Vol 18, No 2 (2021)
Research paper
Published online: 2021-03-03
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Assessment of behaviors related to eating disorders in a group of people with cerebral palsy

Anna Mosiołek, Ewa Neumann
DOI: 10.5603/PSYCH.a2021.0007
·
Psychiatria 2021;18(2):97-102.

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Vol 18, No 2 (2021)
Prace oryginalne - nadesłane
Published online: 2021-03-03

Abstract

Introduction: Cerebral palsy (CP) is a group of symptoms that describes a variety of movement or posture disorders that result from permanent but non-progressive brain damage early in a child’s development. They have a direct impact on the patient’s quality of life and relationships in his close surroundings. Very often CP is accompanied by dysphagia and neophobia, where the former is a typical physical disorder resulting from difficulties in swallowing food, and the latter, depending on factors, may be a psychological nutritional barrier, due to the patient’s fear of eating unknown foods. In the group of eating disorders occurring in people with CP, anorexia and bulimia are usually overlooked. The aim of the study is to assess eating disorders in people with CP not mentally retarded and the impact of the environment on their occurrence, as well as to compare the frequency with the general population. Material and methods: The study uses the method of a diagnostic survey and a self-authored questionnaire. The research tool is a questionnaire consisting of 27 questions addressed to parents of children with CP whose intellectual development was normal. Parents of children suffering from CP were examined and their psychosocial development was not abnormal. The study group consisted of 50 people aged 18–50, participation in the study was voluntary and anonymous. The research group consists of people associated in a support group for parents and carers of people with CP. Results: Children suffering from CP very often suffer from eating disorders. There are many types of eating disorders that children with CP suffer from. The most common disturbing eating behavior was fear of eating food (42%), obsessive thoughts about eating (90%), difficulty in swallowing food (86%), perfect knowledge of the caloric content of food products (76%), lack of control over the amount of food consumed (38%), the use of restrictive diets (32%), weight change (24%), vomiting (18%) and reluctance to eat (14%). Conclusions: Directing attention only to the negative aspects of family relationships in people with CP is definitely insufficient. In the prevention of anorexia or bulimia in this group of patients, the need to stimulate and strengthen such forms of behavior of patients and adult caregivers towards children with CP should be taken into account. It is necessary to conduct further research on the coexistence of anorexia and bulimia in people with cerebral palsy.

Abstract

Introduction: Cerebral palsy (CP) is a group of symptoms that describes a variety of movement or posture disorders that result from permanent but non-progressive brain damage early in a child’s development. They have a direct impact on the patient’s quality of life and relationships in his close surroundings. Very often CP is accompanied by dysphagia and neophobia, where the former is a typical physical disorder resulting from difficulties in swallowing food, and the latter, depending on factors, may be a psychological nutritional barrier, due to the patient’s fear of eating unknown foods. In the group of eating disorders occurring in people with CP, anorexia and bulimia are usually overlooked. The aim of the study is to assess eating disorders in people with CP not mentally retarded and the impact of the environment on their occurrence, as well as to compare the frequency with the general population. Material and methods: The study uses the method of a diagnostic survey and a self-authored questionnaire. The research tool is a questionnaire consisting of 27 questions addressed to parents of children with CP whose intellectual development was normal. Parents of children suffering from CP were examined and their psychosocial development was not abnormal. The study group consisted of 50 people aged 18–50, participation in the study was voluntary and anonymous. The research group consists of people associated in a support group for parents and carers of people with CP. Results: Children suffering from CP very often suffer from eating disorders. There are many types of eating disorders that children with CP suffer from. The most common disturbing eating behavior was fear of eating food (42%), obsessive thoughts about eating (90%), difficulty in swallowing food (86%), perfect knowledge of the caloric content of food products (76%), lack of control over the amount of food consumed (38%), the use of restrictive diets (32%), weight change (24%), vomiting (18%) and reluctance to eat (14%). Conclusions: Directing attention only to the negative aspects of family relationships in people with CP is definitely insufficient. In the prevention of anorexia or bulimia in this group of patients, the need to stimulate and strengthen such forms of behavior of patients and adult caregivers towards children with CP should be taken into account. It is necessary to conduct further research on the coexistence of anorexia and bulimia in people with cerebral palsy.
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Keywords

anorexia, bulimia, cerebral palsy

About this article
Title

Assessment of behaviors related to eating disorders in a group of people with cerebral palsy

Journal

Psychiatria (Psychiatry)

Issue

Vol 18, No 2 (2021)

Article type

Research paper

Pages

97-102

Published online

2021-03-03

DOI

10.5603/PSYCH.a2021.0007

Bibliographic record

Psychiatria 2021;18(2):97-102.

