{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T18:57:04Z","timestamp":1791485824631,"version":"4.3.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Feeding difficulties are common in autistic children, but their relationship with autism severity remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine differences in feeding behaviors according to autism severity and investigate associations between selected autism symptom domains and feeding behaviors in autistic children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Special education and rehabilitation center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Eighty-two autistic children aged 4\u20138 years participated. Based on Childhood Autism Rating Scale (CARS) scores, 42 children were classified into the mild-to-moderate group and 40 into the severe group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes and Measures<\/jats:title>\n                    <jats:p>Autism severity was assessed using CARS. Feeding behaviors were evaluated using the Behavioral Pediatric Feeding Assessment Scale (BPFAS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Children in the severe group showed significantly higher total and subdomain BPFAS scores than children in the mild-to-moderate group (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.05). Significant positive associations were observed between selected CARS domains and feeding behavior problems. The strongest associations were observed for sensory-related characteristics (taste, smell, and touch response and use), relating to people, and fear or nervousness. In contrast, emotional response showed weaker but significant associations (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.05). Regression analysis showed that autism severity significantly predicted feeding difficulties and explained 65.1% of the variance in BPFAS scores (adjusted R\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u2009.651,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance<\/jats:title>\n                    <jats:p>Feeding behavior problems were more pronounced in children in the severe group, and autism severity emerged as a clinically relevant predictor of feeding difficulties. Sensory-related and socioemotional characteristics demonstrated meaningful associations with feeding behaviors, supporting the importance of individualized and multidisciplinary assessment and intervention in autistic children.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19437676261478045","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T14:24:16Z","timestamp":1789050256000},"page":"1005-1013","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Autism Severity and Feeding Behaviors in Children: A Cross-Sectional Study"],"prefix":"10.1177","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6662-1553","authenticated-orcid":false,"given":"Ay\u015fe \u0130layda","family":"Mutlu","sequence":"first","affiliation":[{"name":"Ba\u015fkent University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7823-6628","authenticated-orcid":false,"given":"Mustafa","family":"Cemali","sequence":"additional","affiliation":[{"name":"Trakya University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatma Nur","family":"K\u00f6kl\u00fc \u015eim\u015fek","sequence":"additional","affiliation":[{"name":"Lokman Hekim University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melek Nur","family":"Uygun","sequence":"additional","affiliation":[{"name":"Lokman Hekim University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,10]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rasd.2015.09.007"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2010.02.013"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S003329171400172X"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu13082687"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203771587"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/nutrit\/nuaf052"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0115426504019004403"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu16030452"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1044\/2022_AJSLP-21-00401"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20065092"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2014.04.017"},{"issue":"1","key":"e_1_3_2_13_1","article-title":"Identification, evaluation, and management of children with autism spectrum disorder","volume":"145","author":"Hyman S. 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