Publikation: Pica
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Pica is characterized by eating substances that are considered nonfood and nonnutritive. It is associated with severe medical impairments (e.g., intestinal perforation or obstruction, infections, or asphyxiation), while little is known about associated psychological impairment. It seems to mainly occur in children, pregnant women, and individuals with intellectual disabilities and specific other mental disorders. However, representative epidemiological data is rare and for the general population nonexistent. The extremely relevant topic of developmental challenges associated with pica has not been researched to date, beyond our current understanding of potential factors impacting developmental delay, such as shame, withdrawal, depression, and medical hospitalization. Currently, there is no unified etiological model of pica; instead, single theories exist that explain pica behavior with a limited number of substances and/or in subgroups. Psychological treatment in children is limited to techniques of behavior modification that are only supported by case studies. Studies on pharmacological treatment of individuals with pica are scarce, but there is some limited support for the use of SSRIs.
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HARTMANN, Andrea S., Verena JURILJ, 2017. Pica. In: GOLDSTEIN, Sam, ed., Melissa DEVRIES, ed.. Handbook of DSM-5 Disorders in Children and Adolescents. Cham: Springer, 2017, pp. 319-332. ISBN 978-3-319-57194-2. Available under: doi: 10.1007/978-3-319-57196-6_16BibTex
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year={2017},
doi={10.1007/978-3-319-57196-6_16},
title={Pica},
isbn={978-3-319-57194-2},
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booktitle={Handbook of DSM-5 Disorders in Children and Adolescents},
pages={319--332},
editor={Goldstein, Sam and DeVries, Melissa},
author={Hartmann, Andrea S. and Jurilj, Verena}
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<dcterms:abstract xml:lang="eng">Pica is characterized by eating substances that are considered nonfood and nonnutritive. It is associated with severe medical impairments (e.g., intestinal perforation or obstruction, infections, or asphyxiation), while little is known about associated psychological impairment. It seems to mainly occur in children, pregnant women, and individuals with intellectual disabilities and specific other mental disorders. However, representative epidemiological data is rare and for the general population nonexistent. The extremely relevant topic of developmental challenges associated with pica has not been researched to date, beyond our current understanding of potential factors impacting developmental delay, such as shame, withdrawal, depression, and medical hospitalization. Currently, there is no unified etiological model of pica; instead, single theories exist that explain pica behavior with a limited number of substances and/or in subgroups. Psychological treatment in children is limited to techniques of behavior modification that are only supported by case studies. Studies on pharmacological treatment of individuals with pica are scarce, but there is some limited support for the use of SSRIs.</dcterms:abstract>
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