A Case of Pica on a 6–Year-Old Child from Medan
DOI:
https://doi.org/10.3889/oamjms.2021.6301Keywords:
Pica, Non-nutritive, Non-food substances, Parental neglectAbstract
BACKGROUND: In 2013, in the feeding and eating disorder category of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), pica was included as a diagnosis. Eating one or more non-nutritious, non-food substances continuously for at least 1 month is an important characteristic of pica. Children who participate in pica eat products that differ greatly but also include paper, plastic, fabric, dirt, paint, rocks, soap, and cigarette butts. This purpose of this case report is to determine the symptoms and diagnosis of pica in child.
CASE REPORT: A 6-year-old girl was brought to the Psychiatry Clinic of North Sumatera University Hospital with her mother due to her unusual behavior of eating stuff including paper, sawdust, crayon, cloth, and ice cubes. This on since the little girl was 3 years of age. One week earlier, the little girl experienced diarrhea before being admitted to the psychiatry clinic. In this case, the diagnosis of pica used the DSM-5 criteria.
CONCLUSION: We hope that this case report about pica can figure out more about this particularly unusual behavior, which can occur even in normal children in which parental neglect may precipitate its occurrence. As clinicians, we can detect the symptoms and signs of pica in children to prevent further complications.Downloads
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References
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013. p. 329-32. https://doi.org/10.1176/appi.books.9780890425596
Call NA, Simmons CA, Movers JE, Alvarez JP, Clinical outcomes of behavioral treatments for pica in children with developmental disabilities. J Autism Dev Disord. 2015;45(7):2104-14. https://doi.org/10.1007/s10803-015-2375-z PMid:25636679
Bryant-Waugh R. Feeding and eating disorders in children. Psychiatr Clin N Am. 2019;42(1):157-67. PMid:30704636
Leung AK, Hon KL. Pica: A common condition that is commonly missed an update review. Curr Pediatr Rev. 2019;15(3):164-9. https://doi.org/10.2174/1573396315666190313163530 PMid:30868957
McNaughten B, Bourke T, Thompson A. Fifteen-minute consultation: The child with Pica. Arch Dis Child Educ Pract Ed. 2017;102(5):226-9. https://doi.org/10.1136/archdischild-2016-312121 PMid:28487433
Hartmann AS, Poulain T, Vogel M, Hiemisch A, Kiess W, Hilbert A. 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):1499-508. https://doi.org/10.1007/s00787-018-1153-9 PMid:29675593
Muething C, Call NA, Clark S. An evaluation of differential reinforcement in the treatment of pica. Dev Neurorehabil. 2019;23:321-7.
Ledford JR, Barton EE, Rigor MN, Stankiewicz KC, Chazil KT, Harbin ER, et al. Functional analysis and treatment of pica on a preschool playground. Behav Anal Pract. 2019;12(1):176-81. https://doi.org/10.1007/s40617-018-00283-9 PMid:30918781
Borowitz KC, Borowitz SM. Feeding problems in infants and children assessment and etiology. Pediatr Clin North Am. 2018;65(1):59-72. https://doi.org/10.1016/j.pcl.2017.08.021 PMid:29173720
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Copyright (c) 2021 Ismarika Ismarika, Elmeida Efffendy (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0
