What is Pica
The word pica comes from the Latin word for magpie,
a bird known for its large and indiscriminate appetite.
Pica is most common in people with developmental disabilities,
including autism and mental retardation, and in children between
the ages of 2 and 3. Although kids younger than 18 to 24 months
can try to eat nonfood items, it isn't necessarily considered
abnormal at that age.
Pica is also a behavior that may surface in children who've had a
brain injury affecting their development. It can also be a problem
for some pregnant women, as well as people with epilepsy.
Causes
Pica is seen more in young children than adults. Between 10 and
32% of children ages 1 - 6 have these behaviors.
Pica can occur during pregnancy. In some cases, a lack of certain
nutrients, such as iron deficiency anemia and zinc deficiency, may
trigger the unusual cravings. Pica may also occur in adults who
crave a certain texture in their mouth.
Treatment
Treatment should first address any missing nutrients and other
medical problems, such as lead exposure.
Treatment involves behavior and development, environmental, and
family education approaches. Other successful treatments include
associating the pica behavior with bad consequences or punishment
(mild aversion therapy) followed by positive reinforcement for
eating the right foods.
Medications may help reduce the abnormal eating behavior, if pica
occurs as part of a developmental disorder such as mental
retardation.
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