Autism & Developmental

Restricted Eating in Preschoolers with Autism: Mother Stressors and Solutions.

Burkett et al. (2022) · Journal of autism and developmental disorders 2022
★ The Verdict

Feeding treatment in preschool autism must calm mom stress first or the best behavior plan will fail.

✓ Read this if BCBAs running feeding protocols in homes or clinics.
✗ Skip if Practitioners who work only with verbal adults or tube-fed clients.

01Research in Context

01

What this study did

Burkett et al. (2022) talked to 12 moms of preschoolers with autism. All kids ate fewer than 10 foods and often tantrumed at meals.

Researchers asked open questions about daily mealtimes, stress, and coping. Moms spoke for 45-60 minutes each.

02

What they found

Every mom said balancing nutrition and family peace was exhausting. They felt judged by relatives and doctors.

Moms coped through Facebook groups, hiding veggies in liked foods, and letting kids eat the same dinner for weeks. Trial-and-error ruled.

03

How this fits with other research

Nadon et al. (2011) counted the problems: kids with autism show triple the mealtime issues of typical siblings. Karen’s moms echo the same chaos, just in words instead of numbers.

Yorke et al. (2018) pooled 40 studies and found child behavior problems raise parent stress. Restricted eating is one more behavior on that pile.

Chin Wong et al. (2017) saw Chinese-American families report fewer mealtime worries than white families. Karen’s mostly Caucasian sample felt crushed. Culture may shape how bad the same feeding behaviors feel.

ALee et al. (2022) showed positive reinforcement can expand a child’s food list in weeks. Pair that skill with Karen’s message: ease mom stress first, or she may not have energy to run the protocol.

04

Why it matters

If you write a feeding plan without checking mom’s stress, it will likely sit in a folder. Ask one quick question at intake: “How do meals feel for you right now?” Hand her a peer-support flyer before you even pick the first target food. A calmer parent makes the behavior plan stick.

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Add one maternal-stress rating question to your intake form and stock local parent-group contacts.

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
11
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Feeding interventions for children with Autism Spectrum Disorder (ASD) focus solely on the child, not the family milieu. This qualitative study aimed to understand mothers' perspectives on managing restricted eating among preschoolers with ASD. Focus groups were conducted with eleven mothers of preschoolers with ASD. Audio recordings were transcribed, and data analyzed for themes. Mothers experienced stressors balancing priorities of adequate nutrition with family mealtime demands and found solutions in support from other mothers, strategies from a wide array of sources, and resorting to trial and error to improve eating. Healthcare practitioners should explore and consider family stressors, competing demands, and coping skills when recommending mealtime interventions for optimal child and family well-being.

Journal of autism and developmental disorders, 2022 · doi:10.1080/10640260214507