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Updated: Oct 1, 2025

Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder
Published on: April 22, 2015
Understanding feeding problems in autistic children: Exploring the interplay between internalizing symptoms and
Alessandro Crippa1, Paola Colombo1, Valentina De Cosmi2
1IRCCS Eugenio Medea, Italy.
Insights
Feeding problems in autistic children are linked to internalizing difficulties and sensory processing alterations. Sensory processing may mediate the relationship between autism features and feeding issues, informing tailored interventions.
Area of Science:
- Neurodevelopmental disorders
- Pediatric feeding disorders
- Sensory processing
Background:
- Feeding problems are prevalent in children with autism spectrum disorder (ASD).
- Understanding the factors contributing to these feeding issues is crucial for effective intervention.
- Previous research suggests a link between sensory processing and feeding difficulties in autistic children.
Purpose of the Study:
- To investigate the relationship between feeding problems, internalizing difficulties, and sensory processing in young autistic children.
- To explore the potential mediating role of sensory processing in the association between autism features and feeding problems.
Main Methods:
- Comparative study of children aged 1.5-5 years with and without feeding problems.
- Assessment of internalizing difficulties and sensory processing alterations.
- Statistical analysis to determine mediating factors.
Main Results:
- Children with autism and feeding problems showed higher rates of internalizing difficulties compared to controls.
- Alterations in sensory processing were observed in autistic children with feeding problems.
- Sensory processing was identified as a potential mediator between autism characteristics and feeding challenges.
Conclusions:
- Sensory processing is a significant factor influencing feeding problems in autistic children.
- Interventions for feeding difficulties in autism should consider individual sensory profiles.
- Environmental modifications to accommodate sensory needs may enhance feeding interventions for autistic children.
Lay Abstract:
This study adds to a growing body of research documenting feeding problems in autistic children. Our results indicate that children aged 1.5-5 years with feeding problems may present with elevated internalizing difficulties and alterations in sensory processing when compared to same-age children without feeding problems. Our study also proposes that sensory processing may be an important, mediating factor in the relationship between autism features and feeding problems. The present work suggests, therefore, that implementers should thoroughly consider the sensory profile of autistic children prior to intervening on feeding behaviors. In particular, based on these preliminary findings, feeding interventions could benefit from environments designed to support children who can find them noisy and overwhelming.
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