40. Eating Disorders Flashcards Preview

M2 Psychiatry > 40. Eating Disorders > Flashcards

Flashcards in 40. Eating Disorders Deck (26)
Loading flashcards...
1

what are the major categoreies of eating disorder diagnoses in DSMV?

Anorexia
Bulimia
Binge Eating
Otherwise Specified
Unspecified

2

main diagnostic criteria for anorexia?

-Restriction of intake leading to sig low weight
-intense fear of weight gain
-disturbance in experience of weight, body shape
-amenorrhea (if applicable)

3

what does it mean to be in partial remission for anorexia?

low body weight has not been diagnosed for a sustained time, but EITHER intense fear of wt gain or disturbance self-perception is still met

4

what does it mean to be in FULL remission for anorexia?


none of the criteria have been met for a sustained period of time

5

what are the levels of severity for anorexia based on?

BMI or %BMI (kids). may adjust depending on degree of disability, need for supervision

6

Dx for bulimia?

-Recurrent episodes of binge eating
-Recurrent inappropriate compensatory behavior to prevent wt gain
-above sx for 3 months+
-self evaluation unduly influenced by body

7

two types of bulimia?

-purging type: use of vomiting, laxatives, diuretics, enemas
-non purging type: fasting or exercise but not the above

8

what are the levels of severity for bulimia based on?

frequency of behaviors

9

what are the frequency requirements for Mild, Moderate, Severe, Extreme bulimia?
(note these are the same frequencies as for binge eating)

Mild: 1-3/week
Mod: 4-7/week
Severe: 8-13/week
Extreme: 14+/week

10

Dx for binge-eating disorder?

-Recurrent episodes of binge eating
-Episodes characterized by eating quickly, until uncomfortably full, when not hungry, eating alone due to embarrassment
-Distress re: binge eating
-once/week for 3+ months
-not associated by purging as in bulimia

11

what is the severity of binge-eating disorder based on?

frequency of behavior

12

what is purging disorder?

an subcategory of the "Other Specified Feeding or Eating Disorder": purging without associated binging

13

what is night eating symdrome?

an subcategory of the "Other Specified Feeding or Eating Disorder": excessive consumption at night, with awareness and recall. causes distress.

14

Unspecified Feeding or Eating Disorder?

have some sx of eating disorder but do not fit full diagnostic criteria, physician chooses not to specify further.

15

what is the typical age of onset of anorexia?

generally adolescence/young adult. may be as young as 7

16

what is the typical age of onset of bulimia?

generally adolescence/young adult. rarely as young as 12

17

what is the typical age of onset of binge eating disorder?

adulthood

18

which disorders are more common in females? males?

females: anorexia, bulimia
males: binge eating disorder
nearly equal: body dysmorphic disorder

19

in what populations are we likely to see high rates of eating disorders?

competitive athletes, esp college.

20

what is the female athlete triad?

disordered eating, amenorrhea, osteoporosis

21

comorbidity with eating disorders?

depression: 50-75%
OCD: 25% in anorexia
substance abuse
PTSD, hx abuse (more in bulimia)

22

personality disorders more associated with anorexia?

Cluster C (avoidant, dependent, OCD)

23

personality disorders more associated with bulimia?

Cluster C (avoidant, dependent, OCD)
Cluster B (antisocial, borderline, histrionic, narcissistic)

24

anorexia: differential

malabsorption, endocrine, malignancy, depression, anxiety, psychotic illness

25

bulimia: differential

malignancy, GI disease, hyperthyroid, anxiety dz with somatic focus, OCD, personality d/o

26

what disease has the highest mortality of any psych disorder?

anorexia