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短篇报告:口腔超敏反应在自闭症儿童喂养行为中的作用。

Short report: The role of oral hypersensitivity in feeding behaviors of young autistic children.

机构信息

The University of North Carolina at Chapel Hill, USA.

The University of Kansas, USA.

出版信息

Autism. 2023 May;27(4):1157-1162. doi: 10.1177/13623613221135091. Epub 2023 Feb 24.

Abstract

Feeding problems are common among autistic children and are linked to negative health consequences. Therefore, understanding feeding problems and factors that influence these behaviors is important for developing supports for children and families. While certain sensory processing patterns are commonly associated with feeding problems, less is known about the link between sensory processing and feeding behaviors in autism, as well as how parent behaviors and feelings during mealtime differ based on child sensory preferences. This research examined two groups of young autistic children who were reported to be picky eaters by their parents: those with and those without oral hypersensitivity. Children with oral hypersensitivity had more difficulty with food acceptance and their parents reported more negative feelings around feeding their child. However, the two groups of children (oral hypersensitive and not) did not differ in their medical/oral motor symptoms, mealtime behavior, or parent use of strategies at mealtimes. This research supports the need for personalized treatment strategies based on the child's sensory preferences to support both the child and parent in managing mealtimes.

摘要

喂养问题在自闭症儿童中很常见,并且与负面健康后果有关。因此,了解喂养问题以及影响这些行为的因素对于为儿童和家庭提供支持非常重要。虽然某些感觉处理模式通常与喂养问题有关,但对于自闭症患者中感觉处理与喂养行为之间的联系以及基于儿童感官偏好,父母在进餐时的行为和感觉有何不同,人们知之甚少。这项研究调查了两组被父母报告为挑食的年幼自闭症儿童:那些有口腔过敏和没有口腔过敏的儿童。口腔过敏的儿童在接受食物方面遇到更多困难,他们的父母在给孩子喂食时报告了更多的负面情绪。然而,两组儿童(口腔过敏和非口腔过敏)在医疗/口腔运动症状、进餐行为或父母在用餐时使用策略方面没有差异。这项研究支持根据儿童的感官偏好制定个性化的治疗策略,以支持儿童和家长管理进餐时间。

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Clinical Characteristics of 2 Groups of Children With Feeding Difficulties.两组喂养困难儿童的临床特征
J Pediatr Gastroenterol Nutr. 2016 Jan;62(1):161-8. doi: 10.1097/MPG.0000000000000914.

本文引用的文献

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Sensory perception in autism.自闭症的感觉知觉。
Nat Rev Neurosci. 2017 Nov;18(11):671-684. doi: 10.1038/nrn.2017.112. Epub 2017 Sep 29.
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Clinical Characteristics of 2 Groups of Children With Feeding Difficulties.两组喂养困难儿童的临床特征
J Pediatr Gastroenterol Nutr. 2016 Jan;62(1):161-8. doi: 10.1097/MPG.0000000000000914.

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