Sunday, January 4, 2009

Eating Attitudes study - review and summary!

Comparison of Eating Attitudes between Adolescent Girls with and without Asperger Syndrome: Daughters' and Mothers' Reports

Yes eating problems associated with ASDs. All studies have looked at small numbers of males and at BMI, not eating attitudes.

Aims:
- explore eating attitudes of teen girls with AS
- examine level of agreement between mothers’ and daughters’ reports of eating problems

Sample:
- 56 girls with AS and 56 neurotypical girls ages 12-18
- Groups matched on age and BMI; neurotypical girls had higher full-scale IQ scores
- Diagnosed by a multidisciplinary team; used the ADOS
- Mainland Greece

Measures:
Girls and their mothers completed the Eating Attitudes Test-26 (3 subscales: dieting, bulimia and food preoccupation, and oral control); scores above 20 are of concern

Results:
- Teen girls with AS (26%) reported more eating problems than the control girls for bulimia and oral control but not dieting
- Mothers of teen girls with AS also reported more eating problems – across all 3 scales
- Across both groups, daughters report more problems than their mothers do, though the overall agreement between parent-child was high

Discussion:
- Prevalence of eating problems in girls with ASDs may be quite high
- Need longitudinal studies examining histories of eating difficulties and concerns
- Need to understand the social and cognitive similarities between AS and anorexia nervosa, e.g., rigidities, difficulties with reflective self functioning

More research is needed!

Need to look at findings for North American adolescents

Need to look at relationship between eating difficulties and degree of inflexiblity/rigidity overall

Need to examine how to treat eating disordered behavior for teens with AS

4 comments:

  1. Similarities I noticed between NT females with eating disorders and AS females with EDs:

    Mid to high level intelligence
    Slightly passive
    Desperate to do everything the "right" way
    Obsessive and ritualistic
    Overanalytical
    Inability to express inner rage
    Inability to articulate deep emotional turmoil
    Total fear of failure; must succeed at all costs or life is worthless
    Very childlike, resistant to grow older

    This is coming from a female with AS...just observations I have made over time.

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  2. Very insightful observations Erin... I have observed the same characteristics in girls/women I have treated.

    How were you able to overcome your eating difficulties?

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  3. If anyone would like to participate in a future study of eating attitudes and behavior of females with ASDs (girls, teens, women), feel free to email me and I will put you on our interest list.

    Thanks!

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  4. Hi Shana,

    I would like to have my AS daughter, she is 13 years old, participate in this study. She is a very picky eater and can't seem to want to do anything different as far as eating is concerned. I'm not sure if it stems from her OCD or her sensitive palate.

    Thanks.

    Maria Vita
    chinadollphoto@yahoo.com

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