Eating disorders Flashcards
What is the screening questionnaire for eating disorders?
SCOFF questionnaire
What are the questions in the SCOFF questionnaire?
S - Do you make yourself sick because you feel uncomfortably full?
C - Do you worry you have lost control over how much you eat?
O - Have you recently lost more than one stone in a three month period?
F - Do you believe yourself to be fat when others say you are too thin?
F -Would you say that food dominates your life?
What does the SCOFF stand for, summarised?
Sick Control One stone Fat Food
How many positive answers in the SCOFF questionnaire is an eating disorder likely?
2+
What is the ICD-10 definition of anorexia nervosa?
Restriction of intake to reduce weight
Relies on compulsive compensatory behaviours when food cannot be avoided e.g. self-induced vomiting, laxative abuse, excessive exercise, abuse of appetite suppressants/diuretics
15% below ideal body weight/BMI <17.5
Fear of weight gain
Absence of menstrual cycle or amenorrhoea
What are other symptoms of anorexia nervosa?
Cold intolerance Blue hands and feet Constipation Bloating Delayed puberty Primary or secondary amenorrhoea Dry skin Fainting Hypotension Lanugo hair Scalp hair loss Early satiety Weakness/fatigue Short stature Osteopenia/osteoporosis
What is the ICD-10 definition of bulimia nervosa?
Episodes of binge eating with a sense of loss of control
Binge eating followed by compensatory behaviour of purging type or non purging type
Binges and resulting compensatory behaviour must occur a minimum of 2x week for 3mo
Dissatisfaction with body shape and weight
What are compensatory behaviours of the purging type?
Self-induced vomiting
Laxative abuse
Diuretic abuse
What are compensatory behaviours of the non-purging type?
Excessive exercise
Fasting
Strict diets
What are other signs and symptoms of bulimia nervosa?
Mouth sores Pharyngeal trauma Dental caries Heartburn/chest pain Esophageal rupture Impulsivity: stealing, alcohol abuse, drugs, tobacco Muscle cramps Weakness Bloody diarrhoea Fainting Irregular periods Hypotension Swollen parotid glands
What is binge eating disorder?
Similar to bulimia nervosa without purging behaviours
What are behaviours of binge eating disorder?
Unusually fast eating, usually alone
Unusually large amounts consumed
Uncomfortably full, often buzzed after eating
Embarrassment, shame, guilt, depression
How do eating disorders avoid calorie intake?
Diets Not touching food or grease Developing dislikes/picky Interpreting symptoms as allergy or indigestion Eating very slowly Eating at certain times Avoiding social occasions Spoiling or messing foods Refusing to eat more than person who eats least Medication abuse
How do eating disorder patients get rid of calories?
Self-induced vomiting Chewing and spitting out Overexercise Overactivity - obsessive Cooling Blood letting Medication abuse
What are other eating disorder behaviours?
Body checking Displaying emaciations to elicit reassuring shocked attention Cruising 'pro-ana' websites Competing with self and others Deliberate self-harm
