{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T17:04:46Z","timestamp":1790442286284,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,9,2]],"date-time":"2018-09-02T00:00:00Z","timestamp":1535846400000},"content-version":"vor","delay-in-days":32,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001711","name":"Schweizerischer Nationalfonds zur F\u00f6rderung der Wissenschaftlichen Forschung","doi-asserted-by":"publisher","award":["100014132045\/1"],"award-info":[{"award-number":["100014132045\/1"]}],"id":[{"id":"10.13039\/501100001711","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Little epidemiological evidence exists on rumination disorder behavior (RB) and pica behavior (PB). We examined prevalence of RB and PB and presence of comorbid feeding\/eating disorder symptoms among school\u2010aged children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>In elementary schools in Switzerland, 1,430 children (54.0% female) ages 7\u201313 completed the Eating Disorder Examination\u2010Questionnaire for children (ChEDE\u2010Q) and the Eating Disturbances in Youth Questionnaire (EDY\u2010Q).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>EDY\u2010Q behavior frequency showed 9.7% reported RB only, 10.0% reported PB only, and 3.1% reported RB\u2009+\u2009PB (\u22651 on 0\u20136 Likert scale). At a clinical cut\u2010off score of\u2009\u2265\u20094, 1.7% had RB only, 3.8% had PB only, and 1.1% had RB\u2009+\u2009PB. Avoidant\/restrictive food intake disorder symptoms were most common in those with RB\u2009+\u2009PB, and more common in those with RB or PB than those without. The degree of eating disorder symptoms (by ChEDE\u2010Q) over the past 28\u2009days were similar among those with RB, PB, or RB\u2009+\u2009PB, but less common in those without RB or PB.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>RB and PB were commonly reported in our sample of school\u2010aged children, even at a potential clinically significant cut\u2010off. Our findings also suggest that the degree of eating disorder symptom comorbidity is similar between those with RB and PB.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22898","type":"journal-article","created":{"date-parts":[[2018,9,3]],"date-time":"2018-09-03T06:28:29Z","timestamp":1535956109000},"page":"994-998","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":41,"title":["Prevalence in primary school youth of pica and rumination behavior: The understudied feeding disorders"],"prefix":"10.1002","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2059-3256","authenticated-orcid":false,"given":"Helen B.","family":"Murray","sequence":"first","affiliation":[{"name":"Department of Psychology Drexel University  Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2601-581X","authenticated-orcid":false,"given":"Jennifer J.","family":"Thomas","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program, Massachusetts General Hospital  Boston Massachusetts"},{"name":"Department of Psychiatry Harvard Medical School  Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Hinz","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology and Medical Sociology University of Leipzig Medical Center  Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Munsch","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Fribourg  Fribourg Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2775-1296","authenticated-orcid":false,"given":"Anja","family":"Hilbert","sequence":"additional","affiliation":[{"name":"Integrated Research and Treatment Center Adiposity Diseases, Departments of Medical Psychology and Medical Sociology and Psychosomatic Medicine and Psychotherapy University of Leipzig Medical Center  Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,9,2]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Diagnostic and statistical manual of mental disorders (DSM\u20105)","author":"APA","year":"2013"},{"key":"e_1_2_6_3_1","unstructured":"Arbeitsgemeinschaft Adipositas im Kindes\u2010 und Jugendalter. Leitlinien der Arbeitsgemeinschaft Adipositas im Kindes\u2010 und Jugendalter [Guidelines of the Workgroup for Adiposity in Childhood and Adolescence]. [August 08 2018]; Available from:http:\/\/www.adipositas-gesellschaft.de\/fileadmin\/PDF\/Leitlinien\/AGA_S2_Leitlinie.pdf."},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(00)00033-4"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22279"},{"key":"e_1_2_6_6_1","volume-title":"ROME IV: Functional gastrointestinal disorders\u2014Disorders of gut\u2010brain interaction","author":"Drossman D."},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01303162"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(199912)26:4<414::AID-EAT7>3.0.CO;2-8"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-5448.2007.00237.x"},{"key":"e_1_2_6_10_1","first-page":"1","article-title":"Prevalence of pica and rumination behaviors in German children aged 7\u201314 and their associations with feeding, eating, and general psychopathology: A population\u2010based study","author":"Hartmann A. 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