Avoidant/restrictive food intake disorder and autism spectrum disorder: clinical implications for assessment and management

2021 ◽  
Author(s):  
Fadila Farag ◽  
Annemarie Sims ◽  
Katy Strudwick ◽  
Janette Carrasco ◽  
Amy Waters ◽  
...  
Keyword(s):  
Autism Spectrum Disorder ◽  
Food Intake ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Clinical Implications

scholarly journals Prevalence of autism spectrum disorder and autistic traits in children with anorexia nervosa and avoidant/restrictive food intake disorder

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Takeshi Inoue ◽  
Ryoko Otani ◽  
Toshiyuki Iguchi ◽  
Ryuta Ishii ◽  
Soh Uchida ◽  
...  
Keyword(s):  
Autism Spectrum Disorder ◽  
Anorexia Nervosa ◽  
Food Intake ◽  
Autistic Traits ◽  
Autism Spectrum ◽  
Eating Attitudes ◽  
Spectrum Disorder ◽  
Autism Spectrum Quotient ◽  
Multicenter Cohort Study ◽  
Feeding And Eating Disorders

Abstract Background Autism spectrum disorder (ASD) and feeding and eating disorders (FEDs) such as anorexia nervosa (AN) are strongly linked as evidenced by frequent comorbidity and overlapping traits. However, eating and social behaviors are shaped by culture, so it is critical to examine these associations in different populations. Moreover, FEDs are heterogeneous, and there has been no examination of autistic traits in avoidant/restrictive food intake disorder (ARFID). Methods Therefore, we investigated the prevalence of ASD and autistic traits among Japanese children with AN (n = 92) or ARFID (n = 32) from a prospective multicenter cohort study using the Autism Spectrum Quotient Children’s version (AQC) and Children’s Eating Attitudes Test (ChEAT26). Results ASD prevalence was high in both AN and ARFID (16.3 and 12.5%, respectively). The AN group exhibited significantly higher scores on all AQC subscales than an age-matched healthy control (HC) group, but there were no significant correlations between AQC scores and ChEAT26 scores. In the AFRID group, AQC scores did not differ from HCs, but significant correlations were found between total AQC and ChEAT26 scores and between several AQC and ChEAT26 subscales. Conclusions Both the AN and ARFID groups had high prevalence rates of ASD. The AN group showed a significantly higher degree of autistic traits than the HC group; however, no difference was found between the ARFID and HC groups. Clinicians need to be aware of these rates when working with children with ED.

Executive Functions in Adolescents with Autism Spectrum Disorder

2017 ◽  
pp. 67-90
Author(s):  
Yael Dai ◽  
Inge-Marie Eigsti
Keyword(s):  
Autism Spectrum Disorder ◽  
Working Memory ◽  
Brain Regions ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Clinical Implications ◽  
Future Directions ◽  
Adolescents With Autism ◽  
Memory Flexibility ◽  
The Brain

This chapter reviews strengths and weaknesses in executive function (EF) domains, including inhibition, working memory, flexibility, fluency, and planning, in adolescents (age 13–19) with autism spectrum disorder (ASD). Given the dramatic developmental changes in the brain regions that support EF during the period of adolescence, it is critical to evaluate which EF abilities show a distinct profile during this period. As this chapter will demonstrate, youth with ASD show deficits across all domains of EF, particularly in complex tasks that include arbitrary instructions. We describe the fundamental measures for assessing skills in each domain and discuss limitations and future directions for research, as well as clinical implications of these findings for working with youth with ASD.

scholarly journals “Tell Me About Your Picture”: Using Drawings to Support Expressive Language in Children With Autism Spectrum Disorder

2019 ◽  
Vol 42 (1) ◽  
pp. 3-11
Author(s):  
Bridget M. Wright ◽  
Joann P. Benigno ◽  
Jamie B. Boster ◽  
John W. McCarthy ◽  
Bridget K. Coologhan
Keyword(s):  
Autism Spectrum Disorder ◽  
Internal State ◽  
Expressive Language ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Clinical Implications ◽  
Drawing Task ◽  
Basic Concepts ◽  
Mean Length Of Utterance

Thirty-one children with and without autism spectrum disorder were asked to draw the meaning of 10 basic concepts. Following each drawing, children explained their drawing to the experimenter. Transcripts of the drawing task were coded for children’s use of personal pronouns and internal state terms. Children’s use of on- and off-task comments while explaining each drawing was examined. Both groups of children had a longer mean length of utterance when prompted to explain their drawings than while they were drawing. Analyses revealed no significant differences between children with and without autism in their use of internal state terms, pronouns, or their use of on- and off-task language during the drawing task. Clinical implications for the use of drawings as expressive language supports for children with autism are discussed.

