DOI QR코드

DOI QR Code

Assessment Methods for Problematic Eating Behaviors in Children and Adolescents With Autism Spectrum Disorder

  • Miji Lee (Department of Biomedical Sciences, Seoul National University College of Medicine) ;
  • Seolha Lee (Department of Biomedical Sciences, Seoul National University College of Medicine) ;
  • Jong-Woo Sohn (Department of Biological Sciences, Korea Advanced Institute of Science and Technology) ;
  • Ki Woo Kim (Division of Physiology, Departments of Oral Biology and Applied Life Science, BK21 Four, Yonsei University College of Dentistry) ;
  • Hyung Jin Choi (Department of Biomedical Sciences, Seoul National University College of Medicine)
  • 투고 : 2023.10.17
  • 심사 : 2023.11.27
  • 발행 : 2024.01.01

초록

Autism spectrum disorder (ASD) can be associated with eating problems. However, currently, there is a lack of established guidelines for assessing and addressing eating behaviors in individuals with ASD. This gap in research exists due to the challenges associated with using traditional assessment methods, which may lead to discrepancies in responses and unintentional potential biases from caregivers. In this review, we provided a comprehensive overview of various eating behaviors commonly observed in individuals with ASD. These behaviors include 1) food neophobia, 2) selective eating, 3) binge eating, 4) food avoidance, 5) chewing and swallowing problems, 6) pica, 7) rumination, 8) rituals, and 9) problematic behaviors. Furthermore, we provide a perspective of utilizing digital tools: 1) augmentative and alternative communication; 2) ecological momentary assessment; and 3) video analysis, behavioral analysis, and facial expression analysis. This review explores existing assessment methods and suggests novel assessment aiding together.

키워드

과제정보

This work was received support from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (No. HI22C1060), the National Research Foundation of Korea (No. NRF-2018R1A5A2025964), and the Seoul National University Research Grant in 2019 (No. 800-20190436).

