孤独症谱系障碍儿童饮食行为评估方法

张鹏飞, 骆艳

中国儿童保健杂志 ›› 2019, Vol. 27 ›› Issue (12) : 1327-1330.

PDF(549 KB)
PDF(549 KB)
中国儿童保健杂志 ›› 2019, Vol. 27 ›› Issue (12) : 1327-1330. DOI: 10.11852/zgetbjzz2019-0880
综述

孤独症谱系障碍儿童饮食行为评估方法

  • 张鹏飞(综述), 骆艳(审校)
作者信息 +

Review of methods for assessing mealtime behaviors in children with autism spectrum disorder

  • ZHANG Peng-fei, LUO Yan
Author information +
文章历史 +

摘要

由于孤独症谱系障碍(ASD)的症状特点,与同龄健康儿童饮食行为相比,ASD儿童的饮食行为往往存在极端偏食、拒绝食物和进食迅速等问题。他们对某些食物的性状、质地有着异常执着的偏好,存在攻击性、自我伤害性,进餐的仪式性等,这些不良的饮食行为影响了ASD儿童营养素的摄入及典型饮食行为的发育。早期及时发现和识别ASD儿童的饮食行为问题,有利于ASD儿童的康复和生长发育。全面、准确、客观、详实地评估可以为后续ASD儿童的饮食行为干预与治疗提供参考和依据。因此,本文就国内外用于ASD儿童饮食行为的评估方法进行总结和阐述。

Abstract

Due to the characteristics of autism spectrum disorder(ASD), the mealtime behavior of ASD children, compared with healthy contemporaries, often present extreme food selectivity, food refusal and rapid eating.It also includes unusually persistent preference for the traits and texture of certain foods and aggressive, self-injurious, ritual mealtime behaviors.These poor mealtime behaviors affect the intake of nutrients and the development of typical mealtime behaviors in children with autism.If mealtime behavior problems of children with ASD were discriminated and identified in time, it will be beneficial to rehabilitation and growth of children with ASD.A comprehensive, accurate, objective and detailed assessment of mealtime behavior problems can serve as a reference and basis for mealtime behaviors interventions and treatments for children with autism.Therefore, this review summarizes and elaborates on the assessment methods of ASD children's mealtime behaviors.

关键词

孤独症谱系障碍 / 饮食行为 / 评估方法

Key words

autism spectrum disorder / mealtime behavior problems / assessment methods

引用本文

导出引用
张鹏飞, 骆艳. 孤独症谱系障碍儿童饮食行为评估方法[J]. 中国儿童保健杂志. 2019, 27(12): 1327-1330 https://doi.org/10.11852/zgetbjzz2019-0880
ZHANG Peng-fei, LUO Yan. Review of methods for assessing mealtime behaviors in children with autism spectrum disorder[J]. Chinese Journal of Child Health Care. 2019, 27(12): 1327-1330 https://doi.org/10.11852/zgetbjzz2019-0880
中图分类号: :R749.94   