Keywords

anorexia
bulimia
cerebral palsy

Authors

Anna Mosiołek
Ewa Neumann

References (19)
  1. Antczak-Domagała K. Stan odżywienia oraz sposoby jego oceny u osób w podeszłym wieku i u chorych otępiałych. Psychiatr. Psychol. Klin. 2013.
  2. Nowak A. Zaburzenia połykania. In: Kokot F. ed. Diagnostyka różnicowa objawów chorobowych. Państwowy Zakład Wydawnictw Lekarskich, Warszawa 1990.
  3. Halama AR. Kliniczne podejście otolaryngologa do chorego z dysfagią. Otolaryngologia Polska. 1995; XLIX(19): 29–36.
  4. Cook IJ, Kahrilas PJ. AGA technical review on management of oropharyngeal dysphagia. Gastroenterology. 1999; 116(2): 455–478.
  5. Jamrozik Z. Dysfagia neurogenna. Otolaryngologia Polska. 1995; XLIX(19).
  6. Calis EAc, Veugelers R, Sheppard JJ, et al. Dysphagia in children with severe generalized cerebral palsy and intellectual disability. Dev Med Child Neurol. 2008; 50(8): 625–630.
  7. Kozioł-Kozakowska A, Piórecka A. Neofobia żywieniowa- jej uwarunkowania i konsekwencje zdrowotne. Standardy medyczne – Pediatria. 2013; 1: 80–85.
  8. Dovey TM, Staples PA, Gibson EL, et al. Food neophobia and 'picky/fussy' eating in children: a review. Appetite. 2008; 50(2-3): 181–193.
  9. Brytek-Matera A, Rybicka-KIimczyk A. Wizerunek ciała w anoreksji i bulimii psychicznej. Difin, Warszawa 2013.
  10. ICD-10 Międzynarodowa Statystyczna Klasyfikacja Chorób i Problemów Zdrowotnych. Klasyfikacja zaburzeń psychicznych i zaburzeń zachowania 2000.
  11. Antczak-Domagała K. Stan odżywienia oraz sposoby jego oceny u osób w podeszłym wieku i u chorych otępiałych. Psychiatr Psychol Klin. 2013(43).
  12. Kryteria ICD-11. https://icd.who.int/en (19.07.208).
  13. Talarczyk M. Kryzys i interwencja kryzysowa w terapii dzieci i młodzieży. In: Gmitrowicz A, Janas-Kozik M. ed. Zaburzenia psychiczne dzieci i młodzieży. Medical Tribune, Warszawa 2018.
  14. Szurowska B. Anoreksja w rodzinie. Difin, Warszawa 2014: 57.
  15. Almuneef AR, Almajwal A, Alam I, et al. Malnutrition is common in children with cerebral palsy in Saudi Arabia - a cross-sectional clinical observational study. BMC Neurol. 2019; 19(1): 317.
  16. Fung EB, Samson-Fang L, Stallings VA, et al. Feeding dysfunction is associated with poor growth and health status in children with cerebral palsy. J Am Diet Assoc. 2002; 102(3): 361–373.
  17. Christine C, Dolk H, Platt MJ, et al. SCPE Collaborative Group. Recommendations from the SCPE collaborative group for defining and classifying cerebral palsy. Dev Med Child Neurol Suppl. 2007; 109: 35–38.
  18. Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007; 109: 8–14.
  19. Webb K, Morgan J, Lacey JH. Cerebral palsy and anorexia nervosa. Int J Eat Disord. 2009; 42(1): 87–89.

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