참고문헌

  1. Lord C, Brugha TS, Charman T, Cusack J, Dumas G, Frazier T, et al. Autism spectrum disorder. Nat Rev Dis Primers 2020;6:5.
  2. van Dijk MWG, Buruma ME, Blijd-Hoogewys EMA. Detecting feeding problems in young children with autism spectrum disorder. J Autism Dev Disord 2021;51:4115-4127. https://doi.org/10.1007/s10803-021-04869-1
  3. Grzadzinski R, Huerta M, Lord C. DSM-5 and autism spectrum disorders (ASDs): an opportunity for identifying ASD subtypes. Mol Autism 2013;4:12.
  4. Ledford JR, Gast DL. Feeding problems in children with autism spectrum disorders: a review. Focus Autism Other Dev Disabil 2006;21:153-166. https://doi.org/10.1177/10883576060210030401
  5. Seiverling L, Williams K, Sturmey P. Assessment of feeding problems in children with autism spectrum disorders. J Dev Phys Disabil 2010;22:401-413. https://doi.org/10.1007/s10882-010-9206-0
  6. Cermak SA, Curtin C, Bandini LG. Food selectivity and sensory sensitivity in children with autism spectrum disorders. J Am Diet Assoc 2010;110:238-246. https://doi.org/10.1016/j.jada.2009.10.032
  7. Wentz E, Bjork A, Dahlgren J. Is there an overlap between eating disorders and neurodevelopmental disorders in children with obesity? Nutrients 2019;11:2496.
  8. Dell'Osso L, Carpita B, Gesi C, Cremone IM, Corsi M, Massimetti E, et al. Subthreshold autism spectrum disorder in patients with eating disorders. Compr Psychiatry 2018;81:66-72. https://doi.org/10.1016/j.comppsych.2017.11.007
  9. Sari SA. Coexistence of autism and eating disorder: a case report. Dusunen Adam J Psychiatry Neurol Sci 2018;31:301.
  10. Sturman N, Deckx L, van Driel ML. Methylphenidate for children and adolescents with autism spectrum disorder. Cochrane Database Syst Rev 2017;11:CD011144.
  11. De Hert M, Hudyana H, Dockx L, Bernagie C, Sweers K, Tack J, et al. Second-generation antipsychotics and constipation: a review of the literature. Eur Psychiatry 2011;26:34-44. https://doi.org/10.1016/j.eurpsy.2010.03.003
  12. Scahill L, Jeon S, Boorin SJ, McDougle CJ, Aman MG, Dziura J, et al. Weight gain and metabolic consequences of risperidone in young children with autism spectrum disorder. J Am Acad Child Adolesc Psychiatry 2016;55:415-423. https://doi.org/10.1016/j.jaac.2016.02.016
  13. Research Units on Pediatric Psychopharmacology Autism Network. Risperidone treatment of autistic disorder: longer-term benefits and blinded discontinuation after 6 months. Am J Psychiatry 2005;162:1361-1369. https://doi.org/10.1176/appi.ajp.162.7.1361
  14. Bacchini D, Licenziati MR, Garrasi A, Corciulo N, Driul D, Tanas R, et al. Bullying and victimization in overweight and obese outpatient children and adolescents: an Italian multicentric study. PLoS One 2015;10:e0142715.
  15. Zheng Z, Zhang L, Li S, Zhao F, Wang Y, Huang L, et al. Association among obesity, overweight and autism spectrum disorder: a systematic review and meta-analysis. Sci Rep 2017;7:11697.
  16. Hannon TS, Rao G, Arslanian SA. Childhood obesity and type 2 diabetes mellitus. Pediatrics 2005;116:473-480. https://doi.org/10.1542/peds.2004-2536
  17. Matheson BE, Douglas JM. Overweight and obesity in children with autism spectrum disorder (ASD): a critical review investigating the etiology, development, and maintenance of this relationship. Rev J Autism Dev Disord 2017;4:142-156. https://doi.org/10.1007/s40489-017-0103-7
  18. Roane HS, Fisher WW, Carr JE. Applied behavior analysis as treatment for autism spectrum disorder. J Pediatr 2016;175:27-32. https://doi.org/10.1016/j.jpeds.2016.04.023
  19. Jarvinen A, Laine MK, Tikkanen R, Castren ML. Beneficial effects of GLP-1 agonist in a male with compulsive food-related behavior associated with autism. Front Psychiatry 2019;10:97.
  20. Harrison ME, Norris ML, Robinson A, Spettigue W, Morrissey M, Isserlin L. Use of cyproheptadine to stimulate appetite and body weight gain: a systematic review. Appetite 2019;137:62-72. https://doi.org/10.1016/j.appet.2019.02.012
  21. Gal E, Gal-Mishael R, Vissoker RE, Hedley D, Bury SM, Stolar O. Eating challenges in children with autism spectrum disorder: development and validation of the "aut-eat" questionnaire (AEQ). J Autism Dev Disord 2022;52:811-822. https://doi.org/10.1007/s10803-021-04978-x
