ArticleEuropean child & adolescent psychiatry2018
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.
Article in European child & adolescent psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.
- Global prevalence of eating disorders in children: a comprehensive systematic review and meta-analysis.Italian journal of pediatrics · 2025Pooled it
- Approach to anaemia in gastrointestinal disease: A position paper by the ESPGHAN Gastroenterology Committee.Journal of pediatric gastroenterology and nutrition · 2025Guideline
- Observational
- Olfactory function and an explanatory model of pica revealed through a case report.Journal of eating disorders · 2026Article
- Rome V Pediatric Upper Gastrointestinal Disorders of Gut-Brain Interaction.Gastroenterology · 2026Review
- Turkish adaptation and validation of the Eating Disorders Examination Questionnaire - Short Parent Version (EDE-QS-P).BMC psychology · 2026Article
- Baylisascaris procyonis on the rise in Europe: a comprehensive review and analysis of occurrence data.Parasitology research · 2025Review
- Pica in Childhood: Concurrent and Sequential Psychiatric Comorbidity.The International journal of eating disorders · 2025Article
- Research on feeding and eating disorders in India: A narrative review.Indian journal of psychiatry · 2024Review
- Prevalence and associated factors of symptoms of pica among adolescent schoolchildren in northern Sudan: a cross-sectional study.Journal of eating disorders · 2023Article
- Prevalence of pica and rumination behaviours in adults and associations with eating disorder and general psychopathology: findings form a population-based study.Epidemiology and psychiatric sciences · 2022Article
- [Eating and feeding disorders : New developments].Der Nervenarzt · 2021Review
- Diagnostic yield and reliability of post-prandial high-resolution manometry and impedance-ph for detecting rumination and supragastric belching in PPI non-responders.Neurogastroenterology and motility · 2021Article
- Estimated Prevalence and Care Pathway of Feeding and Eating Disorders in a French Pediatric Population.Nutrients · 2021Article
- Rumination Syndrome in Children and Adolescents: A Mini Review.Frontiers in pediatrics · 2021Review
- Pica behaviors in a German community-based online adolescent and adult sample: an examination of substances, triggers, and associated pathology.Eating and weight disorders : EWD · 2020Article
- Chronic vomiting in children: Etiology, diagnosis, and management.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2020Article
- A complicated case of bowel obstruction with sepsis and methamphetamine toxicity in a child with pica.Forensic science, medicine, and pathology · 2019Article
- Diagnosis and Treatment of Rumination Syndrome: A Critical Review.The American journal of gastroenterology · 2019Review
Corrections and comments
- Erratum issued
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
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.
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