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Is picky eating an eating disorder?
Corinna Jacobi1, Gabriele Schmitz, W Stewart Agras
1Clinical Psychology and Psychotherapy, University of Dresden, Dresden, Germany. cjacobi@psychologie.tu-dresden.de
Insights
Picky eating in children aged 8-12 is linked to behavioral issues, not disordered eating. Picky eaters avoid more foods and exhibit more internalizing and externalizing behaviors.
Area of Science:
- Pediatric Nutrition
- Child Psychology
- Behavioral Science
Background:
- Picky eating is common in children, but its associations with other issues require further investigation.
- Previous research suggests links between picky eating and specific child eating behaviors.
- Understanding these associations is crucial for targeted interventions.
Purpose of the Study:
- To determine the prevalence of picky eating in 8-12-year-old children.
- To explore the relationship between picky eating, eating behaviors, and behavioral problems.
- To examine associations with maternal eating problems.
Main Methods:
- A cohort study assessed 426 children (8-12 years) and their caretakers.
- Mothers reported on child eating behaviors using the Stanford Feeding Questionnaire.
- Child behavior and eating attitudes were assessed using validated surveys.
Main Results:
- Picky eaters avoided more foods compared to nonpicky eaters.
- No significant differences were found in disordered eating between picky and nonpicky children.
- Picky children exhibited more internalizing and externalizing behavioral problems.
Conclusions:
- Picky eating in this age group is associated with behavioral problems, not disordered eating.
- Findings suggest a distinction between picky eating and clinical eating disorders.
- Further research should explore the etiology of behavioral issues in picky eaters.
Objective:
To examine the prevalence of picky eating and the relationship between picky eating, previously supported correlates of picky eating, other child eating and behavioral problems and maternal eating problems in children aged 8-12 years.
Method:
In a cohort study, 426 8- to 12-year-old children and their primary caretakers (91% mothers) were assessed in a small town community. Potential child eating behaviors associated with picky eating were reported by mothers using the Stanford Feeding Questionnaire. Child eating attitudes and disturbances were obtained from the McKnight Risk Factor Survey, food preferences and avoidances from a food preference list, child behavioral problems were assessed by the Child Behavior Checklist. To assess maternal eating disturbances EDI-subscales 1-3 as well as TFEQ-subscales "disinhibition" and "restraint" were used.
Results:
Picky and nonpicky eaters differed significantly on all of the child eating behaviors found to be correlates of picky eating in a previous study with younger children. Overall, picky children were reported to avoid foods in general more often than nonpicky eaters. Picky children did not differ from nonpicky children with regard to their own and maternal eating disturbances. However, picky children displayed more problem behaviors comprising both internalizing and externalizing behaviors.
Conclusion:
The present study does not support the concept that picky eating is associated with disordered eating but rather with a range of behavioral problems.
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