  22. Kral TV, Souders MC, Tompkins VH, Remiker AM, Eriksen WT, Pinto-Martin JA. Child eating behaviors and caregiver feeding practices in children with autism spectrum disorders. Public Health Nurs 2015;32:488-497. https://doi.org/10.1111/phn.12146
  23. Martins Y, Young RL, Robson DC. Feeding and eating behaviors in children with autism and typically developing children. J Autism Dev Disord 2008;38:1878-1887. https://doi.org/10.1007/s10803-008-0583-5
  24. Pliner P, Hobden K. Development of a scale to measure the trait of food neophobia in humans. Appetite 1992;19:105-120. https://doi.org/10.1016/0195-6663(92)90014-W
  25. Pliner P. Development of measures of food neophobia in children. Appetite 1994;23:147-163. https://doi.org/10.1006/appe.1994.1043
  26. Wardle J, Carnell S, Cooke L. Parental control over feeding and children's fruit and vegetable intake: how are they related? J Am Diet Assoc 2005;105:227-232. https://doi.org/10.1016/j.jada.2004.11.006
  27. Carruth BR, Skinner J, Houck K, Moran J 3rd, Coletta F, Ott D. The phenomenon of "picky eater": a behavioral marker in eating patterns of toddlers. J Am Coll Nutr 1998;17:180-186. https://doi.org/10.1080/07315724.1998.10718744
  28. Kral TV, Eriksen WT, Souders MC, Pinto-Martin JA. Eating behaviors, diet quality, and gastrointestinal symptoms in children with autism spectrum disorders: a brief review. J Pediatr Nurs 2013;28:548-556. https://doi.org/10.1016/j.pedn.2013.01.008
  29. Potts HW, Wardle J. The list heuristic for studying personality correlates of food choice behaviour: a review and results from two samples. Appetite 1998;30:79-92. https://doi.org/10.1006/appe.1997.0087
  30. Matheson BE, Drahota A, Boutelle KN. A pilot study investigating the feasibility and acceptability of a parent-only behavioral weight-loss treatment for children with autism spectrum disorder. J Autism Dev Disord 2019;49:4488-4497. https://doi.org/10.1007/s10803-019-04178-8
  31. Evans EW, Must A, Anderson SE, Curtin C, Scampini R, Maslin M, et al. Dietary patterns and body mass index in children with autism and typically developing children. Res Autism Spectr Disord 2012;6:399-405. https://doi.org/10.1016/j.rasd.2011.06.014
  32. Bandini LG, Anderson SE, Curtin C, Cermak S, Evans EW, Scampini R, et al. Food selectivity in children with autism spectrum disorders and typically developing children. J Pediatr 2010;157:259-264. https://doi.org/10.1016/j.jpeds.2010.02.013
  33. Vissoker RE, Latzer Y, Stolar O, Rabenbach A, Gal E. Eating problems and patterns among toddlers and young boys with and without autism spectrum disorders. Res Autism Spectr Disord 2019;59:1-9. https://doi.org/10.1016/j.rasd.2018.12.001
  34. Nickel K, Maier S, Endres D, Joos A, Maier V, Tebartz van Elst L, et al. Systematic review: overlap between eating, autism spectrum, and attention-deficit/hyperactivity disorder. Front Psychiatry 2019;10:708.
  35. Hackler J. [Treatment of compulsive eating disorders in an autistic girl by combining behavior therapy and pharmacotherapy. Case report]. Z Kinder Jugendpsychiatr 1986;14:220-227. German
  36. Matson JL, Gonzalez ML, Wilkins J, Rivet TT. Reliability of the autism spectrum disorder-diagnostic for children (ASD-DC). Res Autism Spectr Disord 2008;2:533-545. https://doi.org/10.1016/j.rasd.2007.11.001
  37. Worley JA, Matson JL. Psychiatric symptoms in children diagnosed with an autism spectrum disorder: an examination of gender differences. Res Autism Spectr Disord 2011;5:1086-1091. https://doi.org/10.1016/j.rasd.2010.12.002
  38. Williams PG, Dalrymple N, Neal J. Eating habits of children with autism. Pediatr Nurs 2000;26:259-264.
  39. Ben-Avi N, Almagor M, Engel-Yeger B. Sensory processing difficulties and interpersonal relationships in adults: an exploratory study. Psychology 2012;3:70-77. https://doi.org/10.4236/psych.2012.31012
  40. Matson JL, Kuhn DE. Identifying feeding problems in mentally retarded persons: development and reliability of the screening tool of feeding problems (STEP). Res Dev Disabil 2001;22:165-172. https://doi.org/10.1016/S0891-4222(01)00065-8
  41. Kerwin ME. Empirically supported treatments in pediatric psychology: severe feeding problems. J Pediatr Psychol 1999;24:193-214. https://doi.org/10.1093/jpepsy/24.3.193
  42. Field D, Garland M, Williams K. Correlates of specific childhood feeding problems. J Paediatr Child Health 2003;39:299-304. https://doi.org/10.1046/j.1440-1754.2003.00151.x
