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Van Wert M, McVey K, Donohue T, Wasserstein T, Curry J, Goldstick Rosner N, Kimchi E, McCann U. Foam Rubber Pica and Cautopyreiophagia in a Highly Educated Woman: A Clinical Case Study. Clin Case Stud 2021. [DOI: 10.1177/15346501211014284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Pica, the developmentally and culturally-inappropriate eating of non-nutritive and non-food substances, is most often documented in people with developmental disabilities and children, frequently in institutional and residential settings. To date, there are no randomized clinical trials on pica-specific treatments, and very little literature is available regarding the characteristics or treatment of pica in adults with no intellectual or social deficits, and co-morbid disorders. This case study addresses this gap, and involves a highly educated 30 year-old American woman with foam rubber pica and burned match consumption (cautopyreiophagia) behaviors, along with co-morbid depressive, anxiety, and obsessive-compulsive symptoms, who received treatment in a general intensive outpatient program for adults in a large urban community psychiatry setting. The case study describes how the Biosocial Theory and Transtheoretical Model of Health Behavior Change were used to conceptualize this woman’s symptoms and guide a treatment team of clinicians who did not specialize in pica. Providers in non-specialty clinic settings would benefit from reflecting on ways to adapt evidence-based techniques to the treatment of uncommon symptoms.
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Affiliation(s)
| | - Kelsey McVey
- Johns Hopkins Bayview Medical Center, Baltimore, MD, USA
| | - Tammy Donohue
- Johns Hopkins Bayview Medical Center, Baltimore, MD, USA
| | | | | | | | - Eitan Kimchi
- Rush University Medical Center, Chicago, IL, USA
| | - Una McCann
- Johns Hopkins Bayview Medical Center, Baltimore, MD, USA
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Treatment of Comorbid Pica and Generalized Anxiety Disorder: A Case Study. COGNITIVE AND BEHAVIORAL PRACTICE 2021. [DOI: 10.1016/j.cbpra.2020.11.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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