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Assessment and Treatment of Feeding Problems among Children with Autism Spectrum Disorders

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Comprehensive Guide to Autism

Abstract

This chapter describes the behavioral assessment and treatment of common feeding problems in children with autism spectrum disorders (ASD). Both direct assessment methods, which involve observing child behavior when foods are presented in various conditions, and indirect assessment methods, mostly in the form of caregiver-completed questionnaires, will be reviewed. A range of behavioral interventions that have been used to address several of these feeding problems are also examined and indications for their use will be discussed. Finally, methods used to teach caregivers to implement behavioral interventions are presented.

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References

  • Ahearn WH. Effect of two methods of introducing foods during feeding treatment on acceptance of previously rejected items. Behav Interv. 2002;17:111–27.

    Article  Google Scholar 

  • Ahearn WH. Using simultaneous presentation to increase vegetable consumption in a mildly selective child with autism. J Appl Behav Anal. 2003;36:361–5.

    Article  PubMed  Google Scholar 

  • Ahearn WH, Castine T, Nault K, Green G. An assessment of food acceptance in children with autism or pervasive developmental disorder-not otherwise specified. J Autism Dev Disord. 2001;31:505–11.

    Article  PubMed  Google Scholar 

  • Anderson CM, McMillan K. Parental use of escape extinction and differential reinforcement to treat food selectivity. J Appl Behav Anal. 2001;34:511–5.

    Article  PubMed  Google Scholar 

  • Anglesea MM, Hoch H, Taylor BA. Reducing rapid eating in teenagers with autism: use of a pager prompt. J Appl Behav Anal. 2008;41:107–11.

    Article  PubMed  Google Scholar 

  • Archer LA, Rosenbaum PL, Streiner DL. The children’s eating inventory: reliability and validity results. J Pediatr Psychol. 1991;16:629–42.

    Article  PubMed  Google Scholar 

  • Birch LL, McPhee L, Shoba BC, Pirok E, Steinberg L. What kind of exposure reduces children’s food neophobia?: looking vs. tasting. Appetite. 1987;9:171–8.

    Article  PubMed  Google Scholar 

  • Casey S, Perrin C, Merical C, Lecomte J, Milligan J, Walsh-Czekalski M. Increasing bite acceptance and reducing food refusal in a child with autism: moving beyond the clinic. J Behav Anal Health Sports Fit Med. 2008;1:34–44.

    Google Scholar 

  • Cermak SA, Curtin C, Bandini LG. Food selectivity and sensory sensitivity in children with autism spectrum disorders. J Am Diet Assoc. 2010;110:238–46.

    Article  PubMed  Google Scholar 

  • Cooke L. The importance of exposure for healthy eating in childhood: a review. J Hum Nutr. 2007;20:294–301.

    Article  Google Scholar 

  • Cornish E. A balanced approach towards healthy eating in autism. J Hum Nutr. 1998;11:501–9.

    Article  Google Scholar 

  • Field D, Garland M, Williams K. Correlates of specific childhood feeding problems. J Pediatr Child Health. 2003;39:299–304.

    Article  Google Scholar 

  • Freeman KA, Piazza CC. Combining stimulus fading, reinforcement, and extinction to treat food refusal. J Appl Behav Anal. 1998;31:691–4.

    Article  PubMed  Google Scholar 

  • Gentry JA, Luiselli JK. Treating a child’s selective eating through parent implemented feeding intervention in the home setting. J Dev Phys Disabil. 2008;20:63–70.

    Article  Google Scholar 

  • Hagopian LP, Farrell DA, Amari A. Treating total liquid refusal with backward chaining and fading. J Appl Behav Anal. 1996;29:573–5.

    Article  PubMed  Google Scholar 

  • Hendy HM, Williams KE, Camise TS, Eckman N, Hederman A. The parent mealtime action scale (PMAS). Development and association with children’s diet and weight. Appetite. 2009;54:191–5.

    Article  PubMed  Google Scholar 

  • Hendy HM, Williams KE, Riegel K, Paul C. Parent mealtime actions that mediate associations between children’s fussy eating and their weight and diet. Appetite. 2010;54:191–5.

    Article  PubMed  Google Scholar 

  • Hendy H, Seiverling L, Lukens CT, Williams KE. Brief assessment of mealtime behavior in children (BAMBIC): psychometrics and association with child characteristics and parent responses. Child Health Care. 2013;42:1–14.

    Google Scholar 

  • Herndon AC, DiGuiseppi C, Johnson SL, Leiferman J, Reynolds A. Does nutritional intake differ between children with autism spectrum disorders and children with typical development? J Autism Dev Disord. 2009;39:212–22.

