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Clinical Child and Family Psychology Review

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22-05-2017

The BUFFET Program: Development of a Cognitive Behavioral Treatment for Selective Eating in Youth with Autism Spectrum Disorder

Auteurs: Emily S. Kuschner, Hannah E. Morton, Brenna B. Maddox, Ashley de Marchena, Laura Gutermuth Anthony, Judy Reaven

Gepubliceerd in: Clinical Child and Family Psychology Review | Uitgave 4/2017

Abstract

Selective eating (often referred to as “picky” eating) is common in individuals with autism spectrum disorder (ASD) across the lifespan. Behavioral interventions are widely used to treat selective eating; however, most of these programs are time intensive, have not been evaluated for use in outpatient settings, and do not typically include youth beyond early childhood. Despite the functional impact and risk for negative outcomes associated with selective eating, there are no empirically supported treatments available for older children, adolescents, or adults, either with or without ASD. To address this treatment gap, we developed BUFFET: the Building Up Food Flexibility and Exposure Treatment program. BUFFET is a 14-week, multi-family group cognitive behavioral treatment for selective eating in children (8–12 years) with ASD. In this paper, we will (1) discuss the theoretical conceptualization of BUFFET, (2) describe the treatment content and structure, (3) present feasibility data from the initial pilot trial, and (4) consider next steps in treatment development.

vorige artikel A Systematic Review and Meta-analysis of Parent Training for Disruptive Behavior in Children with Autism Spectrum Disorder

volgende artikel Meta-analysis of the Long-Term Treatment Effects of Psychological Interventions in Youth with PTSD Symptoms

Female sex was not exclusionary.

Chronological age inclusion criteria were 8–12 years. Two 12-year-olds were determined to be eligible for the study but were unable to participate due to logistical/scheduling conflicts.

It should be noted that BUFFET may be effective for children with these conditions or restricted diets; however, these conditions lead to selective eating that requires medical oversight and management. The decision was made to focus this initial trial on children without any externally determined factors driving selective eating. Future trials can examine the inclusion of children with co-occurring conditions, paired with interdisciplinary collaboration and oversight from pertinent medical professionals.

Due to a clerical error, one BUFFET group (n = 4) did not complete the global satisfaction ratings at their outcome assessment visit. Follow-up efforts were made: one family was quickly reached following the outcome assessment to complete the questionnaire, one family was reached too late for valid completion of these ratings, and two families were lost to follow-up.

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Titel: The BUFFET Program: Development of a Cognitive Behavioral Treatment for Selective Eating in Youth with Autism Spectrum Disorder
Auteurs: Emily S. Kuschner
Hannah E. Morton
Brenna B. Maddox
Ashley de Marchena
Laura Gutermuth Anthony
Judy Reaven
Publicatiedatum: 22-05-2017
Uitgeverij: Springer US
Gepubliceerd in: Clinical Child and Family Psychology Review / Uitgave 4/2017
Print ISSN: 1096-4037
Elektronisch ISSN: 1573-2827
DOI: https://doi.org/10.1007/s10567-017-0236-3

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