期刊
JOURNAL OF PEDIATRIC PSYCHOLOGY
卷 44, 期 8, 页码 988-998出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/jpepsy/jsz033
关键词
autism spectrum disorder; feeding problems; food selectivity; preschoolers
资金
- Canadian Institutes of Health Research
- Autism Speaks
- Government of British Columbia
- Alberta Innovates Health Solutions
- Kids Brain Health Network
- Sinneave Family Foundation
- Mayberry Family
- Social Sciences and Humanities Research Council by a Joseph-Armand Bombardier Doctoral Scholarship
- Joan and Jack Craig Chair in Autism Research
- Hamilton Health Sciences Early Career Award
- Patsy and Jamie Anderson Chair in Child and Youth Mental Health
- Stollery Children's Hospital Foundation Chair in Autism
- Canada Research Chair in Children's Mental Health and Violence Prevention
Objective Although feeding problems are a common concern in children with autism spectrum disorder (ASD), few longitudinal studies have examined their persistence over time. The purpose of this study was to examine the developmental progression of feeding problems across four time points in preschoolers with ASD. Methods Group-based trajectory analyses revealed four distinct trajectories of feeding problems in our sample (N = 396). Results The majority of children showed levels of feeding problems that were low from the outset and stable (Group 1; 26.3%) or moderate and declining over time (Group 2; 38.9%). A third group (26.5%) showed high levels of feeding problems as preschoolers that declined to the average range by school age. Few participants (8.3%) showed evidence of severe chronic feeding problems. Feeding problems were more highly correlated with general behavior problems than with autism symptom severity. Conclusions Overall, our findings demonstrated that in our sample of children with ASD, most feeding problems remitted over time, but a small subgroup showed chronic feeding problems into school age. It is important to consider and assess feeding problems in ASD against the backdrop of typical development, as many children with ASD may show improvement with age.
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