Autism & Developmental

Comparison of eating attitudes between adolescent girls with and without Asperger syndrome: daughters' and mothers' reports.

Kalyva (2009) · Journal of autism and developmental disorders 2009
★ The Verdict

Teen girls with Asperger syndrome report more eating worries than their moms see—so screen them directly.

✓ Read this if BCBAs working with girls or women with ASD in any setting
✗ Skip if Practitioners who only serve boys or adults with ID who cannot self-report

01Research in Context

01

What this study did

Kalyva (2009) asked teenage girls with Asperger syndrome and their moms to fill out the same eating-risk form. The form is called the EAT-26. A control group of typical girls and moms did the same thing.

The goal was to see if girls with AS show more eating worries than peers, and whether moms notice.

02

What they found

Girls with AS scored higher on eating-risk than typical girls. Their moms, however, marked fewer signs than the girls reported themselves.

In the typical group, moms and girls mostly agreed.

03

How this fits with other research

Mulder et al. (2020) later found the same raised eating-risk in adults with ASD, especially women. This shows the risk lasts past the teen years.

Cederlund et al. (2010) and Knott et al. (2006) also saw that parents often rate fewer problems than their kids with ASD report. The pattern is not just about eating.

Gal et al. (2022) built a new tool, the Aut-Eat Questionnaire, for young children with ASD. Together these papers say: ask the child directly, and use age-appropriate tools.

04

Why it matters

If you work with girls or women who have ASD, add a quick eating-risk screener to your intake. Use the EAT-26 for teens or the Aut-Eat for little ones. Always collect self-report; do not rely only on parent answers. Early flags can lead to faster referrals and prevent full eating disorders.

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→ Action — try this Monday

Hand the EAT-26 to your female teen clients with ASD before session starts.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
112
Population
autism spectrum disorder, neurotypical
Finding
positive

03Original abstract

Despite the evidence that individuals with Asperger syndrome (AS) have a propensity for being underweight or having comorbid eating disorders, no previous research has compared the eating attitudes of adolescent girls with AS to typically developing peers. This study compared reports of eating problems provided by the adolescent girls themselves (56 with and 56 without AS) and their mothers on the EAT-26. Results indicated that adolescent girls with AS are at a higher risk for eating problems than their typically developing peers according to their reports and the reports of their mothers. Moreover, it was found that although the agreement between mothers' and daughter's reports is very satisfactory, mothers of girls with AS report statistically less eating-disordered behaviors than their daughters.

Journal of autism and developmental disorders, 2009 · doi:10.1007/s10803-008-0648-5