Center for Autism Research, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Clin Child Fam Psychol Rev. 2017 Dec;20(4):403-421. doi: 10.1007/s10567-017-0236-3.
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.
选择性进食（常被称为“挑食”）在自闭症谱系障碍（ASD）患者中较为常见，贯穿整个生命周期。行为干预措施被广泛用于治疗选择性进食；然而，这些方案大多耗时且尚未在门诊环境中进行评估，通常不包括幼儿以外的青少年或成年人。尽管选择性进食会对功能产生影响并存在负面结果的风险，但对于有或没有 ASD 的大龄儿童、青少年或成年人，目前尚无经过实证支持的治疗方法。为了解决这一治疗缺口，我们开发了 BUFFET：建立食物灵活性和暴露治疗计划。BUFFET 是一项为期 14 周的、多家庭小组认知行为治疗计划，用于治疗患有 ASD 的儿童（8-12 岁）的选择性进食问题。在本文中，我们将（1）讨论 BUFFET 的理论概念化，（2）描述治疗内容和结构，（3）呈现初步试点试验的可行性数据，以及（4）考虑治疗开发的下一步。
