Eating Disorders

Question 1

Drug treatments

Eating Disorders

Answer 1

Not effective in treating anorexia
No benefit in preventing relapse with anorexia
No long lasting effects on bulimia nervosa

IPT & CBT same follow up results but CBT seems to have more immediate results

Question 2

Pica

Answer 2

Eating non-foods

Question 3

Anorexia Nervosa

Answer 3

Loss of appetite(anorexia)
Result from nervous mental cause(nervosa)

1st ever recognised eating disorder
2 Subtypes - restricting & binge eating/purging

BMI - >17 mild, <15 severe

0.9 prevalence 
Onset early - late adolescence 
Mortality rate 5-10% p/decade 
50% go on to bulimia nervosa 
Starvation complications 
Comorbidity - anxiety, mood, substance, personality 

Motivational Enhancement Therapy

Question 4

Bulimia Nervosa

Answer 4

Recurrent binge eating episodes & compensatory behaviours

Once a week for 3+ months

Recurrence of episodes 1-3mild, 14+extreme

Prevalence 1-3% women, 0.1-0.3% men
Onset late adolescence- young adulthood
50% still have 10years later

Depletion in electrolytes (potassium, chloride & sodium
MET & CBT reduce compensatory behaviour

Question 5

Binge Eating Disorder

Answer 5

Recurring binge eating episodes minus compensatory behaviour
Once a week for 3+ months

Prevalence 3-5% women - 2/3 female
Onset unknown late adolescence-young adulthood

65% obesity rate

BLW behavioural weight loss (reduce calories)

Question 6

Rumination Disorder

Answer 6

Repeatedly regurgitate food which may recheck reswallow or spit out

Question 7

Other DSM-5 Feeding or Eating Disorders

Answer 7

Avoidant/restrictive food intake disorder (heterogeneous syndrome children autistic spectrum did- adults with food/swallowing phobias

Other specified

• atypical anorexia nervosa (weight normal)
• bulimia nervosa & binge eating disorder of low frequency
• purging disorder (absence of eating episodes)
• night eating syndrome
• unspecified feeding or eating disorder

Question 8

Psychological factors

Eating disorders

Answer 8

Dieting and negative affect

Question 9

Body dysmorphic disorder

Answer 9

Preoccupation with perceived flaws in appearance