Cited by 141Child Nutrition and Feeding IssuesEating Disorders and BehaviorsNutrition, Health and Food Behavior

Eating behaviour, behavioural problems and sensory profiles of children with avoidant/restrictive food intake disorder (ARFID), autistic spectrum disorders or picky eating: Same or different?

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Dovey, Terence M., Kumari, Veena, Blissett, Jackie·2019·European Psychiatry

Abstract

BACKGROUND: Not much is known at present about the behavioural and sensory profiles of children with avoidant/restrictive food intake disorder (ARFID), the newest addition to the eating disorder diagnostic category in DSM-V. Our aims were to examine eating difficulties, behavioural problems and sensory hypersensitivity in ARFID children, relative to typically developing children with no reported feeding, mental or physical health problems, as well as children with autistic spectrum disorders (ASD; typically associated with a high prevalence of eating problems) or Picky Eating (PE). METHODS: Four hundred and eighty-six parents of children with ARFID (n = 29), ASD (n = 56), PE (n = 143) or no reported difficulties (n = 259) completed (online) the Behavioral Pediatric Feeding Assessment Scale, the Child Eating Behaviour Questionnaire, Strengths and Difficulties Questionnaire, and the Sensory Experiences Questionnaire about the children. RESULTS: The ARFID, ASD and PE groups had eating difficulties, behavioural problems and sensory hypersensitivity, relative to the typically developing group, and differed significantly on only some of the dimensions assessed. Specifically, the ARFID group had the lowest food-responsiveness and differed significantly from the PE and typically developing (but not from ASD) groups while the ASD group had significantly greater behavioural problems and social and non-social sensitivity than all other groups. CONCLUSIONS: Notable overlap in eating difficulties, behavioural problems and sensory profiles of children with ARFID, ASD or PE, with more severe aberrations in ARFID (food-responsiveness) and ASD (hypersensitivity and social problems) on specific dimensions, argue for a dimensional approach to improve therapy and management of children with these disorders.

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  1. Dovey TM, Martin CI. A parent-led contingent reward desensitisation invention for children with a feeding problem resulting from sensory defensiveness. ICAN. 2012;4(6):384-393.
  2. Crist W McDonnell P, Beck M, Gillespie C, Barrett P, Mathews J (1994). Behaviour at mealtimes and the young child with cystic fibrosis. J Dev Behav Pediatr. 1994;15:157-161.

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Authors
Dovey, T. M., Kumari, V., & Blissett, J.
Affiliations
Brunel University of London (GB)
Corresponding author
Dovey, Terence M.
Venue
European Psychiatry
Published
2019-09
Volume
61
Pages
56-62
ISSN
0924-9338 (ISSN-L)
OpenAlex
W2957455781
Cited by
141
References
49
Citations by year
2026: 16 · 2025: 21 · 2024: 21 · 2023: 23 · 2022: 27 · 2021: 21 · 2020: 11 · 2019: 1
FWCI
11.95
Type
journal article
Language
en
Open access
Locations
  • European Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Aston Publications Explorer (Aston University) (acceptedVersion)
  • Brunel University Research Archive (BURA) (Brunel University London) (acceptedVersion, cc-by-nc-nd)
  • Brunel University Research Archive (BURA) (Brunel University London) (submittedVersion, cc-by-nc-nd)
Funders
Wellcome Trust who funded the Citizen Science Project
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
avoidant/restrictive food intake disorder, autism spectrum disorder, picky eating, eating behaviour, behavioral problems, sensory hypersensitivity, food responsiveness, children, dimensional approach, feeding difficulties
MeSH terms
Problem Behavior, Autism Spectrum Disorder, Avoidant Restrictive Food Intake Disorder, Food Fussiness, Adolescent, Feeding and Eating Disorders, Child, Child Behavior, Child Development, Feeding Behavior, Female, Humans, Male, Surveys and Questionnaires, Retrospective Studies, Prevalence

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