    Article  PubMed  Google Scholar 

  • Kalat JW, Rozin P. Learned safety’ as a mechanism in long-delay taste-aversion learning in rats. J Comp Physiol Psychol. 1973;83:198–207.

    Article  PubMed  Google Scholar 

  • Kanner L. Autistic disturbances of affective contact. Nerv Child. 1943;2:217–50.

    Google Scholar 

  • Kern L, Marder TJ. A comparison of simultaneous and delayed reinforcement as treatments for food selectivity. J Appl Behav Anal. 1996;29:243–6.

    Article  PubMed  Google Scholar 

  • Laud RB, Girolami PA, Boscoe JH, Gulotta CS. Treatment outcomes for severe feeding problems in children with autism spectrum disorder. Behav Modif. 2009;33:520–36.

    Article  PubMed  Google Scholar 

  • Ledford JR, Gast DL. Feeding problems in children with autism spectrum disorders: a review. Focus Autism Dev Disabil. 2006;21:153–66.

    Article  Google Scholar 

  • Levin L, Carr EG. Food selectivity and problem behavior in children with developmental disabilities: analysis and intervention. Behav Modif. 2001;25:443–70.

    Article  PubMed  Google Scholar 

  • Linscheid TR. Behavioral treatments for pediatric feeding disorders. Behav Modif. 2006;30:6–23.

    Article  PubMed  Google Scholar 

  • Luiselli JK, Ricciardi JN, Gilligan K. Liquid fading to establish milk consumption by a child with autism. Behav Interv. 2005;20:155–63.

    Article  Google Scholar 

  • Lukens CT, Linscheid TR. Development and validation of an inventory to assess mealtime behavior in children with autism. J Autism Dev Disord. 2008;38:342–52.

    Article  PubMed  Google Scholar 

  • McCartney EJ, Anderson CM, English CL. Effect of brief clinic-based training on the ability of caregivers to implement escape extinction. J Posit Behav Interv. 2005;7:18–32.

    Article  Google Scholar 

  • Najdowski AC, Wallace MD, Doney JK, Ghezzi PM. Parental assessment and treatment of food selectivity in natural settings. J Appl Behav Anal. 2003;36:383–6.

    Article  PubMed  Google Scholar 

  • Najdowski AC, Wallace MD, Penrod B, Tarbox J, Reagon K, Higbee TS. Caregiver-conducted experimental functional analyses of inappropriate mealtime behavior. J Appl Behav Anal. 2008;41:459–465.

    Article  PubMed  Google Scholar 

  • Najdowski AC, Wallace MD, Reagon K, Penrod B, Higbee TS, Tarbox J. Utilizing a home-based parent training approach in the treatment of food selectivity. Behav Intervent. 2010;25:89–107.

    Article  Google Scholar 

  • Patel MR, Piazza CC, Kelly ML, Ochsner CA, Santana CM. Using a fading procedure to increase fluid consumption in a child with feeding problems. J Appl Behav Anal. 2001;34:357–60.

    Article  PubMed  Google Scholar 

  • Patel MR, Piazza CC, Martinez CJ, Volkert VM, Christine MS. An evaluation of two differential reinforcement procedures with escape extinction to treat food refusal. J Appl Behav Anal. 2002;35:363–74.

    Article  PubMed  Google Scholar 

  • Patel MR, Piazza CC, Layer SA, Coleman R, Swartzwelder DM. A systematic evaluation of food textures to decrease packing and increase oral intake of children with pediatric feeding disorders. J Appl Behav Anal. 2005;38:89–100.

    Article  PubMed  Google Scholar 

  • Patel M, Reed GK, Piazza CC, Mueller M, Bachmeyer MH, Layer SA. Use of a high-probability instructional sequence to increase compliance to feeding demands in the absence of escape extinction. Behav Interv. 2007;22:305–10.

    Article  Google Scholar 

  • Paul C, Williams KE, Riegel K, Gibbons B. Combining repeated taste exposure and escape extinction. Appetite. 2007;49:708–11.

    Article  PubMed  Google Scholar 

  • Penrod B, Wallace MD, Reagon K, Betz A, Higbee TS. A component analysis of a parent-conducted multi-component treatment for food selectivity. Behav Interv. 2010;25:207–28.

    Google Scholar 

  • Piazza CC, Patel MR, Santana CM, Goh HL, Delia MD, Lancaster B. An evaluation of simultaneous and sequential presentation of preferred and nonpreferred food to treat food selectivity. J Appl Behav Anal. 2002;35:259–70.

