The BUFFET Program: Development of a Cognitive Behavioral Treatment for Selective Eating in Youth with Autism Spectrum Disorder

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Kuschner, E. S., Morton, H. E., Maddox, B. B., Marchena, A. d., Anthony, L. G., & Reaven, J. (2017). The BUFFET Program: Development of a Cognitive Behavioral Treatment for Selective Eating in Youth with Autism Spectrum Disorder. Clinical Child and Family Psychology Review, 20(4), 403-421. https://doi.org/10.1007/s10567-017-0236-3

Publication date: 22 May 2017 Added to AutiHub: 6 Jul 2026 Type: Article Article language: English
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Authors

Publication authors
6
Publication authors identified as autistic
1 / 6 (16.7%)
  1. Emily S. Kuschner
  2. Hannah E. Morton *
  3. Brenna B. Maddox
  1. Ashley de Marchena
  2. Laura G. Anthony
  3. Judy Reaven

Abstract

Selective eating (often referred to as "picky" eating) is common in individuals with autism spectrum disorder (ASD) across the lifespan. Behavioral interventions are widely used to treat selective eating; however, most of these programs are time intensive, have not been evaluated for use in outpatient settings, and do not typically include youth beyond early childhood. Despite the functional impact and risk for negative outcomes associated with selective eating, there are no empirically supported treatments available for older children, adolescents, or adults, either with or without ASD. To address this treatment gap, we developed BUFFET: the Building Up Food Flexibility and Exposure Treatment program. BUFFET is a 14-week, multi-family group cognitive behavioral treatment for selective eating in children (8-12 years) with ASD. In this paper, we will (1) discuss the theoretical conceptualization of BUFFET, (2) describe the treatment content and structure, (3) present feasibility data from the initial pilot trial, and (4) consider next steps in treatment development.

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91
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Cited author occurrences identified as autistic
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Among occurrences linked to AutiHub author records: 0 / 51 (0.0%). Distinct cited authors identified as autistic: 0 / 328 (0.0%).
Cited author occurrences linked to AutiHub author records
51 / 381 (13.4%)
Distinct linked cited authors: 32 / 328 (9.8%)
Linked cited-author occurrences not identified as autistic
51 / 51 (100.0%)
Among linked cited-author occurrences only. Across all cited-author occurrences: 51 / 381 (13.4%). Distinct linked cited authors not identified as autistic: 32 / 32 (100.0%).
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