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Assessment of Feeding Problems in Children with Autism Spectrum Disorders

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Abstract

Feeding problems are common among children with autism spectrum disorders (ASD), but the assessment of feeding behavior in this population has received little attention. Currently, two of the most promising psychometric assessments of feeding problems in children and adolescents with ASD are the Brief Autism Mealtime Behavior Inventory (BAMBI) (Lukens and Linscheid Journal of Autism and Developmental Disorders 38:342–352, 2008) and the Parent Mealtime Action Scale (PMAS) (Hendy et al. Appetite 52:328–339, 2009). The BAMBI addresses common feeding problems exhibited by children and adolescents with ASD and the PMAS addresses parent behavior associated with child mealtime problem behavior. Additionally, there are direct observation measures that assess feeding problems. The current definition for pediatric feeding problems in the Diagnostic and Statistical Manual of Mental Disorders (4th ed., text revisions [DSM-IV-TR]; American Psychiatric Association [APA] 2000) is limited and incomplete when assessing feeding problems in children with ASD; however, proposed changes to diagnostic criteria may lead to more accurate assessment of feeding problems in this population.

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References

  • Ahearn, W. H. (2003). Using simultaneous presentation to increase vegetables consumption in a mildly selective child with autism. Journal of Applied Behavior Analysis, 36, 361–365.

    Article  PubMed  Google Scholar 

  • Ahearn, W. H., Castine, T., Nault, K., & Green, G. (2001). An assessment of food acceptance in children with autism or pervasive developmental disorder-not otherwise specified. Journal of Autism and Developmental Disorders, 31, 505–511.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington: Author.

    Google Scholar 

  • American Psychiatric Association. (2010). DSM-5: The future of psychiatric diagnosis. Retrieved from http://www.dsm5.org/Pages/Default.aspx.

  • Archer, L. A., Rosenbaum, P. L., & Streiner, D. L. (1991). The children’s eating behavior inventory: reliability and validity results. Journal of Pediatric Psychology, 16, 629–642.

    Article  PubMed  Google Scholar 

  • Bandini, L. G., Anderson, S. E., Curtin, C., Cermak, S., Evans, E. W., Scampini, R., et al. (in press). Food selectivity in children with autism spectrum disorders and typically developing children. Journal of Pediatrics.

  • Crist, W., & Napier-Phillips, A. (2001). Mealtime behaviors of young children: a comparison of normative and clinical data. Journal of Developmental and Behavioral Pediatrics, 22, 279–286.

    PubMed  Google Scholar 

  • Field, D., Garland, M., & Williams, K. (2003). Correlates of specific childhood feeding problems. Journal of Pediatric Child Health, 39, 299–304.

    Article  Google Scholar 

  • Fodstad, J. C., & Matson, J. L. (2008). A comparison of feeding and mealtime problems in adults with intellectual disabilities with and without autism. Journal of Developmental and Physical Disabilities, 20, 541–550.

    Article  Google Scholar 

  • Gilliam, J. E. (1995). Gilliam Autism Rating Scale: Examiner’s manual. Austin: Pro-Ed.

    Google Scholar 

  • Hendy, H. M., Williams, K. E., Camise, T. S., Eckman, N., & Hedemann, A. (2009). The Parent Mealtime Action Scale (PMAS). Development and association with children’s diet and weight. Appetite, 52, 328–339.

    Article  PubMed  Google Scholar 

  • Hendy, H. M., Williams, K. E., Riegel, K., & Paul, C. (2010). Parent mealtime actions that mediate associations between children’s fussy eating and their weight and diet. Appetite, 54, 191–195.

    Article  PubMed  Google Scholar 

  • Kalyva, E. (2009). Comparison of eating attitudes between adolescent girls with and without Asperger syndrome: daughters’ and mothers’ reports. Journal of Autism and Developmental Disorders, 39, 480–486.

    Article  PubMed  Google Scholar 

  • Kanner, L. (1943). Autistic disturbances of affective contact. The Nervous Child, 2, 217–250.

    Google Scholar 

  • Kuhn, D. E., & Matson, J. L. (2002). A validity study of the Screening Tool of Feeding Problems (STEP). Journal of Intellectual and Developmental Disability, 27, 161–167.

    Article  Google Scholar 

  • Laud, R. B., Girolami, P. A., Boscoe, J. H., & Gulotta, C. S. (2009). Treatment outcomes for severe feeding problems in children with autism spectrum disorder. Behavior Modification, 33, 520–536.

    Article  PubMed  Google Scholar 

  • Ledford, J. R., & Gast, D. L. (2006). Feeding problems in children with autism spectrum disorders: a review. Focus on Autism and Other Developmental Disabilities, 21, 153–166.

