Flashcards in adolescent health/ eating disorders Deck (18):
eating disorders characterized by?
a PERSISTENT disturbance of eating that impairs health or psychosocial funtioning
types of eating disorders
anorexia nervosa, avoidant/ restrictive food intake disorder, binge eating disorder, bulemia nervosa, Pica, rumincation disorder
used to diagnose- divides eating disorders into mutually exclusive categories based on the observed symptoms
copmplex, multisystem approach, some tools too long and not ideal for primary care settings, shorter tools have been developed and may help identify patients
screening tool, 5 questions-
make yourself Sick bc uncomfortably full?
worry you have lost Control over how much you eat?
recently lost more than One stone (14lbs) in 3 mos?
do you think you're Fat when others say you are thin
would you say Food dominates your life?
eating disorder screen for primary care (ESP)
are you satisfied with your eating patterns? (no is abnormal)
do you eat in secret? (yes is abnormal)
does your weight affect how you feel about yourself? (yes is abnormal)
have any family members suffered from an eating disorder? (yes is abnormal)
do you currently or have you ever suffered with an eating disorder? (yes is abnormal)
the eating attitudes test (EAT)
one of the most widely used self- report eating disorder instruments, 26 item version has an accuracy rate of 90%
primary care eval of mental disorders patient questionnaire
brief instrument that both screens for and provides a categorical diagnosis for bulemia nervosa, as well as depressive, anxiety alcohol and somatoform disorders
lifetime prevalance in US adult general population
anorexia more common in who?
more common in women in men
median age of onset for anorexia in the general population
adolescents (13- 18yrs) in the US found that that the lifetime prevalence was
0.3% (prevalence was identical in males and females)
pathogenesis and neurobiology of anorexia
unknown, genetic factors may be involved
diagnosis of anorexia according to DSM5 requires
- restriction of energy intake that leads to low body weight, given the patient's age, sex, developmental trajectory, and physical health
- intense fear of gaining weight or becoming fat, or persistent behavior that prevents weight gain, despite being underweight
- distorted perception of body weight and shape, undue influence of weight and shape on self- worth, or denial of the medical seriousness of one's low body weight
2 sub types of anorexia
based upon sx of last 3 months-
1. restricting- marked by weight loss through dieting, fasting, and excessive exercise (pt has not engaged in recurrent episodes of binge eating or purging)
2. binge- eating- marked by episodes of binge eating and purging (self- induced vomiting and misuse of laxatives, diuretics, or enema)
low body weight is defined as
DSM5 classification of severity of anorexia
mild- BMI 17 to 18.49kg
moderate- BMI 16- 16.99kg
severe- BMI 15- 15.99kg