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Dysfunctional Eating Habits in Children and Adolescents with Sickle Cell Disease: The Development and Validation of a Screener.

机译:镰状细胞病儿童和青少年的饮食失调习惯:筛查仪的开发和验证。

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摘要

Sickle cell disease (SCD) is a genetic disorder, usually diagnosed at birth in which red blood cells carry atypical hemoglobin. Dysfunctional eating and more specifically, pica, has been found in children with SCD. Dysfunctional eating, including pica, may lead to hospitalization, surgeries, and other harmful medical consequences. There is a current need for standardized assessment tools to identify eating and feeding problems in this population. The aim of this study was to develop and evaluate the efficacy of an assessment screener developed to examine parent and child report of dysfunctional eating habits in youths with SCD. Age and gender matched clinical (those with SCD and pica symptoms) and non-clinical (those with SCD without pica symptoms) children (total of 4 children in each group) and their primary caregivers completed self and caregiver report screeners to identify pica and dysfunctional eating behaviors in children and adolescents with SCD. Based on symptoms of pica as outlined in the DSM-5, the screener was sensitive in identifying chewing versus swallowing non-food items and was found to be efficacious in determining a pica diagnosis. Unexpectedly, children and caregivers in both clinical and non-clinical groups reported the chewing of non-food items even without a diagnosis of pica. Qualitative results of the screener indicate that children with SCD and pica demonstrated more dysfunctional eating habits than those diagnosed with SCD but not pica.;Keywords: pica, sickle cell disease, screener, dysfunctional eating.
机译:镰状细胞病(SCD)是一种遗传性疾病,通常在出生时就被诊断出,其中红细胞携带非典型的血红蛋白。在患有SCD的儿童中发现饮食失调,尤其是异食癖。饮食不当(包括异食癖)可能导致住院,手术和其他有害医学后果。当前需要标准化的评估工具来识别该人群的饮食问题。这项研究的目的是开发和评估评估筛选器的功效,该评估筛选器用于检查患有SCD的年轻人饮食功能不良的父母和孩子的报告。年龄和性别相匹配的临床(有SCD和pica症状的人)和非临床(有SCD而无pica症状的人)儿童(每组总共4名儿童),其主要看护者完成了自我和看护者报告筛查,以识别出pica和功能障碍患有SCD的儿童和青少年的饮食行为。根据DSM-5中概述的异食癖症状,该筛查仪在识别咀嚼与吞咽非食品项目方面非常敏感,并被发现可有效地确定异食癖诊断。出乎意料的是,临床和非临床组的儿童和护理人员都报告称咀嚼非食品甚至没有诊断出异食癖。筛查者的定性结果表明,患有SCD和pica的儿童比被诊断为SCD但没有pica的儿童表现出更多的饮食失调习惯。关键词:pica,镰状细胞病,筛查,饮食失调。

著录项

  • 作者

    Costa, Alison L.;

  • 作者单位

    Alliant International University.;

  • 授予单位 Alliant International University.;
  • 学科 Psychology Clinical.;Health Sciences Pathology.;Health Sciences Nutrition.;Psychology Cognitive.
  • 学位 Psy.D.
  • 年度 2014
  • 页码 142 p.
  • 总页数 142
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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