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Clinical Pediatrics
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Role of Psychosocial Stress in the Cause of Pica

Sunit Singhi

Department of Pediatrics and Psychiatry, J.L.N. Medical College, Ajmer, India

Pratibha Singhi

Department of Pediatrics and Psychiatry, J.L.N. Medical College, Ajmer, India

Gul B. Adwani

Department of Pediatrics and Psychiatry, J.L.N. Medical College, Ajmer, India

Fifty children with iron deficiency anemia with pica and 50 children with iron deficiency anemia without pica were studied to detail their psychosocial environment. Children in two groups were individually matched for age, sex, socioeconomic class, and degree of anemia. The pica group had significantly greater stress scores (7.6 ± 2.8) as compared to the control group (4.1 + 2.1; t = 5.05; p < 0.001). The stress factors that were significantly associated with pica were maternal deprivation (p < 0.01), child's caretaker other than the mother (p < 0.001), parental separation (p < 0.01), parental attitude of neglect, joint family (p < 0.001), child beating (p < 0.01), too little mother-child inter action (p < 0.01), and too little father-child interaction (p < 0.001). Hence, in the management of pica, a thorough evaluation of the psychosocial setting in which the child lives and an effort to alleviate psychosocial stress are important.

Clinical Pediatrics, Vol. 20, No. 12, 783-785 (1981)
DOI: 10.1177/000992288102001205
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 J Transcult NursHome page
J. S. Boyle and M. C. Mackey
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J Transcult Nurs, January 1, 1999; 10(1): 65 - 68.
[Abstract] [PDF]