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SHOULD PEDIATRICIANS INVESTIGATE THE SYMPTOMS OF OBSESSIVE-COMPULSIVE DISORDER IN CHILDREN WITH FEEDING DIFFICULTIES?

Ana Beatriz Bozzini1, Gabriela Malzyner1, Priscila Maximino1

  • 1Instituto PENSI - Hospital Infantil Sabará, São Paulo, SP, Brasil.

Revista Paulista De Pediatria : Orgao Oficial Da Sociedade De Pediatria De Sao Paulo
|November 1, 2018
PubMed

Insights

Obsessive-compulsive disorder (OCD) is linked to feeding difficulties. Patients with OCD show increased disgust, anxiety, and inflexibility in eating behaviors, highlighting the need for screening comorbidities.

Area of Science:

  • Psychiatry
  • Pediatrics
  • Clinical Psychology

Background:

  • Feeding difficulties are common in childhood and can persist into adulthood.
  • Obsessive-compulsive disorder (OCD) is a mental health condition characterized by obsessions and compulsions.
  • The relationship between OCD and feeding difficulties requires further investigation.

Purpose of the Study:

  • To review existing scientific literature on the association between obsessive-compulsive disorder and feeding difficulties.
  • To synthesize current evidence regarding shared symptoms and clinical implications.

Main Methods:

  • A systematic review of studies published between 2007 and 2017.
  • Searches were conducted on Science Direct and PubMed using keywords: "obsessive compulsive disorder" and "picky eating/feeding difficulty".
  • Included studies were cohort, case control, and cross-sectional analyses of any sample size, excluding opinion articles.

Main Results:

  • Only 4 out of 245 initially selected articles met the inclusion criteria.
  • Individuals with OCD exhibit distinct "picky" eating behaviors compared to those without OCD.
  • Patients with OCD demonstrated heightened disgust sensitivity, anxiety, and inflexibility in eating behaviors.

Conclusions:

  • Obsessive-compulsive disorder and feeding difficulties share overlapping symptomatic features.
  • Health professionals managing patients with feeding difficulties should consider screening for psychiatric comorbidities, particularly OCD.
  • Early identification of comorbidities can lead to more comprehensive patient care.
Abstract

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