自闭症谱系障碍(ASD)的特征是核心症状(社会交往和限制和重复行为)和相关的合并症,包括感觉异常,喂养问题,挑战行为。患有ASD的儿童比同龄人经历更多的喂养问题。事实上,父母和临床医生必须每天管理儿童进餐时各种功能失调行为的负担(食物拒绝,种类有限的食物,单一食物摄入量,或流质饮食)。进餐时间的这些功能失调行为取决于医学/感官或行为的不同因素。因此,为了制定有效的临床干预方案,正确的评估是必要的。这项研究的目的是为临床医生提供有关食品选择性的指南,有关该现象的可能解释,以及直接/间接评估,收集有关目标喂养行为的详细和有用的信息。最后,据报道,对基于证据的感觉和行为策略的描述也适用于父母介导的干预措施,解决了ASD儿童的食物选择性.
Autisms Spectrum Disorders (ASD) are characterized by core symptoms (social communication and restricted and repetitive behaviors) and related comorbidities, including sensory anomalies, feeding issues, and challenging behaviors. Children with ASD experience significantly more feeding problems than their peers. In fact, parents and clinicians have to manage daily the burden of various dysfunctional behaviors of children at mealtimes (food refusal, limited variety of food, single food intake, or liquid diet). These dysfunctional behaviors at mealtime depend on different factors that are either medical/sensorial or behavioral. Consequently, a correct assessment is necessary in order to program an effective clinical intervention. The aim of this study is to provide clinicians with a
guideline regarding food selectivity concerning possible explanations of the phenomenon, along with a direct/indirect assessment gathering detailed and useful information about target feeding behaviors. Finally, a description of evidence-based sensorial and behavioral strategies useful also for parent-mediated intervention is reported addressing food selectivity in children with ASD.