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Prevalence of pica and rumination behaviors in German children aged 7-14 and their associations with feeding, eating, and general psychopathology: a population-based study.
Eur Child Adolesc Psychiatry. 2018 Nov; 27(11):1499-1508.EC

Abstract

Despite potentially severe medical consequences of pica and rumination disorder (RD), little is known about their prevalence and association with other psychopathology in childhood. As a part of a larger population-based study, 804 children aged 7-14 years and their parents were asked about their experience of pica and RD behaviors, and associated eating, feeding and general psychopathology. A total of 12.31 and 11.49% of the participants reported having engaged in pica or RD behaviors, respectively, at least once. Recurring pica or RD behaviors had been experienced by 4.98 and 1.49% of the participants, respectively. The behaviors showed a significant but small correlation with one another (r = 0.28, p < 0.01). Correlations with symptoms of avoidant/restrictive food intake disorder (ARFID) were significant but small (pica: r = 0.18, RD: r = 0.27, both p < 0.01). Prevalence rates of recurring pica behavior were significantly increased if recurring RD was present (58.33%), and also vice versa (17.50%). The prevalence rates of recurrent pica and RD behaviors were also increased in the presence of an ARFID diagnosis (both behaviors 12.0%). However, correlations with restraint and eating, weight, and shape concern were non-significant (all p > 0.05). Additionally, RD behavior was positively correlated with emotional and conduct problems (r = 0.15 and 0.22, both p < 0.01), and both behaviors were negatively correlated with prosocial behavior (r = - 0.10 and - 0.09, both p < 0.05). Our findings underscore the clinical significance of pica and RD behaviors. More research is warranted on both disorders and their association and relation with ARFID to deepen the understanding of their presentation and to ascertain diagnostic validity.

Authors+Show Affiliations

Institute of Psychology, Department of Human Sciences, Osnabrück University, Knollstrasse 15, 49069, Osnabrück, Germany. andrea.hartmann@uos.de.LIFE Leipzig Research Center for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Strasse 27, 04103, Leipzig, Germany. Center for Pediatric Research, Hospital for Children and Adolescents, University of Leipzig Medical Center, Liebigstrasse 20a, 04103, Leipzig, Germany.LIFE Leipzig Research Center for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Strasse 27, 04103, Leipzig, Germany. Center for Pediatric Research, Hospital for Children and Adolescents, University of Leipzig Medical Center, Liebigstrasse 20a, 04103, Leipzig, Germany.LIFE Leipzig Research Center for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Strasse 27, 04103, Leipzig, Germany. Center for Pediatric Research, Hospital for Children and Adolescents, University of Leipzig Medical Center, Liebigstrasse 20a, 04103, Leipzig, Germany.LIFE Leipzig Research Center for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Strasse 27, 04103, Leipzig, Germany. Center for Pediatric Research, Hospital for Children and Adolescents, University of Leipzig Medical Center, Liebigstrasse 20a, 04103, Leipzig, Germany.Department of Medical Psychology and Medical Sociology, Department of Psychosomatic Medicine and Psychotherapy, Integrated Research and Treatment Center Adiposity Diseases, University of Leipzig Medical Center, Philipp-Rosenthal-Strasse 27, 04103, Leipzig, Germany.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29675593

Citation

Hartmann, Andrea S., et al. "Prevalence of Pica and Rumination Behaviors in German Children Aged 7-14 and Their Associations With Feeding, Eating, and General Psychopathology: a Population-based Study." European Child & Adolescent Psychiatry, vol. 27, no. 11, 2018, pp. 1499-1508.
Hartmann AS, Poulain T, Vogel M, et al. Prevalence of pica and rumination behaviors in German children aged 7-14 and their associations with feeding, eating, and general psychopathology: a population-based study. Eur Child Adolesc Psychiatry. 2018;27(11):1499-1508.
Hartmann, A. S., Poulain, T., Vogel, M., Hiemisch, A., Kiess, W., & Hilbert, A. (2018). Prevalence of pica and rumination behaviors in German children aged 7-14 and their associations with feeding, eating, and general psychopathology: a population-based study. European Child & Adolescent Psychiatry, 27(11), 1499-1508. https://doi.org/10.1007/s00787-018-1153-9
Hartmann AS, et al. Prevalence of Pica and Rumination Behaviors in German Children Aged 7-14 and Their Associations With Feeding, Eating, and General Psychopathology: a Population-based Study. Eur Child Adolesc Psychiatry. 2018;27(11):1499-1508. PubMed PMID: 29675593.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of pica and rumination behaviors in German children aged 7-14 and their associations with feeding, eating, and general psychopathology: a population-based study. AU - Hartmann,Andrea S, AU - Poulain,Tanja, AU - Vogel,Mandy, AU - Hiemisch,Andreas, AU - Kiess,Wieland, AU - Hilbert,Anja, Y1 - 2018/04/19/ PY - 2017/12/22/received PY - 2018/04/02/accepted PY - 2018/4/21/pubmed PY - 2018/12/13/medline PY - 2018/4/21/entrez KW - Children KW - Feeding and eating disorder psychopathology KW - General psychopathology KW - Pica KW - Prevalence KW - Rumination disorder SP - 1499 EP - 1508 JF - European child & adolescent psychiatry JO - Eur Child Adolesc Psychiatry VL - 27 IS - 11 N2 - Despite potentially severe medical consequences of pica and rumination disorder (RD), little is known about their prevalence and association with other psychopathology in childhood. As a part of a larger population-based study, 804 children aged 7-14 years and their parents were asked about their experience of pica and RD behaviors, and associated eating, feeding and general psychopathology. A total of 12.31 and 11.49% of the participants reported having engaged in pica or RD behaviors, respectively, at least once. Recurring pica or RD behaviors had been experienced by 4.98 and 1.49% of the participants, respectively. The behaviors showed a significant but small correlation with one another (r = 0.28, p < 0.01). Correlations with symptoms of avoidant/restrictive food intake disorder (ARFID) were significant but small (pica: r = 0.18, RD: r = 0.27, both p < 0.01). Prevalence rates of recurring pica behavior were significantly increased if recurring RD was present (58.33%), and also vice versa (17.50%). The prevalence rates of recurrent pica and RD behaviors were also increased in the presence of an ARFID diagnosis (both behaviors 12.0%). However, correlations with restraint and eating, weight, and shape concern were non-significant (all p > 0.05). Additionally, RD behavior was positively correlated with emotional and conduct problems (r = 0.15 and 0.22, both p < 0.01), and both behaviors were negatively correlated with prosocial behavior (r = - 0.10 and - 0.09, both p < 0.05). Our findings underscore the clinical significance of pica and RD behaviors. More research is warranted on both disorders and their association and relation with ARFID to deepen the understanding of their presentation and to ascertain diagnostic validity. SN - 1435-165X UR - https://www.unboundmedicine.com/medline/citation/29675593/Prevalence_of_pica_and_rumination_behaviors_in_German_children_aged_7_14_and_their_associations_with_feeding_eating_and_general_psychopathology:_a_population_based_study_ L2 - https://dx.doi.org/10.1007/s00787-018-1153-9 DB - PRIME DP - Unbound Medicine ER -