{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T12:35:26Z","timestamp":1769776526465,"version":"3.49.0"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:00:00Z","timestamp":1760918400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:00:00Z","timestamp":1760918400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp; Comm Disor"],"published-print":{"date-parts":[[2025,11]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objective<\/jats:title>\n This study aims to comparatively examine dysphagia symptoms in children diagnosed with autism spectrum disorder (ASD) and children with typical development (TD), along with the impact on their families.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A total of 70 children aged 3\u20137 years and their parents took part in the study (35 children diagnosed with ASD and their parents, and 35 typically developing children and their parents). Swallowing disorders were assessed using the Pediatric Eating Assessment Tool (PEDI\u2010EAT\u201010). The impact of children's feeding and swallowing problems on their parents was measured through the Feeding\/Swallowing Impact Survey (FS\u2010IS).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n According to the PEDI\u2010EAT\u201010 results, abnormalities in swallowing function were identified in 20% of children diagnosed with ASD, and in 8.57% of TD children. However, no statistically significant difference was found when the PEDI\u2010EAT\u201010 total scores of both groups were compared (\n p<\/jats:italic>\n \u00a0=\u00a00.833). An analysis of the FS\u2010IS subscales revealed a statistically significant difference in the \u2018daily activities\u2019 subscale between the parents of children with ASD and TD (\n p<\/jats:italic>\n \u00a0=\u00a00.036). In contrast, no significant difference was observed between the groups in terms of \u2018worry,\u2019 \u2018feeding difficulties,\u2019 and total FS\u2010IS scores (\n p<\/jats:italic>\n \u00a0>\u00a00.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n This study demonstrates that children with ASD carry a higher clinical risk for\u00a0parent\u2010reported swallowing and feeding difficulties compared to their typically developing peers, and that these problems negatively affect parents\u2019 quality of life. The findings highlight the importance of early assessment of\u00a0feeding skills and behaviour as well as swallowing function, and the development of child\u2010family\u2010centred holistic intervention approaches to support children's functional development and improve families' daily lives.<\/jats:p>\n <\/jats:sec>\n \n WHAT THIS PAPER ADDS<\/jats:title>\n \n What is already known on the subject<\/jats:italic>\n \n \n Feeding and swallowing difficulties are more frequently observed in children with Autism Spectrum Disorder (ASD) than in their typically developing (TD) peers. These difficulties include food selectivity, chewing and swallowing problems, and disruptive mealtime behaviours. While these symptoms are not core diagnostic criteria for ASD, they significantly affect the child's health and family dynamics. Previous research has mostly focused on behavioural aspects of feeding without extensively comparing clinical symptoms of dysphagia or their psychosocial impacts on caregivers.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n \n What this paper adds to the existing knowledge<\/jats:italic>\n \n \n This study offers a comparative analysis of swallowing difficulties in children with ASD and TD children using validated tools (PEDI\u2010EAT\u201010, FS\u2010IS). It highlights that while clinical dysphagia risk is higher in children with ASD, the most significant impact observed is on caregivers' daily functioning. Importantly, it shows that even without statistically significant differences in most metrics, parents of children with ASD experience greater disruptions in everyday routines. The study also confirms that the severity of children's swallowing symptoms correlates with increased parental stress and reduced quality of life.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n \n What are the potential or actual clinical implications for this work?<\/jats:italic>\n \n \n The findings underline the importance of early identification and intervention for feeding and swallowing difficulties in children with ASD. Paediatricians, speech\u2010language pathologists, and interdisciplinary teams should consider both the physical and psychosocial dimensions of feeding problems. Child\u2010 and family\u2010centred approaches are essential to address the functional impact on families. Tailoring interventions to alleviate caregiver burden and enhance daily life quality can improve outcomes for both children and their families. This study supports integrating caregiver support and education into clinical protocols for managing feeding difficulties in neurodevelopmental disorders.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/1460-6984.70149","type":"journal-article","created":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T04:10:19Z","timestamp":1761019819000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dysphagia in Children With Autism Spectrum Disorder and Typical Development: A Comparative Study on the Symptoms and Impact on Parents"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9298-1536","authenticated-orcid":false,"given":"Melike \u0130rem","family":"Aln\u0131a\u00e7\u0131k","sequence":"first","affiliation":[{"name":"Department of Speech and Language Therapy Faculty of Health Sciences Istanbul Atlas University Istanbul Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6580-1189","authenticated-orcid":false,"given":"Serkan","family":"Bengisu","sequence":"additional","affiliation":[{"name":"Department of Speech and Language Therapy Faculty of Health Sciences Istanbul Atlas University Istanbul Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2019.030073"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-013-1973-x"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803\u2010018\u20103720\u20107"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/13623613221105836"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732314552455"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-014-0137-0"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2006.02.003"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0115426506021002182"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/cap.2004.14.601"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu10121867"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/cch.13218"},{"issue":"6","key":"e_1_2_10_14_1","first-page":"574","article-title":"The Caregiving Burden of Parents of Children With Developmental Disorders: A Cross\u2010Cultural Perspective","volume":"46","author":"Gueron\u2010Sela N.","year":"2011","journal-title":"International Journal of Psychology"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-012-1604-y"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-009-9210-7"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145445509346729"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/10883576060210030401"},{"issue":"2","key":"e_1_2_10_19_1","first-page":"95","article-title":"Pediatric Feeding and Swallowing Disorders: State of Health, Population Trends, and Application of the International Classification of Functioning, Disability, and Health","volume":"35","author":"Lefton\u2010Greif M. 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