Pica in an eating disordered woman with multiple sclerosis: impulse dys-control, compulsive symptom or self-medication attempt?
Eat Weight Disord
; 15(1-2): e116-8, 2010.
Article
in En
| MEDLINE
| ID: mdl-20571315
ABSTRACT
We report about a complex case of pica in comorbidity with multiple sclerosis and binge eating disorder. Pica is classified among the feeding and eating disorders of infancy and early childhood, but there is a debate in the literature about the psychopathology and classification of this behavior. Some authors emphasize the similarities with the obsessive-compulsive spectrum disorders, whereas others propose an interpretation of pica as an addiction or as an impulsive behavior. The clinical case that we describe provides a picture of impulsive and compulsive features that are very difficult to disentangle. It is noteworthy that hypercalcemia is reported to have a protective/therapeutic effect against multiple sclerosis and seems to increase the plasmatic levels of beta-endorphins. The nature, diagnostic classification, and functions of pica are a topic worthy of future investigation.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pica
/
Binge-Eating Disorder
/
Multiple Sclerosis
Type of study:
Diagnostic_studies
Limits:
Female
/
Humans
/
Middle aged
Language:
En
Journal:
Eat Weight Disord
Journal subject:
GASTROENTEROLOGIA
/
METABOLISMO
Year:
2010
Document type:
Article
Affiliation country:
Italia