IRCCS Stella Maris Foundation, Viale del Tirreno 331, 56018, Calambrone, Pisa, Italy.
University of Perugia, Piazza G. Ermini, 1, 06123, Perugia, Italy.
J Autism Dev Disord. 2017 Nov;47(11):3574-3588. doi: 10.1007/s10803-017-3271-5.
This study investigated the prevalence and type of gastrointestinal (GI) and food selectivity (FS) symptoms in 163 preschoolers with ASD, and their possible links with core ASD features and emotional/behavioural problems. 40.5% of children with ASD had at least one severe GI symptom or FS. Preschoolers with and without GI symptoms and with and without FS were significantly different on several emotional/behavioural problems and restrictive/repetitive behaviours, whereas they did not differ significantly on performance IQ and autistic severity. The GI plus FS group presented with Sleep Problems, Self-injurious Behaviors and Anxiety Problems. Results indicated the need for early identification of GI disturbances and FS in order to design tailored intervention for these symptoms frequently associated to challenging behaviours in ASD.
本研究调查了 163 名自闭症谱系障碍(ASD)学龄前儿童的胃肠道(GI)和食物选择性(FS)症状的流行率和类型,及其与核心 ASD 特征和情绪/行为问题的可能联系。40.5%的 ASD 儿童至少存在一种严重的 GI 症状或 FS。有 GI 症状和无 GI 症状、有 FS 和无 FS 的学龄前儿童在几种情绪/行为问题和限制/重复行为上存在显著差异,而在表现智商和自闭症严重程度上则无显著差异。GI 加 FS 组表现出睡眠问题、自伤行为和焦虑问题。研究结果表明,需要早期识别 GI 紊乱和 FS,以便为这些与 ASD 中常见的挑战性行为相关的症状设计针对性的干预措施。