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Cited by 5Child Nutrition and Feeding IssuesBehavioral and Psychological StudiesAutism Spectrum Disorder Research

Assessment and Treatment of Feeding-Related Problem Behaviors of a 16-Year-Old Girl With PDD-NOS: A School-Based Case Study

Knapp, Vicki Madaus, Simmons, Lori, Verstraete, Steven K., McAdam, David B.·2012·Clinical Case Studies
DOI 10.1177/1534650112457019
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Abstract

This case study describes the successful implementation of a behavioral intervention for the mealtime problem behaviors of a 16-year-old girl with Pervasive Developmental Disorder Not Otherwise Specified attending a private school for students with developmental disabilities. Initially, an analogue-functional analysis using a pairwise single-case experimental design was conducted, and based on the results of this assessment, a multicomponent function-based intervention was developed. The results obtained demonstrated that interventions for problem behaviors developed in hospital-based clinics can be implemented in community-based educational settings successfully. The results also demonstrated that behavioral intervention strategies shown to be effective with young children with developmental disabilities also work for a teenager with an autism spectrum disorder, illustrating the generality of a behavioral approach to feeding difficulties. Methodological limitations of the case study, advantages of a community-based treatment approach, and recommendations for clinicians are provided.

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Crossref · 10.1177/1534650112457019

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19 of 19 references verified0 citation errors · 0 not checkable

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  • Fear- or phobia-based avoidance or restriction of intake has been evidenced amongst children and young people with autism, with anxieties relating to swallowing, contamination, fears of trying new foods, and choking preceded by a traumatic event.

    “The second example of ARFID presentation, a fear-or phobia-based avoidance or restriction of intake, has also been evidenced amongst children and young people with autism, with anxieties relating to swallowing, 53 contamination, 6 fears of trying new foods, 49 and choking preceded by a traumatic event.54”

    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 [53]

  • ARFID can markedly impair psychosocial functioning if the individual can only tolerate eating alone and avoids social situations where food is served, leading to difficulty integrating at school or in the workplace and often resulting in social isolation.

    “ARFID can also markedly impair psychosocial functioning if the individual can only tolerate eating alone and avoids social situations where food is served.This can lead to difficulty integrating at school or in the workplace and often results in social isolation.53,57”

    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 [53]

  • 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 [53]

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Authors
Knapp, V. M., Simmons, L., Verstraete, S. K., & McAdam, D. B.
Affiliations
  • Summit Educational Resources, Getzville, NY, USA
  • University of Rochester Medicine (US)
ORCID
Knapp, Vicki Madaus
Venue
Clinical Case Studies
Publisher
SAGE Publications
Published
2012-08
Volume
11
Issue
4
Pages
276-284
ISSN
  • 1534-6501 (ISSN-L)
  • 1552-3802
DOI
10.1177/1534650112457019
OpenAlex
W2332606254
Cited by
5
References
19
Citations by year
2024: 1 · 2022: 1 · 2018: 3
FWCI
0.00
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
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
pervasive developmental disorder not otherwise specified, autism spectrum disorder, adolescents, mealtime behavior, functional analysis, function-based interventions, community-based treatment, school-based intervention, feeding difficulties

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