Eating as an autistic adult: An exploratory qualitative study.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2019
Historique:
received: 09 01 2019
accepted: 19 08 2019
entrez: 30 8 2019
pubmed: 30 8 2019
medline: 10 3 2020
Statut: epublish

Résumé

Although eating difficulties are known to be common in children on the autism spectrum, there is a lack of research on whether these behaviours persist or change into adulthood. Emerging evidence suggests that autistic adults may experience higher levels of disordered eating than the general population, indicating the impact of autism on eating in this adult population warrants further exploration. This study interviewed 12 autistic adults about their eating habits, with a focus on the continuing or changing presence of behaviours often seen in autistic children such as sensory sensitivity or a preference for routines. Interviews were transcribed and analysed using thematic analysis. Overall, participants suggested that autism did continue to impact their eating into adulthood, particularly in the areas of sensory sensitivity, medical difficulties, executive functioning difficulties, and rigidity, but that they had learned to adapt so that these issues no longer represented a problem. However, a minority of participants did feel that their autism had a negative effect on their eating, particularly those diagnosed with eating disorders. Additionally, eating behaviours associated with autism were identified as potentially contributing to having an unhealthy body weight. Certain traits associated with autism, such as cognitive rigidity and sensory sensitivity, could potentially continue to influence the eating behaviours of autistic adults. These traits are typically experienced as differences which can be adapted around and managed, rather than specific problems. However, these traits can potentially contribute to difficulties such as disordered eating and weight gain, and the implications of these should be explored by future research.

Sections du résumé

BACKGROUND
Although eating difficulties are known to be common in children on the autism spectrum, there is a lack of research on whether these behaviours persist or change into adulthood. Emerging evidence suggests that autistic adults may experience higher levels of disordered eating than the general population, indicating the impact of autism on eating in this adult population warrants further exploration.
METHOD
This study interviewed 12 autistic adults about their eating habits, with a focus on the continuing or changing presence of behaviours often seen in autistic children such as sensory sensitivity or a preference for routines. Interviews were transcribed and analysed using thematic analysis.
RESULTS
Overall, participants suggested that autism did continue to impact their eating into adulthood, particularly in the areas of sensory sensitivity, medical difficulties, executive functioning difficulties, and rigidity, but that they had learned to adapt so that these issues no longer represented a problem. However, a minority of participants did feel that their autism had a negative effect on their eating, particularly those diagnosed with eating disorders. Additionally, eating behaviours associated with autism were identified as potentially contributing to having an unhealthy body weight.
CONCLUSIONS
Certain traits associated with autism, such as cognitive rigidity and sensory sensitivity, could potentially continue to influence the eating behaviours of autistic adults. These traits are typically experienced as differences which can be adapted around and managed, rather than specific problems. However, these traits can potentially contribute to difficulties such as disordered eating and weight gain, and the implications of these should be explored by future research.

Identifiants

pubmed: 31465510
doi: 10.1371/journal.pone.0221937
pii: PONE-D-19-00759
pmc: PMC6715205
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0221937

Subventions

Organisme : Medical Research Council
ID : MR/S020381/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/N013700/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/R004595/1
Pays : United Kingdom

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Emma Kinnaird (E)

Institute of Psychiatry, Psychology and Neuroscience, Kings College London, London, United Kingdom.

Caroline Norton (C)

South London and Maudsley NHS Foundation Trust, London, United Kingdom.

Caroline Pimblett (C)

South London and Maudsley NHS Foundation Trust, London, United Kingdom.

Catherine Stewart (C)

South London and Maudsley NHS Foundation Trust, London, United Kingdom.

Kate Tchanturia (K)

Institute of Psychiatry, Psychology and Neuroscience, Kings College London, London, United Kingdom.
South London and Maudsley NHS Foundation Trust, London, United Kingdom.
Illia State University, Tbilisi, Georgia.

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