Eating disorders Flashcards
Anorexia nervosa
Intake inadequate for body requirements
Fear of gaining weight OR persistent
behavior to avoid gaining weight
Disturbance in how body is experienced –
overvaluation of body weight/shape.
A.N Subtype restricting
Weight loss is achieved and maintained primarily through caloric restriction and/or exercise No episodes of bingeing or purging
A.N subtype binge/purge
During last 3 months, the individual has engaged in recurrent episodes of binge eating or purging behaviors. **weight separates this from Bulimia**
Bulimia Nervosa
Binge eating
compensatory behaviors in order to prevent weight gain
Self evaluation is overly influenced by body shape and weight.
Binge eating and compensatory behaviors occur, on average, once a
week for 3 months
These behaviors do not occur during episodes of Anorexia Nervosa
What is a binge??
Eating, in a discrete period of time (for example, within any 2-hour period),
an amount of food that is definitely larger than most people would eat in
a similar period of time under similar circumstances
a sense of lack of control over eating during the episode (for example, a
feeling that one cannot stop eating or control what or how much one is
eating
What makes someone stop a binge
Often done in secret and terminated only by abdominal pain, physical
exhaustion, lack of other binge food, social interruption or compensatory
behavior
Binge caloric count
Actual caloric count varies from 100-10,000 calories.
Avoidant or Restrictive Food Intake
Disorder (ARFID)
Persistent pattern of characterized by:
Lack of interest in food or poor appetite.
Fears about negative consequences of eating (e.g., vomiting, choking, perceived
allergic reaction).
LIMITED FOOD INTAKE related to types of food or overall quantity
The pattern of disordered eating is also accompanied by at least one of the
following:
Significant weight loss or failure to gain weight/grow as expected.
Nutritional deficiency (e.g., anemia).
Dependence on nutritional supplements or tube feeding.
Impairment in psychosocial functioning.
not due to cultural practice or lack of available resources
does not occur during a course of Anorexia or Bulimia and is not attributable
to other medical condition.
No significant body image distortion or fear of weight gain
Other specified feeding or eating disorders (OSFED)
DSM-4 known as EDNOS
Person exhibits the symptoms of Anorexia Nervosa, Bulimia
Nervosa or Binge Eating Disorder but will not meet the full criteria for
diagnosis of these
includes atypical anorexia nervosa (anorexia without the low weight),
bulimia or BED with lower frequency of behaviors or limited duration
purging disorder
night eating syndrome.
Binge Eating Disorder
Characterized by repeated episodes of binge eating
Binges occur, on average, 1x per week for 3 months
NO compensatory behaviors occur
Binges are associated with
Eating more rapidly than normal
Eating until feeling uncomfortably full
Eating large amounts when not physically hungry
Eating in secret d/t embarrassment over how much or what one is eating
Feelings of guilt, disgust or shame following eating
Eating disorders in men
incidence
Are diagnostic criteria, etiology and tx similar b.w men and women?
Men > women in which categories
Incidence is about 11% of population with Eating Disorder
Diagnostic criteria, etiology and treatment is similar between
men and women there are different risk factors, clinical
presentations, comorbidity and consequences.
Men > women have been obese prior to onset
Men > women start dieting/behaviors as result of teasing rather
than social comparison
Men > women may want to develop a more muscular physique
rather than thin ideal
Functional issues resulting from eating
disorders
Interpersonal conflict and isolation
Occupational and educational limitations
Stunting or delay of social development
and performance.
What are prevalent psychiatric illnesses in eating disorder pts
Anxiety (OCD and social phobias) in Anorexia/BN, depression Anorexia/BN,
Personality diorders in pts with both disorders
