Investigating the utility of the AQ-10 in children and adolescents assessed in an outpatient ARFID clinic / Emma WILLMOTT ; Cate KELLY ; Louise BRADBURY ; Pippa HUGO ; Rachel BRYANT-WAUGH in Autism Research, 17-9 (September 2024)  

Public ISBD [article]  inAutism Research > 17-9 (September 2024) . - p.1867-1875 Titre : Investigating the utility of the AQ-10 in children and adolescents assessed in an outpatient ARFID clinic Type de document : Texte imprimé et/ou numérique Auteurs : Emma WILLMOTT, Auteur ; Cate KELLY, Auteur ; Louise BRADBURY, Auteur ; Pippa HUGO, Auteur ; Rachel BRYANT-WAUGH, Auteur Article en page(s) : p.1867-1875 Langues : Anglais (eng) Mots-clés : AQ-10  ARFID  ASD  autism  autism screening  autism spectrum disorder  avoidant restrictive food intake disorder  eating disorders Index. décimale : PER Périodiques Résumé : Abstract The high co-occurrence of autism and eating disorders is well established, including for those with Avoidant Restrictive Food Intake Disorder (ARFID). It is therefore important to consider autism and identify possible autism when people present to eating disorder services to ascertain whether further assessment is indicated, to support clinical formulation and to make appropriate adaptations during interventions. This paper explores the utility of a validated autism screening measure, the AQ-10, in a population of children and adolescents who presented to an outpatient eating disorders clinic for an assessment of possible ARFID. Over 19?months, 335 young people were assessed and 246 families with children aged between 4 and 17?years completed one of three versions of the AQ-10 (Child, Adolescent, and Adult), as part of a battery of routinely administered pre-assessment questionnaires. Results indicated that 80.2% (n?=?69) of those with an existing autism diagnosis scored above clinical threshold of ?6 (M?=?7.2, SD?=?1.9), 43.9% (n?=?43) of those queried to be autistic scored above clinical threshold (M?=?5.2, SD?=?2.5), and 6.5% (n?=?4) of non-autistic individuals scored above clinical threshold (M?=?2.8, SD?=?1.8). Additionally, the AQ-10 satisfactorily discriminated between those with a known autism diagnosis and those who are not autistic across all age groups and sex. We conclude that the AQ-10, alongside a comprehensive clinical assessment and clinical judgment, is a useful screening tool that can support clinicians to identify appropriate onward referrals for autism assessments, aid clinical formulation, and consider appropriate adaptations and reasonable adjustments during ARFID interventions. En ligne : https://doi.org/10.1002/aur.3220 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=535 [article] Investigating the utility of the AQ-10 in children and adolescents assessed in an outpatient ARFID clinic [Texte imprimé et/ou numérique] / Emma WILLMOTT, Auteur ; Cate KELLY, Auteur ; Louise BRADBURY, Auteur ; Pippa HUGO, Auteur ; Rachel BRYANT-WAUGH, Auteur . - p.1867-1875. Langues : Anglais (eng) in Autism Research > 17-9 (September 2024) . - p.1867-1875 Mots-clés : AQ-10  ARFID  ASD  autism  autism screening  autism spectrum disorder  avoidant restrictive food intake disorder  eating disorders Index. décimale : PER Périodiques Résumé : Abstract The high co-occurrence of autism and eating disorders is well established, including for those with Avoidant Restrictive Food Intake Disorder (ARFID). It is therefore important to consider autism and identify possible autism when people present to eating disorder services to ascertain whether further assessment is indicated, to support clinical formulation and to make appropriate adaptations during interventions. This paper explores the utility of a validated autism screening measure, the AQ-10, in a population of children and adolescents who presented to an outpatient eating disorders clinic for an assessment of possible ARFID. Over 19?months, 335 young people were assessed and 246 families with children aged between 4 and 17?years completed one of three versions of the AQ-10 (Child, Adolescent, and Adult), as part of a battery of routinely administered pre-assessment questionnaires. Results indicated that 80.2% (n?=?69) of those with an existing autism diagnosis scored above clinical threshold of ?6 (M?=?7.2, SD?=?1.9), 43.9% (n?=?43) of those queried to be autistic scored above clinical threshold (M?=?5.2, SD?=?2.5), and 6.5% (n?=?4) of non-autistic individuals scored above clinical threshold (M?=?2.8, SD?=?1.8). Additionally, the AQ-10 satisfactorily discriminated between those with a known autism diagnosis and those who are not autistic across all age groups and sex. We conclude that the AQ-10, alongside a comprehensive clinical assessment and clinical judgment, is a useful screening tool that can support clinicians to identify appropriate onward referrals for autism assessments, aid clinical formulation, and consider appropriate adaptations and reasonable adjustments during ARFID interventions. En ligne : https://doi.org/10.1002/aur.3220 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=535

