Behavioral Pediatrics Feeding Assessment Scale in Young Children With Autism Spectrum Disorder: Psychometrics and Associations With Child and Parent Variables

J Pediatr Psychol. 2015 Jul;40(6):581-90. doi: 10.1093/jpepsy/jsv006. Epub 2015 Feb 27.


Objective: The factor structure and validity of the Behavioral Pediatrics Feeding Assessment Scale (BPFAS; Crist & Napier-Phillips, 2001) were examined in preschoolers with autism spectrum disorder (ASD).

Methods: Confirmatory factor analysis was used to examine the original BPFAS five-factor model, the fit of each latent variable, and a rival one-factor model. None of the models was adequate, thus a categorical exploratory factor analysis (CEFA) was conducted. Correlations were used to examine relations between the BPFAS and concurrent variables of interest.

Results: The CEFA identified an acceptable three-factor model. Correlational analyses indicated that feeding problems were positively related to parent-reported autism symptoms, behavior problems, sleep problems, and parenting stress, but largely unrelated to performance-based indices of autism symptom severity, language, and cognitive abilities, as well as child age.

Conclusion: These results provide evidence supporting the use of the identified BPFAS three-factor model for samples of young children with ASD.

Keywords: assessment; autism spectrum; eating and feeding disorders..

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Autism Spectrum Disorder / complications*
  • Autism Spectrum Disorder / psychology*
  • Autistic Disorder
  • Child Development Disorders, Pervasive / psychology
  • Child, Preschool
  • Factor Analysis, Statistical
  • Feeding Behavior / psychology
  • Feeding and Eating Disorders of Childhood / complications*
  • Feeding and Eating Disorders of Childhood / diagnosis*
  • Feeding and Eating Disorders of Childhood / psychology
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Parenting / psychology
  • Parents / psychology*
  • Pediatrics
  • Psychometrics / methods
  • Reproducibility of Results
  • Surveys and Questionnaires / standards*