems in children with autism. J Appl Behav Anal. 2010;43:155–9.

    Article  PubMed  Google Scholar 

  • Whiteley P, Rodgers J, Shattock P. Commentary: feeding patterns in autism. Autism. 2000;4(2):207–11.

    Article  Google Scholar 

  • Wilbarger P, Wilbarger J. The Wilbarger approach to treating sensory defensiveness. In: Bundy AC, Lane S, Murray E, editors. Sensory integration: theory and practice. 2nd ed. Philadelphia: PA: F.A. Davis Company; 2002. p. 335–8.

    Google Scholar 

  • Williams MS, Schellenberger S. How does your engine run? A leader’s guide to the alert program for self-regulation- revised edition. Albequerque: Therapy Works; 1996.

    Google Scholar 

  • Williams PG, Dalrymple N, Neal J. Eating habits of children with autism. Pediatr Nurs. 2000;26(3):259–64.

    PubMed  Google Scholar 

  • Williams KE, Gibbons BG, Schreck KA. Comparing selective eaters with and without developmental disabilities. J Dev Phys Disabil. 2005;17:299–309.

    Article  Google Scholar 

  • Williams KE, Field DG, Seiverling L. Food refusal in children: a review of the literature. Res Dev Disabil. 2010;31(3):625–33.

    Article  PubMed  Google Scholar 

  • Zimmer MH, Hart LC, Manning-Courtney P, Murray DS, Bing NM, Summer S. Food variety as a predictor of nutritional status among children with autism. J Autism Dev Disord. 2012;42:549–56.

    Article  PubMed  Google Scholar 

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Correspondence to Sharon A. Cermak .

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Cermak, S.A., Curtin, C., Bandini, L. (2014). Sensory Sensitivity and Food Selectivity in Children with Autism Spectrum Disorders. In: Patel, V., Preedy, V., Martin, C. (eds) Comprehensive Guide to Autism. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4788-7_126

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  • DOI: https://doi.org/10.1007/978-1-4614-4788-7_126

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