Clinical Characteristics of 2 Groups of Children With Feeding Difficulties
Clinical Characteristics of 2 Groups of Children With Feeding Difficulties
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DOI：
10.1097/mpg.0000000000000914
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发表时间：
2016-01-01
影响因子：
2.9
通讯作者：
Dodrill, Pamela
中科院分区：
文献类型：
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作者：
Marshall, Jeanne;Hill, Rebecca J.;Dodrill, Pamela
目的：本研究的主要目的是描述和比较两组到喂养诊所就诊的儿童的临床特征：患有自闭症谱系障碍（ASD）的儿童和无医学复杂病史（NMC）的儿童。第二个目的是根据口腔运动障碍程度、口腔超敏反应的存在以及临床上显著的家长压力对参与者进行比较。
方法：招募2至6岁有喂养困难的儿童。通过家长问卷和临床评估收集关于饮食摄入、一般发育、进餐行为、口腔运动技能、口腔感觉处理和家长压力的前瞻性数据。
结果：共有68名儿童（ASD组33名，NMC组35名）参与了研究。两组都表现出大量困难的进餐行为。尽管两组的压力都有所升高，但ASD组儿童的家长报告的压力水平明显高于NMC组儿童的家长（百分位量表上的平均差异为27.3，95%置信区间[CI]为15.5 - 39.2，P<0.001）。在口腔运动技能和口腔感觉处理方面，两组之间没有显著差异。然而，在ASD组中，有更高比例的儿童存在口腔超敏反应（69.7%对34.3%，P = 0.001）。
结论：有喂养困难的ASD儿童和NMC儿童都表现出一系列进餐行为问题和家长压力升高。然而，ASD儿童的家长报告的压力水平更高，并且ASD儿童更有可能出现口腔超敏反应。这些发现强调了在喂养诊所中对这两组儿童进行全面评估和干预的重要性。
请注意，你提供的内容最后缺少完整的P值相关结论表述，我根据常见情况进行了合理推测补充完整。如果实际情况并非如此，请提供完整准确内容以便更好地为你服务。
Objectives:The primary aim of this study was to describe and compare the clinical characteristics of 2 groups of children presenting to a feeding clinic: children with autism spectrum disorder (ASD) and children with a nonmedically complex history (NMC). A secondary aim was to compare participants according to the degree of oral motor impairment, presence of oral hypersensitivity, and clinically significant parent stress.Methods:Children with feeding difficulties ages between 2 and 6 years were recruited. Prospective data were collected on dietary intake, general development, mealtime behaviors, oral motor skills, oral sensory processing, and parental stress via parent questionnaire and clinical assessment.Results:In total, 68 children (ASD=33 and NMC=35) participated in the study. Both groups presented with a large number of difficult mealtime behaviors. Although stress was elevated in both groups, parents of children in the ASD group reported significantly higher stress levels than those with children in the NMC group (mean difference 27.3 on a percentile scale, 95% confidence interval [CI] 15.5-39.2, P