  43. Nicholls D, Bryant-Waugh R. Eating disorders of infancy and childhood: definition, symptomatology, epidemiology, and comorbidity. Child Adolesc Psychiatr Clin N Am 2009;18:17-30. https://doi.org/10.1016/j.chc.2008.07.008
  44. Kosutova P, Mikolka P. Aspiration syndromes and associated lung injury: incidence, pathophysiology and management. Physiol Res 2021;70(Suppl 4):S567-S583. https://doi.org/10.33549//physiolres.934767
  45. Gal E, Hardal-Nasser R, Engel-Yeger B. The relationship between the severity of eating problems and intellectual developmental deficit level. Res Dev Disabil 2011;32:1464-1469. https://doi.org/10.1016/j.ridd.2010.12.003
  46. Rastam M. Eating disturbances in autism spectrum disorders with focus on adolescent and adult years. Clin Neuropsychiatry 2008;5:31-42.
  47. Matson JL, Belva B, Hattier MA, Matson ML. Pica in persons with developmental disabilities: characteristics, diagnosis, and assessment. Res Autism Spectr Disord 2011;5:1459-1464. https://doi.org/10.1016/j.rasd.2011.02.006
  48. Matson JL, Hattier MA, Belva B, Matson ML. Pica in persons with developmental disabilities: approaches to treatment. Res Dev Disabil 2013;34:2564-2571. https://doi.org/10.1016/j.ridd.2013.05.018
  49. Kern L, Starosta K, Adelman BE. Reducing pica by teaching children to exchange inedible items for edibles. Behav Modif 2006;30:135-158. https://doi.org/10.1177/0145445505283414
  50. Nistico V, Faggioli R, Bertelli S, Priori A, Gambini O, Demartini B. Eating disturbances in eating disorders and in high-functioning autism spectrum disorders: a preliminary study. Eat Weight Disord 2022;27:1555-1561. https://doi.org/10.1007/s40519-021-01225-1
  51. Karlsson L, Rastam M, Wentz E. The Swedish eating assessment for autism spectrum disorders (SWEAA)-validation of a self-report questionnaire targeting eating disturbances within the autism spectrum. Res Dev Disabil 2013;34:2224-2233. https://doi.org/10.1016/j.ridd.2013.03.035
  52. Luiselli JK, Medeiros J, Jasinowski C, Smith A, Cameron MJ. Behavioral medicine treatment of ruminative vomiting and associated weight loss in an adolescent with autism. J Autism Dev Disord 1994;24:619-629. https://doi.org/10.1007/BF02172142
  53. Monagas J, Ritwik P, Kolomensky A, Acosta J, Kay D, Clendaniel L, et al. Rumination syndrome and dental erosions in children. J Pediatr Gastroenterol Nutr 2017;64:930-932. https://doi.org/10.1097/MPG.0000000000001395
  54. Papadopoulos V, Mimidis K. The rumination syndrome in adults: a review of the pathophysiology, diagnosis and treatment. J Postgrad Med 2007;53:203-206. https://doi.org/10.4103/0022-3859.33868
  55. Raiten DJ, Massaro T. Perspectives on the nutritional ecology of autistic children. J Autism Dev Disord 1986;16:133-143. https://doi.org/10.1007/BF01531725
  56. Twachtman-Reilly J, Amaral SC, Zebrowski PP. Addressing feeding disorders in children on the autism spectrum in school-based settings: physiological and behavioral issues. Lang Speech Hear Serv Sch 2008;39:261-272. https://doi.org/10.1044/0161-1461(2008/025)
  57. Matson JL, Fodstad JC. The treatment of food selectivity and other feeding problems in children with autism spectrum disorders. Res Autism Spectr Disord 2009;3:455-461. https://doi.org/10.1016/j.rasd.2008.09.005
  58. Schreck KA, Williams K, Smith AF. A comparison of eating behaviors between children with and without autism. J Autism Dev Disord 2004;34:433-438. https://doi.org/10.1023/B:JADD.0000037419.78531.86
  59. Provost B, Crowe TK, Osbourn PL, McClain C, Skipper BJ. Mealtime behaviors of preschool children: comparison of children with autism spectrum disorder and children with typical development. Phys Occup Ther Pediatr 2010;30:220-233. https://doi.org/10.3109/01942631003757669
  60. Matson JL, Jang J. Treating aggression in persons with autism spectrum disorders: a review. Res Dev Disabil 2014;35:3386-3391. https://doi.org/10.1016/j.ridd.2014.08.025
  61. Chukoskie L, Townsend J, Westerfield M. Motor skill in autism spectrum disorders: a subcortical view. Int Rev Neurobiol 2013;113:207-249. https://doi.org/10.1016/B978-0-12-418700-9.00007-1
  62. Fournier KA, Hass CJ, Naik SK, Lodha N, Cauraugh JH. Motor coordination in autism spectrum disorders: a synthesis and meta-analysis. J Autism Dev Disord 2010;40:1227-1240. https://doi.org/10.1007/s10803-010-0981-3
