自閉症スペクトラム障害を持つ小児および青年における摂食障害、胃腸症状、挑戦的行動および感覚的問題。

Feeding Problems, Gastrointestinal Symptoms, Challenging Behavior and Sensory Issues in Children and Adolescents with Autism Spectrum Disorder.

• Geraldine Leader
• Elaine Tuohy
• June L Chen
• Arlene Mannion
• Shawn P Gilroy

抄録

摂食障害の頻度、消化管（GI）症状、挑戦的行動、感覚的問題、および併存する精神病理について、以下の質問票を用いて評価した。ASDを有する136人の小児および青年を対象に、「Screening Tool for Feeding Problems for Children」、「GI Symptoms Inventory」、「Behavior Problems Inventory Short Form」、「Short Sensory Profile」、「Autism Spectrum Disorder-Comorbidity Child（ASD-CC）」の各質問票を用いて評価した。84％に食物選択性があり、次いで食物拒否（78.7％）、早食い（76.5％）、咀嚼問題（60.3％）、食物窃盗（49.3％）、嘔吐（19.1％）となっていた。急速食、食物拒否、食物窃盗を呈した患者では、これらの問題がない患者に比べて、GI症状、挑戦的行動、および感覚的問題の割合が高かった。併存する精神病理学は、早食い、食物選択性、食物拒否を予測した。

Frequency of feeding problems, gastrointestinal (GI) symptoms, challenging behavior, sensory problems and comorbid psychopathology were assessed using the following questionnaires: Screening Tool for Feeding Problems for Children, GI Symptoms Inventory, Behavior Problems Inventory Short Form, Short Sensory Profile, and Autism Spectrum Disorder-Comorbidity Child (ASD-CC) in 136 children and adolescents with ASD. Eighty-four percent had food selectivity, followed by food refusal (78.7%), rapid eating (76.5%), chewing problems (60.3%), food stealing (49.3%) and vomiting (19.1%). Higher rates of GI symptoms, challenging behavior, and sensory issues were found in those who presented with rapid eating, food refusal and food stealing than those without these problems. Comorbid psychopathology predicted rapid eating, food selectivity and food refusal.