Journal of Autism and Developmental Disorders

, Volume 31, Issue 5, pp 505–511 | Cite as

An Assessment of Food Acceptance in Children with Autism or Pervasive Developmental Disorder-Not Otherwise Specified

  • William H. Ahearn
  • Todd Castine
  • Karen Nault
  • Gina Green


Some children with autism and pervasive developmental disorder-not otherwise specified (PDD-NOS) have been reported to have atypical feeding behavior, such as sensitivity to food texture and selective preferences for particular foods. No systematic studies of feeding behavior in this population have been published. Munk and Repp (1994) developed methods for assessing feeding problems in individuals with cognitive and physical disabilities that allow categorization of individual feeding patterns based on responses to repeated presentations of food. In this study, we systematically replicated the Munk and Repp procedures with children with autism and PDD-NOS. Thirty children, ages 3 to 14 years, were exposed to 12 food items across 6 sessions. Food acceptance, food expulsion, and disruptive behavior were recorded on a trial-by-trial basis. Approximately half of the participants exhibited patterns of food acceptance, indicating selectivity by food category or food texture. Others consistently accepted or rejected items across food categories. Whether these patterns of food acceptance are atypical remains to be determined by comparison with the feeding patterns of typically developing children and other children with developmental delays.

feeding assessment selective eating autism spectrum disorder 


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  1. Ahearn, W. H. (in press). Help! My son eats only macaroni and cheese: Dealing with feeding problems in children with autism. In C. Maurice, G. Green, & R. M. Foxx (Eds.), Making a difference: Behavioral intervention for autism.Austin, TX: PRO-ED.Google Scholar
  2. Ahearn, W. H., Callison, T., & Ortman, M. (2000, August). Behavioral treatment of food refusal/selectivity in a child with autism.Paper presented at the annual congress of the International Association for the Scientific Study of Intellectual Disabilities, Seattle.Google Scholar
  3. Bentovim, A. (1970) The clinical approach to feeding disorders of childhood. Journal of Psychosomatic Research, 14, 267-276.Google Scholar
  4. Birch, L. L., & Marlin, D. W. (1982). I don't like it; I never tried it: Effects of exposure on two-year-old children's food preferences. Appetite, 3353-360.Google Scholar
  5. Burd, D., Shantz, J., Swearingen, W. S., Ahearn, W. H., & Kerwin, M. L. (1995, May). The treatment of food selectivity.Poster presented at the annual meeting of the Association for Behavior Analysis, Washington, DC.Google Scholar
  6. DeMeyer, M. K. (1979). Parents and children in autism(pp. 171-173). New York: Wiley.Google Scholar
  7. Farrell, D. A., Amari, A., & Hagopian, L. P. (1996, May). Treatment of total liquid refusal in a 12-year-old male with chronic gastrointestinal problems, autism, and mental retardation.Poster presented at the annual meeting of the Association for Behavior Analysis, San Francisco.Google Scholar
  8. Gouge, A. L., & Ekvall, S. W. (1975). Diets of handicapped children: Physical, psychological and socioeconomic correlations. American Journal of Mental Deficiency, 80149-157.Google Scholar
  9. Green, C. W., Reid, D. H., Canipe, V. S., & Gardner, S. M. (1991). A comprehensive evaluation of reinforcer identification processes for persons with profound multiple handicaps. Journal of Applied Behavior Analysis, 24537-552.Google Scholar
  10. Munk, D. D., & Repp, A. C. (1994). Behavioral assessment of feeding problems of individuals with severe disabilities. Journal of Applied Behavior Analysis, 27241-250.Google Scholar
  11. Palmer, S., Thompson, R. J., & Linscheid, T. R. (1975). Applied behavior analysis in the treatment of childhood feeding problems. Developmental Medicine and Child Neurology, 17333-339.Google Scholar
  12. Perske, R., Clifton, A., McClean, B. M., & Stein, J. I. (Eds.) (1977). Mealtimes for severely and profoundly handicapped persons: New concepts and attitudes.Baltimore: University Park Press.Google Scholar
  13. Powell, T. H., Hecimovic, A., & Christensen, L. (1992). Meeting the unique needs of families. In D. E. Berkell (Ed.), Autism: Identification, education and treatment(pp. 187-224). Hillsdale, NJ: Erlbaum.Google Scholar
  14. Ritvo, E. M., & Freeman, B. J. (1978). National society for autistic children definition of the syndrome of autism. Journal of Autism and Childhood Schizophrenia, 8162-170.Google Scholar

Copyright information

© Plenum Publishing Corporation 2001

Authors and Affiliations

  • William H. Ahearn
    • 1
  • Todd Castine
    • 1
  • Karen Nault
    • 1
  • Gina Green
    • 2
  1. 1.The New England Center for ChildrenNortheastern UniversityUK; e-mail
  2. 2.The New England Center for Children. E. K. Shriver CenterUniversity of Massachusetts Medical SchoolUK

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