Cited by 151Child Nutrition and Feeding IssuesAutism Spectrum Disorder ResearchEating Disorders and Behaviors

Clinical differences in children with autism spectrum disorder with and without food selectivity

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Postorino, Valentina, Sanges, Veronica, Giovagnoli, Giulia, Fatta, Laura Maria, De Peppo, Lavinia, Armando, Marco, Vicari, Stefano, Mazzone, Luigi·2015·Appetite

Abstract

Several studies have described the atypical eating behaviors frequently occurring in children with Autism Spectrum Disorder (ASD), and food selectivity is the most frequent of these problems. The everyday management of mealtime behaviors among children with ASD can have a negative impact on family routines and become a significant stressor for families. However, much remains unknown about why food selectivity is so prevalent among individuals with ASD. The objective of this study was to investigate clinical and behavioral features in individuals with ASD with the aim of identifying distinctive clinical profiles in children with and without food selectivity. A total of 158 children with ASD were enrolled in this study: 79 participants with food selectivity (FS) were age and sex matched with 79 participants without food selectivity (No FS). All participants and their parents completed a battery of psychological tests for a comprehensive evaluation of ASD symptoms, cognitive abilities, adaptive skills, behavioral problems and parental stress level. No statistically significant difference on gastrointestinal symptoms and growth adequacy was found between the FS group and the No FS group. Overall, the FS group showed significantly higher rates of ASD symptoms as compared to the No FS group in the questionnaires completed by parents. Furthermore, parents of the FS group reported significantly higher levels of parental stress and a larger degree of their children's behavioral problems as compared to the No FS group. Finally, there were no differences between the FS and the No FS group on any adaptive skill domain. Our findings suggest that the identification of distinctive clinical and behavioral patterns in children with ASD and food selectivity is a crucial issue for parents and therapists in the daily management.

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  1. Abidin, R. R. (1990). The parenting stress index-short form. Test manual. Charlottesville, VA: Pediatric Psychology Press.
  2. Cianchetti, C., & Fancello, G. S. (2007). M. Rutter, A. Bailey, & C. Lord (Eds.), Social Communication Questionnaire (SCQ). Firenze: Giunti Organizzazioni Speciali. (adattamento Italiano a cura di).
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Authors
Postorino, V., Sanges, V., Giovagnoli, G., Fatta, L. M., De Peppo, L., Armando, M., Vicari, S., & Mazzone, L.
Affiliations
  • Bambino Gesù Children's Hospital (IT)
  • Libera Università Maria SS. Assunta (IT)
Corresponding author
Postorino, Valentina
Venue
Appetite
Publisher
Elsevier BV
Published
2015-09
Volume
92
Pages
126-132
ISSN
0195-6663 (ISSN-L)
OpenAlex
W349532591
Cited by
151
References
64
Citations by year
2026: 14 · 2025: 22 · 2024: 15 · 2023: 17 · 2022: 18 · 2021: 21 · 2020: 4 · 2019: 9 · 2018: 13 · 2017: 6 · 2016: 11
FWCI
8.11
Type
journal article
Language
en
Open access
Locations
  • Appetite (publishedVersion)
  • PubMed (publishedVersion)
  • Cineca Institutional Research Information System (Tor Vergata University) (submittedVersion, other-oa)
  • IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
  • SERVAL (Université de Lausanne) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Keywords
autism spectrum disorder, picky eating, mealtime behavior, parental stress, behavioral problems, adaptive skills, gastrointestinal symptoms, clinical profile, children
MeSH terms
Autism Spectrum Disorder, Child, Child Behavior Disorders, Child, Preschool, Family, Feeding Behavior, Female, Food Preferences, Gastrointestinal Diseases, Humans, Male, Parents, Surveys and Questionnaires, Stress, Physiological, Meals

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