  63. Jansiewicz EM, Goldberg MC, Newschaffer CJ, Denckla MB, Landa R, Mostofsky SH. Motor signs distinguish children with high functioning autism and Asperger's syndrome from controls. J Autism Dev Disord 2006;36:613-621. https://doi.org/10.1007/s10803-006-0109-y
  64. Maski KP, Jeste SS, Spence SJ. Common neurological co-morbidities in autism spectrum disorders. Curr Opin Pediatr 2011;23:609-615. https://doi.org/10.1097/MOP.0b013e32834c9282
  65. Avikainen S, Wohlschlager A, Liuhanen S, Hanninen R, Hari R. Impaired mirror-image imitation in Asperger and high-functioning autistic subjects. Curr Biol 2003;13:339-341. https://doi.org/10.1016/S0960-9822(03)00087-3
  66. Lal R. Managing soils and ecosystems for mitigating anthropogenic carbon emissions and advancing global food security. BioScience 2010;60:708-721. https://doi.org/10.1525/bio.2010.60.9.8
  67. Syriopoulou-Delli CK, Eleni G. Effectiveness of different types of augmentative and alternative communication (AAC) in improving communication skills and in enhancing the vocabulary of children with ASD: a review. Rev J Autism Dev Disord 2022;9:493-506. https://doi.org/10.1007/s40489-021-00269-4
  68. Shin D, Song J, Song S, Park J, Lee J, Jun S. TalkingBoogie: collaborative mobile AAC system for non-verbal children with developmental disabilities and their caregivers. Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems (CHI 2020); 2020 Apr 25-30; Honolulu, HI, USA. New York: Association for Computing Machinery, Inc;2020. p.1-13.
  69. Shiffman S, Stone AA, Hufford MR. Ecological momentary assessment. Annu Rev Clin Psychol 2008;4:1-32. https://doi.org/10.1146/annurev.clinpsy.3.022806.091415
  70. Dallman AR, Bailliard A, Harrop C. Identifying predictors of momentary negative affect and depression severity in adolescents with autism: an exploratory ecological momentary assessment study. J Autism Dev Disord 2022;52:291-303. https://doi.org/10.1007/s10803-021-04935-8
  71. Mason TB, Do B, Wang S, Dunton GF. Ecological momentary assessment of eating and dietary intake behaviors in children and adolescents: a systematic review of the literature. Appetite 2020;144:104465.
  72. Schaefer LM, Engel SG, Wonderlich SA. Ecological momentary assessment in eating disorders research: recent findings and promising new directions. Curr Opin Psychiatry 2020;33:528-533. https://doi.org/10.1097/YCO.0000000000000639
  73. Reese RM, Jamison R, Wendland M, Fleming K, Braun MJ, Schuttler JO, et al. Evaluating interactive videoconferencing for assessing symptoms of autism. Telemed J E Health 2013;19:671-677. https://doi.org/10.1089/tmj.2012.0312
  74. Sutantio JD, Pusponegoro HD, Sekartini R. Validity of telemedicine for diagnosing autism spectrum disorder: protocol-guided video recording evaluation. Telemed J E Health 2021;27:427-431. https://doi.org/10.1089/tmj.2020.0035
  75. Juarez AP, Weitlauf AS, Nicholson A, Pasternak A, Broderick N, Hine J, et al. Early identification of ASD through telemedicine: potential value for underserved populations. J Autism Dev Disord 2018;48:2601-2610. https://doi.org/10.1007/s10803-018-3524-y
  76. Alshboul S, Fraiwan M. Determination of chewing count from video recordings using discrete wavelet decomposition and low pass filtration. Sensors (Basel) 2021;21:6806.
  77. Hossain D, Ghosh T, Sazonov E. Automatic count of bites and chews from videos of eating episodes. IEEE Access 2020;8:101934-101945. https://doi.org/10.1109/ACCESS.2020.2998716
  78. Lee YH, Kim YB, Kim KS, Jang M, Song HY, Jung SH, et al. Lateral hypothalamic leptin receptor neurons drive hunger-gated food-seeking and consummatory behaviours in male mice. Nat Commun 2023;14:1486.
  79. Yildirim E, Akbulut FP, Catal C. Analysis of facial emotion expression in eating occasions using deep learning. Multimed Tools Appl 2023;82:31659-31671. https://doi.org/10.1007/s11042-023-15008-6
  80. Briot K, Pizano A, Bouvard M, Amestoy A. New technologies as promising tools for assessing facial emotion expressions impairments in ASD: a systematic review. Front Psychiatry 2021;12:634756.
  81. Talaat FM. Real-time facial emotion recognition system among children with autism based on deep learning and IoT. Neural Comput Applic 2023;35:12717-12728. https://doi.org/10.1007/s00521-023-08372-9