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A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
Feeding problems among children with autism in a clinical population in India
Jewel Elias Crasta1, Tanya Elizabeth Benjamin, Ann Patricia Catherine Suresh
1Department of Occupational Therapy, Christian Medical College, Vellore, Tamil Nadu, India.
Insights
Children with autism experience more severe feeding problems (FP) and disruptive mealtime behaviors compared to those with intellectual disability (ID). Sensory processing is significantly linked to feeding issues in both groups.
Area of Science:
- Developmental Pediatrics
- Neurodevelopmental Disorders
- Sensory Processing Research
Background:
- Feeding problems (FP) are common in children with developmental disabilities.
- Understanding the link between FP and sensory processing is crucial for intervention.
Purpose of the Study:
- To compare the prevalence and characteristics of FP in children with autism and intellectual disability (ID).
- To investigate the relationship between FP and sensory processing in these populations.
Main Methods:
- A comparative study involving children aged 3-10 years with autism (N=41) and ID (N=56).
- Utilized the Brief Autism Mealtime Behavior Inventory, Sensory Profile Questionnaire, and developmental/intelligence scales.
- Employed bivariate and multivariate statistical analyses.
Main Results:
- The prevalence of FP was 61% in autism and 46.4% in ID.
- Children with autism exhibited more severe FP, disruptive mealtime behaviors, and food over-selectivity.
- Significant associations were found between FP and sensory processing dimensions in both groups, even after controlling for confounders.
Conclusions:
- Mandatory assessment of FP is recommended for all children with developmental disabilities.
- Multimodal, multidisciplinary interventions are necessary for addressing identified feeding problems.
Objectives:
To compare the prevalence and profile of feeding problems (FP) and their relationship with sensory processing in children with autism and intellectual disability (ID).
Methods:
Children between ages 3 to 10 y with autism (N = 41) and ID (N = 56) were recruited and assessed with Brief Autism Mealtime Behavior Inventory, Sensory Profile Questionnaire, Childhood Autism Rating Scale and Binet-Kamat Scale of Intelligence or Gesell's Developmental Schedule. Assessments were done by independent raters. Bivariate and multivariate analyses were used appropriately.
Results:
The prevalence of FP were 61 and 46.4% among children with autism and ID respectively. Feeding problems were severe among children with autism (P 0.001), especially in young children with autism (P 0.05), and gender was not related to FP. Disruptive meal-time behaviors (P 0.001) and food over-selectivity (P 0.02) were significantly more among children with autism in the bivariate and multivariate analysis. Feeding problems and various dimensions of sensory processing were significantly associated after controlling the confounders.
Conclusions:
These findings underscore the need for mandatory assessment of FP in children with developmental disabilities, and if present, they need to be addressed with multimodal-multidisciplinary interventions.
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