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Updated: Jan 29, 2026

Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder
Published on: April 22, 2015
Association between feeding/mealtime behavior problems and internalizing/externalizing problems in autism spectrum
Francesco Craig1, Andrea DE Giacomo2, Francesca F Operto2
1Unit for Severe Disabilities in Developmental Age and Young Adults, IRCCS Eugenio Medea, Brindisi, Italy.
Children with autism spectrum disorder (ASD) experience more feeding and mealtime behavior issues, such as food refusal and limited food variety, compared to other neurodevelopmental disorders and typically developing children. Routine screening is recommended to address potential dietary problems.
Area of Science:
- Pediatric Psychology
- Developmental Neuroscience
- Clinical Nutrition
Background:
- Autism spectrum disorder (ASD) is associated with unique challenges.
- Feeding and mealtime behaviors are critical aspects of child development.
- Understanding these behaviors in ASD is crucial for early intervention.
Purpose of the Study:
- To compare feeding and mealtime behavior problems in children with ASD versus other neurodevelopmental disorders (NNDs) and typically developing (TD) children.
- To investigate the influence of intelligence quotient (IQ) and emotional/behavioral issues on these problems in ASD.
- To identify specific feeding challenges faced by children with ASD.
Main Methods:
- Utilized validated assessments including the Social Communication Questionnaire (SCQ), Child Behavior Checklist (CBCL), Brief Autism Mealtime Behavior Inventory (BAMBI), and Behavioral Pediatric Feeding Assessment Scale (BPFAS).
- Compared feeding and mealtime behaviors across three groups: ASD, NNDs, and TD children.
- Analyzed the correlation between IQ, emotional/behavioral problems, and feeding issues in the ASD cohort.
Main Results:
- Children with ASD exhibited significantly more feeding problems, including food refusal and limited food variety, compared to NND and TD groups.
- The ASD group demonstrated increased mealtime behavior problems and challenges with parent behaviors during meals compared to the TD group.
- Internalizing and externalizing behaviors in children with ASD were linked to increased parental frustration during mealtimes.
Conclusions:
- Feeding and mealtime behavior problems are prevalent in children with ASD.
- Routine screening for these issues in ASD is essential to prevent nutritional deficiencies.
- Early identification and intervention can mitigate negative impacts on dietary intake and family well-being.
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