An assessment
of food acceptance in children with autism or pervasive
developmental disorder-not otherwise specified.
Ahearn WH, Castine T, Nault K, Green G.
The New England Center for Children, Southboro,
MA 01772-2108, USA.
Bahearn@necc.org
Some children with autism and pervasive developmental
disorder-not
otherwise specified (PDD-NOS) have been reported
to have atypical feeding
behavior, such as sensitivity to food texture
and selective preferences for
particular foods.
No systematic studies of feeding behavior in this
population have been
published. Munk and Repp (1994) developed methods
for assessing feeding
problems in individuals with cognitive and physical
disabilities that allow
categorization of individual feeding patterns
based on responses to repeated
presentations of food. In this study, we systematically
replicated the Munk
and Repp procedures with children with autism
and PDD-NOS. Thirty children,
ages 3 to 14 years, were exposed to 12 food items
across 6 sessions.
Food acceptance, food expulsion, and disruptive
behavior were recorded
on a trial-by-trial basis. Approximately half
of the participants exhibited
patterns of food acceptance, indicating selectivity
by food category or food
texture. Others consistently accepted or rejected
items across food
categories.
Whether these patterns of food acceptance are
atypical remains to be
determined by comparison with the feeding patterns
of typically developing
children and other children with developmental
delays.
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