Pica in the Pregnancy and Related Psychological Aspects

Abstract

Based on a descriptive and exploratory research design, this study aimed to evaluate emotional (sings of stress, anxiety and depression) and coping indicators in seven pregnant women with diabetes and pica reporting practices. The pica reporting practices in their current pregnancies were identifi ed before they answered the following instruments for psychological evaluation: (a) Inventory of signs and symptoms of stress of Lipp (ISSL), to evaluate stress; (b) BECK Scales, BAI and BDI Inventory, to evaluate anxiety and depression; (c) Scales of Ways of Coping (EMEP), to identify coping strategies to deal with stress; (d) an Interview Guide created for this study. The pregnant women were interviewed individually and their reports were analyzed into macro-categories by the Bardin´s methodology. Indicators of stress, anxiety and depression were found in all pregnant women, whose most reported practice was pagofagia (30.8%) and fruit with salt (30.8%). The verbal report revealed that all women had a feeling of satisfaction after the practice of pica. Given that the associations between this eating disorder and unfavorable outcomes, it is important to investigate the pica in order to propose a more effective prenatal care in improving the health of the mother-child dyad.

Eating behavior, non-food substance consumption and negative urgency in women

“…(25) The authors discussed the culture aspect determining the consumption (used for nausea relief), which avoided the diagnosis based on the DSM-5. (5) In Mozambique, the consumption of mango with salt is common, (27) however, in Brazil, there are publications that point out the comsuption of unripe mango with salt among pregnant women with Pica, (28) although in east central region and northeast of the country, the mix (unripe mango with salt) is culturally accepted. Therefore, we emphasize the importance of considerer cultural aspects of regional eating and ingestion of any combination that already occurred before pregnancy, when it comes to study Pica among pregnant women.…”

“…Still, we showed that intense desire was the determinants for the consumption, such as in the following affirmation by one of the participants of the study: "I'm little reluctant if it is a very awkward thing, but it gets to a point that is difficult to avoid, the craving is so great, it makes your mouth water". (28) Authors listed six determining categories for consumption of non-food substances such as "Motivation to practice"; "Personal history of practice"; "Desire satisfaction"; "Satisfaction in intake"; "Desire sharing"; "Family sharing". Further studies in ED could benefit from use similar methodologies to depth the understandings of aspects and experiences behind the consumption of non-food substances.…”

Desgaste dentário erosivo associado a síndrome de Pica: relato de caso clínico

“…Mudanças do metabolismo, alterações psicológicas e nutricionais, como a falta de ferro presente no organismo também estão associadas a SP (Cunha et al, 2017). Além disso, a SP tem prevalência em indivíduos adolescentes ou adultos com transtornos mentais e que podem resultar em diversos distúrbios gastrointestinais, como as ulcerações, perfurações, obstruções e obstipação causadas pela ingestão de alimentos não comestíveis (Loggi et al, 1992).…”

Estado Nutricional De Crianças Menores De 5 Anos No Brasil

“…Dessa forma, tais alterações hormonais podem ocasionar mudanças físicas e psicológicas significativas na mulher que resultariam em sintomatologia depressiva, ansiedade, baixa concentração, irritabilidade, mudança no apetite, insônia e perda de energia(NJIRU et al, 2011;CUNHA, 2017). necessidade de alteração dos percentuais dos ingredientes .…”