It is not unusual to notice that younger children are frequently eating nonnutritive substances.Ĭopyright © 2023, StatPearls Publishing LLC. It is possible that children with developmental trauma and those who have suffered. It is more common in children on the Autism Spectrum, children with a learning disability and children who have had a brain injury which has affected their development. It is important to understand that in order to diagnose pica, the individual must be at least 2 years of age. PICA is the eating of non-edible, non-nutritious items such as stones, plastic, wood etc. Pica usually occurs as an isolated disorder but there are instances when it may co-exist with schizophrenia, OCD, and trichotillomania. In some parts of the world, the consumption of non-nutritive substances is culturally accepted. In women, it is most often seen during pregnancy. The nature of ingested items is variable, including but not limited to earth (geophagy), raw starches (amylophagy), ice (pagophagia), charcoal, ash, paper, chalk, cloth, baby powder, coffee grounds, and eggshells.Īlthough pica is seen in children, it is also a common eating disorder in patients who are intellectually impaired. For a diagnosis of pica, the behaviour must be present for at least one month, not part of a cultural practice, and developmentally inappropriate generally, it’s not diagnosed in children under. For diagnosis, the behavior must persist for at least one month, not be in keeping with the child's developmental stage (and age cut off of 24 months or more is suggested by DSM V), and not be socially normative or culturally acceptable behavior. Pica is a feeding disorder in which someone eats non-food substances that have no nutritional value, such as paper, soap, paint, chalk, or ice. The term is derived from "pica-pica," the Latin word for the magpie bird, because of the bird's indiscriminate gathering and eating a variety of objects for the sake of curiosity. Avoidant/Restrictive Food Intake Disorder (AFRID) is a common eating disorder experienced by young children. The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) defines pica as eating nonnutritive, nonfood substances over a period of at least one month. Common Types of Eating Disorders in Children.
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