参考文献

[1] 邹小兵, 邓红珠.美国精神疾病诊断分类手册第5版“孤独症谱系障碍诊断标准”解读[J].中国实用儿科杂志,2013,28(8):561-563.
[2] Association A.Desk reference to the diagnostic criteria from DSM-5[M].American Psychiatric Publishing,2013.
[3] Williams K, Wray JA, Wheeler DM.Intravenous secretin for autism spectrum disorders(ASD) [J].Cochrane Database Syst Rev,2012,4(4):CD003495.
[4] 郭敏, 李廷玉.孤独症谱系障碍儿童饮食行为及营养素问题的研究进展[J].中国儿童保健杂志,2018, 26(6):60-63.
[5] Ledford JR, Gast DL.Feeding problems in children with autism spectrum disorders:a review [J].Focus Autism Dev Dis,2006,21(3):153-166.
[6] Aponte CA, Romanczyk RG.Assessment of feeding problems in children with autism spectrum disorder [J].Res Autism Spectr Disord,2016,21:61-72.
[7] Archer LA, Rosenbaum PL, Streiner DL.The children's eat ing behavior inventory:reliability and validity results[J].J Pediatr Psychol,1991,16(5):629-642.
[8] Laud RB, Girolami PA, Boscoe JH, et al.Treatment outcomes for severe feeding problems in children with autism spectrum disorder [J].Behav Modificat,2009,33(5):520-536.
[9] 周自云.孤独症谱系障碍儿童饮食行为问题及肠道微生物的研究[D].合肥:安徽医科大学,2015.
[10] Lukens CT, Linscheid TR.Development and validation of an inventory to assess mealtime behavior problems in children with autism [J].J Autism Dev Disord,2008,38(2):342-352.
[11] Martins Y, Young RL, Robson DC.Feeding and eating behaviors in children with autism and typically developing children [J].J Autism Dev Disord,2008,38(10):1878-1887.
[12] Williams KE, Hendy HM, Seiverling LJ, et al.Validation of the parent mealtime action scale(PMAS) when applied to children referred to a hospital-based feeding clinic[J].Appetite,2011,56(3):550-557.
[13] Hendy H, Harclerode W, Williams KE.The Parent Mealtime Action Scale revised(PMAS-R):psychometric characteristics and associations with variables of clinical interest [J].Appetite,2016,105:283-290.
[14] 周长虹, 杨红蕾, 匡桂芳, 等.孤独症儿童的饮食行为问题与血矿物质元素水平分析 [J].中国儿童保健杂志,2011,19(8):751-753.
[15] 庞秀明, 邹明扬, 王涵, 等.孤独症和脑瘫儿童饮食行为问题现状分析 [J].中国学校卫生,2014,35(7):992-994.
[16] 赵永生, 匡桂芳, 韩秀霞, 等.孤独症谱系障碍儿童饮食行为调查 [J].中国学校卫生,2016,37(2):184-186.
[17] Berlin KS, Davies WH, Silverman AH, et al.Assessing children's mealtime problems with the mealtime behavior questionnaire[J].Children's Health Care,2010,39(2):142-156.
[18] Behar AI, Crespo NC, Garcia ML, et al.Validation of a shortened version of the Children's Eating Behavior Questionnaire and associations with BMI in a clinical sample of latino children[J].J Nutr Educ Behav,2017:S1499404617308746.doi:10.1016/j.jneb.2017.08.013.
[19] Lin CC, Ni YH, Lin LH, et al.Effectiveness of the IMFeD tool for the identification and management of feeding difficulties in Taiwanese children [J].J Nutr Educ Behav,2018:S1875957217301092.doi:10.1016/j.pedneo.2018.01.001.
[20] 林丽丽, 尹晓娜, 高井全, 等.孤独症儿童营养及饮食行为问题干预的追踪研究 [J].中国儿童保健杂志,2014,22(2):128-130.
[21] 陈亦乔.儿童孤独症饮食行为异常的研究[D].沈阳:中国医科大学,2014.
[22] Munk DD, Repp AC.Behavioral assessment of feeding pro blems of individuals with severe disabilities[J].J Appl Behav Anal,1994,27(2):241-250.
[23] Ahearn WH, Castine T, Nault K, et al.An assessment of food acceptance in children with autism or pervasive developmental disorder-not otherwise specified [J].J Autism Dev Disord,2001,31(5):505-511.
[24] Sharp WG, Jaquess DL.Bite size and texture assessments to prescribe treatment for severe food selectivity in autism [J].Behav Intervent,2010,24(3):157-170.
[25] Najdowski AC, Wallace MD, Reagon K, et al.Utilizing a home-based parent training approach in the treatment of food selectivity [J].Behav Intervent,2010,25(2):89-107.
[26] Williams KE, Seiverling L.Assessment and treatment of feeding problems among children with autism spectrum disorders [J].Comprehensive Guide to Autism,2014:1973-1993.doi:10.1007/978-1-4614-4788-7-119.
[27] Williams K, Wray JA, Wheeler DM.Intravenous secretin for autism spectrum disorders(ASD) [J].Cochrane Database Syst Rev,2012,4(4):CD003495.
[28] Hsiao EY.Gastrointestinal issues in autism spectrum disorder[J].Harv Rev Psychiatr,2014,22(2):104-111.
[29] 静进.孤独症谱系障碍儿童饮食行为特点及与营养关联问题[J].教育生物学杂志,2017,5(2):63-66.

基金

中国疾病预防控制中心妇幼保健中心合生元母婴营养与健康研究项目(2018FYH012)

PDF(549 KB)

Accesses

Citation

Detail

段落导航
相关文章

/