{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:50:40Z","timestamp":1777524640630,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[1981,12,1]],"date-time":"1981-12-01T00:00:00Z","timestamp":376012800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[1981,12]]},"abstract":"<jats:p>Fifty children with iron deficiency anemia with pica and 50 children with iron deficiency anemia without pica were studied to detail their psychosocial environment. Children in two groups were individually matched for age, sex, socioeconomic class, and degree of anemia. The pica group had significantly greater stress scores (7.6 \u00b1 2.8) as compared to the control group (4.1 + 2.1; t = 5.05; p &lt; 0.001). The stress factors that were significantly associated with pica were maternal deprivation (p &lt; 0.01), child's caretaker other than the mother (p &lt; 0.001), parental separation (p &lt; 0.01), parental attitude of neglect, joint family (p &lt; 0.001), child beating (p &lt; 0.01), too little mother-child inter action (p &lt; 0.01), and too little father-child interaction (p &lt; 0.001). Hence, in the management of pica, a thorough evaluation of the psychosocial setting in which the child lives and an effort to alleviate psychosocial stress are important.<\/jats:p>","DOI":"10.1177\/000992288102001205","type":"journal-article","created":{"date-parts":[[2008,7,28]],"date-time":"2008-07-28T18:00:38Z","timestamp":1217268038000},"page":"783-785","source":"Crossref","is-referenced-by-count":35,"title":["Role of Psychosocial Stress in the Cause of Pica"],"prefix":"10.1177","volume":"20","author":[{"given":"Sunit","family":"Singhi","sequence":"first","affiliation":[{"name":"Department of Pediatrics and Psychiatry, J.L.N. Medical College, Ajmer, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pratibha","family":"Singhi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Psychiatry, J.L.N. Medical College, Ajmer, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gul B.","family":"Adwani","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Psychiatry, J.L.N. Medical College, Ajmer, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1981,12,1]]},"reference":[{"key":"atypb1","unstructured":"Illingworth RS: Common Symptoms of Diseases in Childhood. Oxford , Blackwell Scientific, 1979, p 64"},{"key":"atypb2","unstructured":"Chisolm JJ: Lead poisoning, Pediatrics, Sixteenth Edition. Edited by AM Rudolph. New York , Appleton-Century-Crofts, 1977 , pp 797-806"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-197707000-00006"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1976.tb130262.x"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1975.03260200054019"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1971.00310170168027"},{"key":"atypb7","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1542\/peds.34.4.558","volume":"34","author":"McDonald R.","year":"1964","journal-title":"Pediatrics"},{"key":"atypb8","volume-title":"Pica","author":"Cooper M.","year":"1957"},{"key":"atypb9","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1177\/000992287201100408","volume":"11","author":"Cavdar AO","year":"1972","journal-title":"Clin Pediatr"},{"key":"atypb10","unstructured":"Vaughan VC, Mckay RJ, Beharman RE: Nelson Text Book of Pediatrics. Philadelphia , WB Saunders, 1979 , p 89"},{"key":"atypb11","volume-title":"Etiology of pica in Ajmer children","author":"Singhi P."},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.2190\/YDKM-RHDQ-QPUT-32QH"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1956.02060020146007"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-7138(09)61540-5"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1016\/S0009-9120(68)80103-1"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000992288102001205","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000992288102001205","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:23:56Z","timestamp":1777393436000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/000992288102001205"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1981,12]]},"references-count":15,"journal-issue":{"issue":"12","published-print":{"date-parts":[[1981,12]]}},"alternative-id":["10.1177\/000992288102001205"],"URL":"https:\/\/doi.org\/10.1177\/000992288102001205","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[1981,12]]}}}