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University of Oklahoma Health Sciences Center

Obsessive-Compulsive Disorder/diagnosis*

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

Author/s: 
Bozzini, A.B., Malzyner, G., Maximino, P., Machado, R.H.V., Ramos, C.C., Ribeiro, L., Fisberg, M.

OBJECTIVE:

To review current evidence on the relationship between obsessive-compulsive disorder and feeding difficulties.

METHODS:

Review the Science Direct and PubMed databases between 2007 and 2017 in English, Portuguese and Spanish. The search terms, used in association, were "obsessive compulsive disorder" and "picky eating/feeding difficulty". Cohort, case control and cross sectional studies were included that analyzed children, adolescents and/or adults of any sample size from any country in the world. Opinion articles were excluded.

RESULTS:

Around 245 articles were selected, and only 4 were included in this review, according to previous criteria. Results from the studies essentially described that there is indeed a difference in "picky" behaviors between subjects with and without obsessive-compulsive disorder. Patients with obsessive-compulsive disorder tend to have exacerbated symptoms of disgust, anxiety and a higher eating behavior inflexibility score.

CONCLUSIONS:

Obsessive-compulsive disorder and feeding difficulties patients share common symptoms. The present study alerts health professionals who follow patients with feeding difficulties as to the importance of investigating possible psychiatric comorbidities.

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