Non-public Health Care Center, Pediatric Neuropsychiatry Centre, 59-220 Legnica, Poland.
Department of Pediatrics, Pediatric Obesity and Metabolic Bone Diseases, Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40-055 Katowice, Poland.
Int J Environ Res Public Health. 2023 May 14;20(10):5822. doi: 10.3390/ijerph20105822.
Previous research shows that children with autism spectrum disorder (ASD) may experience several difficulties-including those related to eating-and this area of research needs to be explored further. This study had two main objectives: (1) comparison of the clinical (autism spectrum disorder) and non-clinical sample of children in terms of avoidant/restrictive food disorder, food neophobia, other eating-related behaviours and feeding practices; (2) assessment of selected predictors of food neophobia. The final sample included 54 children and parents from the clinical sample (ASD) and 51 from the non-clinical sample. Parents completed: the autism spectrum rating scales (ASRS), the eating disorders in youth questionnaire (EDY-Q), the children food neophobia scale (CFNS), the child eating behaviour questionnaire (CEBQ), the child feeding questionnaire (CFQ), and a socio-demographic survey. Our analysis allowed us to partially confirm the first hypothesis since the clinical sample (vs. the non-clinical group) had significantly higher scores in such variables as (a) avoidant/restrictive food disorder (ARFID), (b) food neophobia, (c) other eating-related behaviours: emotional under-eating, desire to drink, food fussiness, (d) feeding practices: pressure to eat. Moreover, our analysis of predictors of food neophobia in the clinical and non-clinical samples also allowed us to partially confirm the second hypothesis because it turned out that only in the clinical sample (vs. the non-clinical sample) were the predictors significantly associated with food neophobia, but only two of them (food fussiness and selective eating). In conclusion, our study showed that children with ASD (compared to children without this diagnosis) experience increased difficulties in eating behaviours, and their parents present a stronger intensity of the feeding practice based on pressure to eat. This study showed that feeding problems for children in the ASD sample are a significant problem, and it is still worth exploring this area in research.
先前的研究表明,自闭症谱系障碍(ASD)儿童可能会遇到多种困难,包括与饮食相关的困难,这一研究领域需要进一步探索。本研究有两个主要目标:(1)比较临床(自闭症谱系障碍)和非临床儿童样本在回避/限制型食物障碍、食物恐惧、其他与饮食相关行为和喂养行为方面的差异;(2)评估食物恐惧的选定预测因素。最终样本包括来自临床样本(ASD)的 54 名儿童及其家长,以及来自非临床样本的 51 名儿童及其家长。家长完成了自闭症谱系评定量表(ASRS)、青少年饮食障碍问卷(EDY-Q)、儿童食物恐惧量表(CFNS)、儿童饮食行为问卷(CEBQ)、儿童喂养问卷(CFQ)和社会人口学调查。我们的分析部分证实了第一个假设,因为临床样本(与非临床组相比)在以下变量中的得分显著更高:(a)回避/限制型食物障碍(ARFID),(b)食物恐惧,(c)其他与饮食相关的行为:情绪性少食、渴望饮水、对食物挑剔,(d)喂养行为:强迫进食。此外,我们对临床和非临床样本中食物恐惧预测因素的分析也部分证实了第二个假设,因为结果表明,只有在临床样本(与非临床样本相比)中,预测因素与食物恐惧显著相关,但只有两个因素(对食物挑剔和选择性进食)如此。总之,我们的研究表明,与没有这种诊断的儿童相比,ASD 儿童在饮食行为方面面临更大的困难,他们的父母在喂养行为方面表现出更强的强迫进食强度。这项研究表明,ASD 儿童的喂养问题是一个重大问题,在研究中仍值得进一步探讨这一领域。