Eating Disorders

Question 1

Name the 3 DSM - 5 Criteria for Anorexia Nervosa

Answer 1

• Restriction of food that leads to very low body weight; body weight is significantly below normal
• Intense fear of weight gain or repeated behaviours to interfere with weight gain
• Body image disturbance

Question 2

What are the behaviours through which Individuals achieve Weight loss in Anorexia Nervosa?

Answer 2

• Weight loss is typically achieved through dieting
• Can also occur through purging and excessive exercise
• Fear of gaining weight is not reduced by weight loss

Question 3

Severity ratings in Anorexia Nervosa are based on ..?

Answer 3

Body Mass Index (BMI)

Question 4

How is weight loss achieved in Anorexia Nervosa ?

Restricting type:

Binge-eating/purging type:

Answer 4

Restricting type
Weight loss is achieved by severely limiting food
intake

Binge-eating/purging type
The person has also regularly engaged in binge eating and purging

Question 5

Anorexia Nervosa:
Onset:
Usually triggered by: dieting and stress

men/female difference At least 3x more frequent in woman than men

Answer 5

early to middle teenage years

dieting and stress

At least 3x more frequent in woman than men

Question 6

With which disorders is Anorexia Nervosa Comorbid?

Answer 6

depression, OCD, phobias, panic, personality disorders

Question 7

Which disorder has a higher suicide rate Anorexia Nervosa or Bulemia?

Answer 7

Anorexia Nervosa
-Suicide rates are high
( 5% completing
20% attempting)

Question 8

Anorexia Nervosa:

Name 6 Physical Consequences

Answer 8

• Low blood pressure, heart rate decrease
• Kidney and gastrointestinal problems
• Loss of bone mass
• Brittle nails, dry skin, hair loss
• Lanugo (a fine, soft hair) may develop
• Altered levels of potassium and sodium electrolytes
  + Can cause tiredness,
  weakness, and sudden
  death

Question 9

Describe the Prognosis of Anorexia Nervosa

Answer 9

- 50-70% eventually recover
     \+ May often take 6 or 7   
       years 
     \+ Relapse common
- Difficult to modify distorted view of self, especially in cultures that highly value thinness

- Anorexia is life-threatening
    \+Death rates 10x higher  
     than general population
    \+  Death rates 2x higher    
      than other psychological 
      disorders
    \+  Death often results from 
      physical complications of    
      the illness

Question 10

Name the 3 DSM-5 Criteria for Bulimia Nervosa

Answer 10

• Recurrent episodes of binge-eating
• Recurrent compensatory behaviours to prevent weight
  gain
  + E.g., purging (vomiting),
  fasting, excessive
  exercise, use of laxatives
  and/or diuretics
• Body shape and weight are extremely important in self- evaluation

Question 11

What are Severity Ratings in Bulimia Nervosa based on ?

Describe what is considered mild, moderate, severe and extreme

Answer 11

Based on number of compensatory behaviours/week

Mild: 1-3
Moderate: 4-7
Severe: 8-13
Extreme: 14 or more