Autism Spectrum Disorder and Avoidant/Restrictive Food Intake Disorder

2017 ◽  
Vol 38 (1) ◽  
pp. 79-80 ◽  
Author(s):  
Jennifer Lucarelli ◽  
Demetra Pappas ◽  
Leah Welchons ◽  
Marilyn Augustyn
Keyword(s):  
Autism Spectrum Disorder ◽  
Food Intake ◽  
Autism Spectrum ◽  
Spectrum Disorder

scholarly journals The association between epilepsy and autism symptoms and maladaptive behaviors in children with autism spectrum disorder

Autism ◽  
2013 ◽  
Vol 18 (8) ◽  
pp. 996-1006 ◽  
Author(s):  
Emma W Viscidi ◽  
Ashley L Johnson ◽  
Sarah J Spence ◽  
Stephen L Buka ◽  
Eric M Morrow ◽  
...  
Keyword(s):  
Autism Spectrum Disorder ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Clinical Implications ◽  
Maladaptive Behaviors ◽  
Autism Symptoms ◽  
Children With Asd ◽  
Simons Simplex Collection ◽  
Autism Phenotype

Epilepsy is common in children with autism spectrum disorder (ASD) but little is known about how seizures impact the autism phenotype. The association between epilepsy and autism symptoms and associated maladaptive behaviors was examined in 2,645 children with ASD, of whom 139 had epilepsy, from the Simons Simplex Collection. Children with ASD and epilepsy had significantly more autism symptoms and maladaptive behaviors than children without epilepsy. However, after adjusting for IQ, only hyperactivity symptoms remained significantly increased (13% higher) in the epilepsy group. Among children with ASD without co-occurring intellectual disability, children with epilepsy had significantly more irritability (20% higher) and hyperactivity (24% higher) symptoms. This is the largest study to date comparing the autism phenotype in children with ASD with and without epilepsy. Children with ASD and epilepsy showed greater impairment than children without epilepsy, which was mostly explained by the lower IQ of the epilepsy group. These findings have important clinical implications for patients with ASD.

scholarly journals Feeding Problems Including Avoidant Restrictive Food Intake Disorder in Young Children With Autism Spectrum Disorder in a Multiethnic Population

2021 ◽  
Vol 9 ◽  
Author(s):  
Gudrun Nygren ◽  
Petra Linnsand ◽  
Jonas Hermansson ◽  
Lisa Dinkler ◽  
Maria Johansson ◽  
...  
Keyword(s):  
Autism Spectrum Disorder ◽  
Food Intake ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Feeding Problems ◽  
Prospective Longitudinal Study ◽  
Children With Asd ◽  
Multiethnic Population ◽  
Prospective Longitudinal

We examined feeding problems, including Avoidant Restrictive Food Intake Disorder (ARFID), in preschool children with Autism Spectrum Disorder (ASD). Data were collected from a prospective longitudinal study of 46 children with ASD in a multiethnic, low resource area in Gothenburg, Sweden. Feeding problems were found in 76% of the children with ASD, and in 28%, the criteria for ARFID were met. The study highlights early onset age, the heterogeneity of feeding problems, and the need for multidisciplinary assessments in ASD as well as in feeding problems, and also the need for further elaboration of feeding disorder classifications in children.

scholarly journals Individuals seeking gender reassignment: marked increase in demand for services

2018 ◽  
Vol 42 (5) ◽  
pp. 206-210 ◽  
Author(s):  
Josephine Fielding ◽  
Christopher Bass
Keyword(s):  
Autism Spectrum Disorder ◽  
Gender Dysphoria ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Clinical Implications ◽  
Referral Rates ◽  
Time Period ◽  
Gender Reassignment ◽  
The Uk ◽  
Male To Female

Aims and methodTo describe the pattern of referrals and characteristics of people aged over 18 seeking gender reassignment in Oxfordshire over a 6-year period (2011–2016).ResultsA total of 153 individuals attended for assessment (of 162 referred); 97 (63.4%) were natal males and 56 (36.6%) were natal females. Mean age at referral was markedly different between the two groups, with females being younger. The number of referral significantly increased over the time period, by an average of 18% per year (95% CI 1.08–1.30). Eighty-seven patients sought transition from male to female, and 46 from female to male, while a smaller group (n = 13) had non-binary presentations. Twelve patients (7.8%) had autism spectrum disorder.Clinical implicationsThere are various possible reasons for the increased demand for services for people with gender dysphoria, which we discuss here. When planning services in the UK, both the increase in overall referral rates and the apparent earlier age at referral should be taken into account.Declaration of interestNone.

Introduction to the Forum: Literacy in Autism—Across the Spectrum

2021 ◽  
Vol 52 (1) ◽  
pp. 149-152
Author(s):  
Marleen F. Westerveld ◽  
Jessica Paynter
Keyword(s):  
Autism Spectrum Disorder ◽  
At Risk ◽  
Children And Adolescents ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Current Evidence ◽  
Clinical Implications ◽  
Literacy Assessment ◽  
Speech Language Pathologists ◽  
Children With Asd

Purpose The purpose of this article is to introduce the LSHSS Forum: Literacy in Autism—Across the Spectrum. The articles in this forum provide an overview of the current evidence related to literacy in autism spectrum disorder (ASD) from preschool to adolescence and highlight the high literacy needs of this population. Method This introduction provides an overview of some of the reasons why children with ASD are at risk of persistent literacy difficulties and a summary of the six articles included in this forum. Conclusion More research is clearly needed to better understand which factors contribute to the high literacy needs in this population. For now, based on the best available evidence, the authors in this forum provide clear clinical implications that should be highly useful for speech-language pathologists and other professionals involved in literacy assessment and intervention for children and adolescents on the autism spectrum.

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