    Article  PubMed  Google Scholar 

  • Pizzo B, Williams KE, Paul C, Riegel K. Jump start exit criterion: exploring a new model of service delivery for the treatment of childhood feeding problems. Behav Interv. 2009;24:195–203.

    Article  Google Scholar 

  • Pizzo B, Coyle M, Seiverling L, Williams K. Plate A-Plate B: use of sequential presentation in the treatment of food selectivity. Behav Interv. 2012;27:175–184.

    Google Scholar 

  • Roth MP, Williams KE, Paul CM. Treating food and liquid refusal in an adolescent with Asperger’s Disorder. Clin Case Stud. 2010;9:260–72.

    Article  Google Scholar 

  • Schreck KA, Williams KE. Food preferences and factors influencing food selectivity for children with autism spectrum disorders. Res Dev Disabi. 2006;27:353–63.

    Article  Google Scholar 

  • Schreck KA, Williams K, Smith AF. A comparison of eating behaviors between children with and without autism. J Autism Dev Disord. 2004;34:433–8.

    Article  PubMed  Google Scholar 

  • Seiverling L, Hendy HM, Williams KE. The screening tool of feeding problems applied to children (STEP-CHILD): psychometric characteristics and associations with child and parent variables. Res Dev Disabil. 2011;32:1122–9.

    Article  PubMed  Google Scholar 

  • Seiverling L, Williams KE, Sturmey P, Hart S. Effects of behavioral skills training on parental treatment of children’s food selectivity. J Appl Behav Anal. 2012;45:197–203.

    Article  PubMed  Google Scholar 

  • Seiverling L, Kokitus A, Williams K. A clinical demonstration of a treatment package for food selectivity. Behav Anal Today. 2012;13:11–16.

    Google Scholar 

  • Sharp W, Jaquess D. Bite size and texture assessments to prescribe treatment for severe food selectivity in autism. Behav Interv. 2009;24:157–70.

    Article  Google Scholar 

  • VanDalen KH, Penrod B. A comparison of simultaneous versus sequential presentation of novel foods in the treatment of food selectivity. Behav Interv. 2010;25:191–206.

    Google Scholar 

  • Williams KE, Seiverling L. Eating problems in children with autism spectrum disorders. Top Clin Nutr. 2010;25:27–37.

    Article  Google Scholar 

  • Williams KE, Gibbons BG, Schreck KA. Comparing selective eaters with and without developmental disabilities. J Dev Phys Disabil. 2005;17:299–309.

    Article  Google Scholar 

  • Williams KE, Riegel K, Kerwin ML. Feeding disorder of infancy or early childhood: how often is it seen in feeding programs? Child Health Care. 2009;38:123–36.

    Article  Google Scholar 

  • Williams KE, Field DG, Seiverling L. Food refusal: a review of the literature. Res Dev Disabil. 2010;31:625–33.

    Article  PubMed  Google Scholar 

  • Williams KE, Hendy HM, Seiverling LJ, Can SH. Validation of the parent mealtime action scale (PMAS) when applied to children referred to a hospital-based feeding clinic. Appetite. 2011;56:553–7.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Feeding Program, Penn State Hershey Medical Center, 905 W Governor Road, 17033, Hershey, PA, USA

    Keith E. Williams

  2. Center for Pediatric Feeding Disorders, St. Mary’s Hospital for Children, 29-01 216th Street, 11360, Bayside, NY, USA

    Laura Seiverling

Authors
  1. Keith E. Williams
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  2. Laura Seiverling
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Corresponding author

Correspondence to Keith E. Williams .

Editor information

Editors and Affiliations

  1. Department of Biomedical Sciences, University of Westminster, Faculty of Science & Technology, London, United Kingdom

    Vinood B. Patel

  2. Nutritional Sciences Division and Genomics Centre, King's College London, London, United Kingdom

    Victor R. Preedy

  3. Faculty of Society and Health, Buckinghamshire New University, Middlesex, United Kingdom

    Colin R. Martin

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Williams, K.E., Seiverling, L. (2014). Assessment and Treatment of Feeding Problems among Children with Autism Spectrum Disorders. In: Patel, V., Preedy, V., Martin, C. (eds) Comprehensive Guide to Autism. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4788-7_119

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  • DOI: https://doi.org/10.1007/978-1-4614-4788-7_119

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-4787-0

  • Online ISBN: 978-1-4614-4788-7

  • eBook Packages: Behavioral Science

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