Pica behaviors in a German community-based online adolescent and adult sample: an examination of substances, triggers, and associated pathology

Hartmann, Andrea S.

doi:10.1007/s40519-019-00693-w

Cited by 5 publications

(2 citation statements)

References 9 publications

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“…These aspects need to be kept in mind when interpreting prevalences of both behaviours reported here. As a diagnosis of pica can only be inferred if the substance is non-food and non-nutritive, and particularly as a small descriptive survey in a convenience sample of adolescents and adults indicated that half of the pica substances mentioned would not qualify as such (Hartmann, 2019), future studies should also assess the kind of substance(s) consumed. On the other hand, individuals might not have reported certain items they consume (e.g.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of pica and rumination behaviours in adults and associations with eating disorder and general psychopathology: findings form a population-based study

Hartmann

Zenger

Glaesmer

et al. 2022

Epidemiol Psychiatr Sci

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Aims Pica and rumination disorder are known as feeding disorder diagnoses in childhood, but little is known about their occurrence in adulthood. This study aimed to assess prevalence rates of one-time and recurrent pica and rumination behaviours (PB and RB) in adults, including sociodemographic subgroups, and to examine associations with other eating disorder and general psychopathology. Methods The representative population sample (N = 2403) completed measures on PB and RB, symptoms of avoidant/restrictive food intake disorder (ARFID), body image and symptoms of depression and anxiety. Results Any PB and RB were reported in 5.33 and 5.49%, respectively, while recurrent PB or RB occurred in 1.08 and 0.71%, respectively. Co-occurrence was high, with 35.29% of recurrent PB in RB, and 23.08% vice versa. Prevalence rates of recurrent PB or RB did not differ by gender, weight status, educational or migration history from those without recurrent behaviours. Adults with v. without recurrent PB and RB showed more symptoms of ARFID, general eating disorders depression and anxiety, and behavioural symptoms of eating disorders (with the exception of compensatory behaviours in recurrent PB), and less positive body image. However, there were no differences regarding age and body mass index. Conclusions Our findings highlight the clinical significance of PB and RB in adults regarding both prevalence and associations with other psychopathological symptoms. In particular, associations with body image need to be investigated further, as in contrast to other eating disorders, body image disturbance is not yet represented in the diagnostic criteria for pica and rumination disorder. In sum, the findings highlight the need for clinical attention for these disorders and related behaviours in adults.

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Section: Discussionmentioning

confidence: 99%

Prevalence of pica and rumination behaviours in adults and associations with eating disorder and general psychopathology: findings form a population-based study

Hartmann

Zenger

Glaesmer

et al. 2022

Epidemiol Psychiatr Sci

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“…The disorder is rarely observed in adults who are not disabled, even though there have been some reports of pica cases in elderly without psychiatric comorbidities. The real prevalence of this disease is difficult to assess due to the underreporting of these cases (Hartmann, 2019). Usually, this disorder comes to clinical attention due to its medical complications: mechanical bowel problems, intestinal obstruction or perforation, infections, or poisoning (Rogers, Kramer, Smith, Bird & Rosenberg, 2017).…”

Section: Psychiatric Aspects Of Eating Disordersmentioning

confidence: 99%

Eating disorders in elderly: clinical implications

Stănculete¹,

Dumitraşcu²,

Băban³

et al. 2019

JEBP

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Eating disorders (EDs) are a challenging category of psychiatric disorders that often present a chronic evolution and are associated with significant functional impairment, with high rates of psychiatric and medical comorbidities and mortality. Although long-time described only in the young population, now eating disorders are increasingly diagnosed in elderly. The etiology of eating disorders is mostly unknown and, in elderly, appears to be multifactorial. The purpose of this review is to summarize data examining eating disorders in elderly. We argue for the use of the biopsychosocial model and paradigm by mental health practitioners in the approach of elderly with EDs.

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Pica

Höger

Hartmann

2021

Hidden and Lesser-Known Disordered Eating Behaviors in Medical and Psychiatric Conditions

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Pica behaviors in a German community-based online adolescent and adult sample: an examination of substances, triggers, and associated pathology

Cited by 5 publications

References 9 publications

Prevalence of pica and rumination behaviours in adults and associations with eating disorder and general psychopathology: findings form a population-based study

Prevalence of pica and rumination behaviours in adults and associations with eating disorder and general psychopathology: findings form a population-based study

Eating disorders in elderly: clinical implications

Pica

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