    Article  Google Scholar 

  • Levin, L., & Carr, E. G. (2001). Food selectivity and problem behavior in children with developmental disabilities: analysis and intervention. Behavior Modification, 25, 443–470.

    Article  PubMed  Google Scholar 

  • Lockner, D. W., Crowe, T. K., & Skipper, B. J. (2008). Dietary intake and parents’ perception of mealtime behaviors in preschool-age children with autism spectrum disorder and in typically developing children. Journal of American Dietetic Association, 108, 1360–1363.

    Article  Google Scholar 

  • Lukens, C. T., & Linscheid, T. R. (2008). Development and validation of an inventory to assess mealtime behavior in children with autism. Journal of Autism and Developmental Disorders, 38, 342–352.

    Article  PubMed  Google Scholar 

  • Matson, J. L., & Kuhn, D. (2001). Identifying feeding problems in mentally retarded persons: development and reliability of a screening tool of feeding problems (STEP). Research in Developmental Disabilities, 21, 165–172.

    Article  Google Scholar 

  • Matson, J. L., & Vollmer, T. R. (1995). The questions about behavioral function (QABF). Users` guide. Baton Rouge: Disability Consultants LLC.

    Google Scholar 

  • Matson, J. L., Mayville, S. B., Kuhn, D. E., Sturmey, P., Laud, R., et al. (2005). The behavioral function of feeding problems as assessed by the Questions About Behavioral Function (QABF). Research in Developmental Disabilities, 26, 399–408.

    Article  PubMed  Google Scholar 

  • Matson, J. L., Fodstad, J. C., & Boisjoli, J. A. (2008). Cutoff scores, norms and patterns of feeding problems for the Screening Tool of Feeding Problems (STEP) for adults with intellectual disabilities. Research in Developmental Disabilities, 29, 363–372.

    Article  PubMed  Google Scholar 

  • Munk, D. D., & Repp, A. C. (1994). Behavioral assessment of feeding problems of individuals with severe disabilities. Journal of Applied Behavior Analysis, 27, 241–250.

    Article  PubMed  Google Scholar 

  • Najdowski, A. C., Wallace, M. D., Doney, J. K., & Ghezzi, P. M. (2003). Parental assessment and treatment of food selectivity in natural settings. Journal of Applied Behavior Analysis, 36, 383–386.

    Article  PubMed  Google Scholar 

  • Paul, C., Williams, K. E., Riegel, K., & Gibbons, B. (2007). Combining repeated taste exposure and escape extinction. Appetite, 49, 708–711.

    Article  PubMed  Google Scholar 

  • Pizzo, B., Williams, K. E., Paul, C., & Riegel, K. (2009). Jump start exit criterion: exploring a new model of service delivery for the treatment of childhood feeding problems. Behavioral Interventions, 24, 195–203.

    Article  Google Scholar 

  • Schmitt, L., Heiss, C. J., & Campbell, E. E. (2008). A comparison of nutrient intake and eating behavior of boys with and without autism. Topics in Clinical Nutrition, 23, 23–31.

    Google Scholar 

  • Shreck, K. A., Williams, K. E., & Smith, A. F. (2004). A comparison of eating behaviors between children with and without autism. Journal of Autism and Developmental Disorders, 34, 433–438.

    Article  Google Scholar 

  • Skinner, B. F. (1953). Science and human behavior. New York: MacMillan.

    Google Scholar 

  • Wardle, J., Guthrie, C. A., Sanderson, S., & Rapoport, L. (2001). Development of the children’s eating behaviour questionnaire. Journal of Child Psychology and Psychiatry, 42, 963–970.

    Article  PubMed  Google Scholar 

  • Williams, K. E., & Foxx, R. M. (2007). Treating eating problems of children with autism spectrum disorders and developmental disabilities. Austin: Pro-Ed.

    Google Scholar 

  • Williams, K. E., & Seiverling, L. (2010). Eating problems in children with autism spectrum disorders. Topics in Clinical Nutrition, 25, 27–37.

    Google Scholar 

  • Williams, K. E., Riegel, K., & Kerwin, M. L. (2009). Feeding disorder of infancy or early childhood: how often is it seen in feeding programs? Children’s Health Care, 38, 123–136.

    Article  Google Scholar 

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Correspondence to Peter Sturmey.

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Seiverling, L., Williams, K. & Sturmey, P. Assessment of Feeding Problems in Children with Autism Spectrum Disorders. J Dev Phys Disabil 22, 401–413 (2010). https://doi.org/10.1007/s10882-010-9206-0

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