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Understanding feeding problems in autistic children: Exploring the interplay between internalizing symptoms and sensory features.

Autism : the international journal of research and practice2022

Crippa Alessandro, Colombo Paola, De Cosmi Valentina, Mazzocchi Alessandra, Scaglioni Silvia, Spolidoro Giulia Carla Immacolata, Bettocchi Silvia, D'Oria Veronica, Viganò Nicole, Mani Elisa, Molteni Massimo, Agostoni Carlo

What this study means for families

This study looked at eating difficulties in young autistic children (1.5-5 years old). Children with eating problems also had more anxiety and emotional issues, plus differences in how they process sights, sounds, and other sensory input. The research suggests that sensory challenges might be a key reason why some autistic children struggle with eating. Before trying to help with feeding issues, it's important to understand each child's sensory needs and create calm, quiet environments for mealtimes.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This study examined feeding problems in autistic children aged 1.5-5 years, investigating relationships with internalizing symptoms and sensory processing. Results showed that children with feeding problems displayed elevated internalizing difficulties and sensory processing alterations compared to children without feeding problems. The research proposes that sensory processing may mediate the relationship between autism characteristics and feeding difficulties. Findings suggest the importance of assessing sensory profiles before implementing feeding interventions, with preliminary evidence supporting the use of sensory-friendly environments that minimize noise and overwhelming stimuli during feeding interventions.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Children with feeding problems showed elevated internalizing difficulties compared to those without feeding problems

    Confidence: moderateRelevance: Suggests need to address emotional wellbeing alongside feeding interventions
  • 2

    Sensory processing alterations were associated with feeding problems in autistic children

    Confidence: moderateRelevance: Indicates sensory assessment should be integral to feeding problem evaluation
  • 3

    Sensory processing may mediate the relationship between autism features and feeding problems

    Confidence: limitedRelevance: Suggests targeting sensory processing could improve feeding outcomes

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Comprehensive sensory assessment should precede feeding interventions. Environmental modifications reducing noise and overwhelming stimuli may improve feeding intervention outcomes. Addressing internalizing symptoms alongside feeding problems may be beneficial. Multidisciplinary approach involving occupational therapists for sensory support is recommended.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

Study design and methodology are not specified. Sample size is not reported, limiting generalizability. Findings are described as preliminary, suggesting need for replication. The specific measures used and statistical analyses are unclear from the abstract.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original 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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Evidence Grade

Emerging

emerging

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Journal
Autism : the international journal of research and practice
Year
2022
PMID
35249372
DOI
10.1177/13623613221080227

MeSH Terms

ChildHumansAutistic DisorderAutism Spectrum DisorderFeeding Behavior