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Gastrointestinal Disorders and Food Selectivity: Relationship with Sleep and Challenging Behavior in Children with Autism Spectrum Disorder

The aim of this study was to evaluate the interaction between gastrointestinal (GI) disorders, sleep problems, and challenging behaviors in children with a diagnosis of Autism Spectrum Disorder (ASD) and their effect on parental stress. The secondary objective was to assess the frequency and type of...

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Autores principales: Bresciani, Giulia, Da Lozzo, Prisca, Lega, Sara, Bramuzzo, Matteo, Di Leo, Grazia, Dissegna, Andrea, Colonna, Vissia, Barbi, Egidio, Carrozzi, Marco, Devescovi, Raffaella
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9955415/
https://www.ncbi.nlm.nih.gov/pubmed/36832380
http://dx.doi.org/10.3390/children10020253
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author Bresciani, Giulia
Da Lozzo, Prisca
Lega, Sara
Bramuzzo, Matteo
Di Leo, Grazia
Dissegna, Andrea
Colonna, Vissia
Barbi, Egidio
Carrozzi, Marco
Devescovi, Raffaella
author_facet Bresciani, Giulia
Da Lozzo, Prisca
Lega, Sara
Bramuzzo, Matteo
Di Leo, Grazia
Dissegna, Andrea
Colonna, Vissia
Barbi, Egidio
Carrozzi, Marco
Devescovi, Raffaella
author_sort Bresciani, Giulia
collection PubMed
description The aim of this study was to evaluate the interaction between gastrointestinal (GI) disorders, sleep problems, and challenging behaviors in children with a diagnosis of Autism Spectrum Disorder (ASD) and their effect on parental stress. The secondary objective was to assess the frequency and type of GI and feeding disorders in a sample of children with ASD through a multidisciplinary assessment and, finally, to investigate families’ perceptions and satisfaction with the proposed multidisciplinary approach. All children underwent a comprehensive gastroenterological and neuropsychiatric evaluation supported by standardized questionnaires. Pediatric gastroenterologists, specifically trained in Applied Behavior Analysis (ABA), provided advice for parent-delivered behavioral intervention for food selectivity. Thirty-six children with an autism diagnosis (29 males, age 4.5 +/−2.2 years, mean +/− SD) were enrolled. A positive correlation between sleep problems and aggressive behavior was found, and this association was stronger in children experiencing more problematic mealtime behaviors (b = 0.788, p = 0.014). Sleep difficulties were associated with stereotyped behaviors and parent-perceived stress. Parents interviewed about the gastroenterology visit perceived this multidisciplinary approach as helpful in addressing food selectivity. This study shows that sleep and mealtime issues can have a synergistic negative impact on ASD symptoms. A multidisciplinary approach and an integrated assessment of GI, feeding problems, and sleep disorders could be helpful in diagnosing comorbidities and to provide targeted advice to parents.
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spelling pubmed-99554152023-02-25 Gastrointestinal Disorders and Food Selectivity: Relationship with Sleep and Challenging Behavior in Children with Autism Spectrum Disorder Bresciani, Giulia Da Lozzo, Prisca Lega, Sara Bramuzzo, Matteo Di Leo, Grazia Dissegna, Andrea Colonna, Vissia Barbi, Egidio Carrozzi, Marco Devescovi, Raffaella Children (Basel) Article The aim of this study was to evaluate the interaction between gastrointestinal (GI) disorders, sleep problems, and challenging behaviors in children with a diagnosis of Autism Spectrum Disorder (ASD) and their effect on parental stress. The secondary objective was to assess the frequency and type of GI and feeding disorders in a sample of children with ASD through a multidisciplinary assessment and, finally, to investigate families’ perceptions and satisfaction with the proposed multidisciplinary approach. All children underwent a comprehensive gastroenterological and neuropsychiatric evaluation supported by standardized questionnaires. Pediatric gastroenterologists, specifically trained in Applied Behavior Analysis (ABA), provided advice for parent-delivered behavioral intervention for food selectivity. Thirty-six children with an autism diagnosis (29 males, age 4.5 +/−2.2 years, mean +/− SD) were enrolled. A positive correlation between sleep problems and aggressive behavior was found, and this association was stronger in children experiencing more problematic mealtime behaviors (b = 0.788, p = 0.014). Sleep difficulties were associated with stereotyped behaviors and parent-perceived stress. Parents interviewed about the gastroenterology visit perceived this multidisciplinary approach as helpful in addressing food selectivity. This study shows that sleep and mealtime issues can have a synergistic negative impact on ASD symptoms. A multidisciplinary approach and an integrated assessment of GI, feeding problems, and sleep disorders could be helpful in diagnosing comorbidities and to provide targeted advice to parents. MDPI 2023-01-30 /pmc/articles/PMC9955415/ /pubmed/36832380 http://dx.doi.org/10.3390/children10020253 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bresciani, Giulia
Da Lozzo, Prisca
Lega, Sara
Bramuzzo, Matteo
Di Leo, Grazia
Dissegna, Andrea
Colonna, Vissia
Barbi, Egidio
Carrozzi, Marco
Devescovi, Raffaella
Gastrointestinal Disorders and Food Selectivity: Relationship with Sleep and Challenging Behavior in Children with Autism Spectrum Disorder
title Gastrointestinal Disorders and Food Selectivity: Relationship with Sleep and Challenging Behavior in Children with Autism Spectrum Disorder
title_full Gastrointestinal Disorders and Food Selectivity: Relationship with Sleep and Challenging Behavior in Children with Autism Spectrum Disorder
title_fullStr Gastrointestinal Disorders and Food Selectivity: Relationship with Sleep and Challenging Behavior in Children with Autism Spectrum Disorder
title_full_unstemmed Gastrointestinal Disorders and Food Selectivity: Relationship with Sleep and Challenging Behavior in Children with Autism Spectrum Disorder
title_short Gastrointestinal Disorders and Food Selectivity: Relationship with Sleep and Challenging Behavior in Children with Autism Spectrum Disorder
title_sort gastrointestinal disorders and food selectivity: relationship with sleep and challenging behavior in children with autism spectrum disorder
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9955415/
https://www.ncbi.nlm.nih.gov/pubmed/36832380
http://dx.doi.org/10.3390/children10020253
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