Nature and nurture in fussy eating from toddlerhood to early adolescence: findings from the Gemini twin cohort / Zeynep Nas ; Moritz HERLE ; Alice R. KININMONTH ; Andrea D. SMITH ; Rachel BRYANT-WAUGH ; Alison FILDES ; Clare H. LLEWELLYN in Journal of Child Psychology and Psychiatry, 66-2 (February 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-2 (February 2025) . - p.241-252 Titre : Nature and nurture in fussy eating from toddlerhood to early adolescence: findings from the Gemini twin cohort : Journal of Child Psychology and Psychiatry Type de document : Texte imprimé et/ou numérique Auteurs : Zeynep Nas, Auteur ; Moritz HERLE, Auteur ; Alice R. KININMONTH, Auteur ; Andrea D. SMITH, Auteur ; Rachel BRYANT-WAUGH, Auteur ; Alison FILDES, Auteur ; Clare H. LLEWELLYN, Auteur Article en page(s) : p.241-252 Langues : Anglais (eng) Mots-clés : Longitudinal studies  twins  eating behaviour Index. décimale : PER Périodiques Résumé : Background Food fussiness (FF) describes the tendency to eat a small range of foods, due to pickiness and/or reluctance to try new foods. A common behaviour during childhood, and a considerable cause of caregiver concern; its causes are poorly understood. This is the first twin study of genetic and environmental contributions to the developmental trajectory of FF from toddlerhood to early adolescence, and stability and change over time. Methods Participants were from Gemini, a population-based British cohort of n?=?4,804 twins born in 2007. Parents reported on FF using the Child Eating Behaviour Questionnaire ?FF? scale when children were 16?months (n?=?3,854), 3 (n?=?2,666), 5 (n?=?2,098), 7 (n?=?703), and 13?years old (n?=?970). A mixed linear model examined the trajectory of FF, and a correlated factors twin model quantified genetic and environmental contributions to variation in and covariation between trajectory parameters. A longitudinal Cholesky twin model examined genetic and environmental influences on FF at each discrete age. Results We modelled a single FF trajectory for all children, which was characterised by increases from 16?months to 7?years, followed by a slight decline from 7 to 13?years. All trajectory parameters were under strong genetic influence (>70%) that was largely shared, indicated by high genetic correlations. Discrete age analyses showed that genetic influence on FF increased significantly after toddlerhood (16?months: 60%, 95% CI: 53%?67%; 3?years: 83%; 81%?86%), with continuing genetic influence as indicated by significant genetic overlap across every age. Shared environmental influences were only significant during toddlerhood. Unique environmental influences explained 15%?26% of the variance over time, with some enduring influence from 5?years onwards. Conclusions Individual differences in FF were largely explained by genetic factors at all ages. Fussy eating also shows a significant proportion of environmental influence, especially in toddlerhood, and may, therefore, benefit from early interventions throughout childhood. Future work needs to refine the FF trajectory and explore specific trajectory classes. En ligne : https://doi.org/10.1111/jcpp.14053 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545 [article] Nature and nurture in fussy eating from toddlerhood to early adolescence: findings from the Gemini twin cohort : Journal of Child Psychology and Psychiatry [Texte imprimé et/ou numérique] / Zeynep Nas, Auteur ; Moritz HERLE, Auteur ; Alice R. KININMONTH, Auteur ; Andrea D. SMITH, Auteur ; Rachel BRYANT-WAUGH, Auteur ; Alison FILDES, Auteur ; Clare H. LLEWELLYN, Auteur . - p.241-252. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-2 (February 2025) . - p.241-252 Mots-clés : Longitudinal studies  twins  eating behaviour Index. décimale : PER Périodiques Résumé : Background Food fussiness (FF) describes the tendency to eat a small range of foods, due to pickiness and/or reluctance to try new foods. A common behaviour during childhood, and a considerable cause of caregiver concern; its causes are poorly understood. This is the first twin study of genetic and environmental contributions to the developmental trajectory of FF from toddlerhood to early adolescence, and stability and change over time. Methods Participants were from Gemini, a population-based British cohort of n?=?4,804 twins born in 2007. Parents reported on FF using the Child Eating Behaviour Questionnaire ?FF? scale when children were 16?months (n?=?3,854), 3 (n?=?2,666), 5 (n?=?2,098), 7 (n?=?703), and 13?years old (n?=?970). A mixed linear model examined the trajectory of FF, and a correlated factors twin model quantified genetic and environmental contributions to variation in and covariation between trajectory parameters. A longitudinal Cholesky twin model examined genetic and environmental influences on FF at each discrete age. Results We modelled a single FF trajectory for all children, which was characterised by increases from 16?months to 7?years, followed by a slight decline from 7 to 13?years. All trajectory parameters were under strong genetic influence (>70%) that was largely shared, indicated by high genetic correlations. Discrete age analyses showed that genetic influence on FF increased significantly after toddlerhood (16?months: 60%, 95% CI: 53%?67%; 3?years: 83%; 81%?86%), with continuing genetic influence as indicated by significant genetic overlap across every age. Shared environmental influences were only significant during toddlerhood. Unique environmental influences explained 15%?26% of the variance over time, with some enduring influence from 5?years onwards. Conclusions Individual differences in FF were largely explained by genetic factors at all ages. Fussy eating also shows a significant proportion of environmental influence, especially in toddlerhood, and may, therefore, benefit from early interventions throughout childhood. Future work needs to refine the FF trajectory and explore specific trajectory classes. En ligne : https://doi.org/10.1111/jcpp.14053 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545

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