Treating Food and Liquid Refusal in an Adolescent With Asperger’s Disorder
Abstract
Food refusal is a complicated condition that has both medical and social implications. In this study, a 16-year-old boy with Asperger’s disorder, dependent on gastrostromy tube feedings for 9 years, is treated with a behavioral intervention. The intervention consists of several components, including stimulus fading for both solids and liquids, a token economy for solids, and an escape prevention component for liquids. Before treatment, the participant consumes three different foods and water. After treatment, the participant is consuming 78 foods and 13 beverages. At the end of 14 days of treatment, all of the participant’s intakes are received orally, tube feedings are eliminated, and the patient has gained more than 1 pound on oral feedings. The intervention is generalized to both home and school settings, and maintenance of treatment gains is reported by parents 3 months after the end of treatment.
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The most observable consequence of a severely restricted diet is low weight or significant weight loss, which in children tends to manifest as a persistent inability to meet expected growth or developmental expectations.
“Arguably, the most observable consequence of a severely restricted diet is low weight or significant weight loss, which in children tends to manifest as a persistent inability to meet expected growth or developmental expectations.41,53,54,66,67”
From Avoidant/Restrictive Food Intake Disorder and Severe Food Selectivity in Children and Young People with Autism: A Scoping Review (2022) · cites this paper as [41]
Various behavioural interventions, including backward chaining, stimulus fading procedures, repeated taste exposure, escape extinction, and positive reinforcement interventions, have been reported to improve intake and diminish the impact of limited intake for children and young people with autism displaying severe food selectivity, sensory dysfunction, and food and liquid refusal.
“Various behavioural interventions, including backward chaining, stimulus fading procedures, repeated taste exposure, escape extinction, and positive reinforcement interventions have been reported to improve intake and diminish the impact of limited intake for children and young people with autism displaying severe food selectivity, sensory dysfunction, and food and liquid refusal.41,50,51,74,[77][”
From Avoidant/Restrictive Food Intake Disorder and Severe Food Selectivity in Children and Young People with Autism: A Scoping Review (2022) · cites this paper as [41]
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- Authors
- Roth, M. P., Williams, K. E., & Paul, C. M.
- Affiliations
- Pennsylvania State University (US)
- Penn State Milton S. Hershey Medical Center (US)
- ORCID
- Williams, Keith E.
- Venue
- Clinical Case Studies
- Publisher
- SAGE Publications
- Published
- 2010-06-18
- Volume
- 9
- Issue
- 4
- Pages
- 260-272
- ISSN
- 1534-6501 (ISSN-L)
- 1552-3802
- OpenAlex
- W1986244011
- Cited by
- 17
- References
- 22
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 2 · 2022: 1 · 2020: 1 · 2019: 2 · 2018: 2 · 2017: 1 · 2015: 1 · 2013: 2 · 2012: 1
- FWCI
- 0.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Case Studies (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Keywords
- food refusal, Asperger syndrome, adolescents, behavioral interventions, stimulus fading, token economy, escape prevention, gastrostomy tube feeding, oral feeding, treatment generalization, maintenance therapy
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