Lecture 6 - Part 1 Flashcards
(32 cards)
Are eating disorders considered a mental illness?
Yes, its not a choice
What has the highest mortality rate of all mental illnesses?
EDs
-due to suicide and cardiac arrest
What do people do when they suspect they have an ED?
People might recognize that they have a disorder but might think to themselves that they arent sick enough
When are most ED diagnosed?
During adolescence
-woman most affected
What is the definition of EDs?
Psychiatric conditions characterized by severe disturbances in eating behaviors that result in significant physiologic impairment
What Eds do the DSM5 recognize?
– Anorexia nervosa (AN)
– Bulimia nervosa (BN)
– Binge eating disorder (BED)
– Other Specified Feeding or Eating Disorder (OSFED) (previous Eating Disorders Not Otherwise Specified [EDNOS])
– Avoidant Restrictive Food Intake Disorder (ARFID)
How do EDs begin?
Often begin with dieting and weight loss progression
▪ People predisposed to eating disorders diet more strictly and develop characteristic psychological, behavioral, and medical problems associated with eating disorders
What is the risk factors for EDs?
▪ Environmental and social factors
▪ Character traits (perfectionism)
▪ Comorbidities of psychiatric and mental health disorders (trauma)
▪ Biological factors including genetics
What is Anorexia Nervosa?
Characterized by excessive dieting, severe weight loss, and distorted body image with a pathological fear of being fat
-They often don’t realize they have a problem, still in contemplation phase
What are the 2 kinds of AN?
Restricting
Binge eating/purging
What is Bulimia nervosa?
▪Recurrent episodes of binge-eating
▪Large amount + lack of control (in small period of Time)
▪Recurrent, inappropriate compensatory behaviour to prevent wt gain:
▪ Self-induced vomiting, laxative misuse, diuretics, fasting, excessive exercise or other medications
What is BED?
Binge Eating Disorder
– Recurrent episodes of binge eating on average, at least once a week for 3 months, characterized by:
– Eating, in an exceptionally large amount of food in a discrete period of time (e.g., within 2-hour period)
– A sense of lack of control over eating
– No compensatory behavior (e.g. purging)
– Feelings of disgust, guilt and depression
What is OSFED?
Other specified feeding or eating disorders
– Meet some of the criteeria but not all for other disorders
– Previously Other Specified Feeding or Eating Disorders (OSFED)
– As severe as other eating disorders
– Feeding or eating behaviors that cause clinically significant distress and impairment, but do not meet the full criteria for any of the other disorders
What is atypical anorexia nervosa?
Despite significant weight loss, weight is within or above the normal range
What is bulimia nervosa (decreased frequency and or limited duration)?
binge eating and inappropriate compensatory behavior occurs at ↓ frequency and/or for < three months.
What is binge eating disorder (decrease frequency and or limited duration)?
Decrease frequency and or
What is purging disorder?
recurrent purging to influence wt or shape but no bing eating
What is night eating syndrome?
Recurrent episodes of night eating after awakening from sleep or by excessive food consumption after supper
What is AFRID?
avoidant restrictive food intake disorder
– extreme picky eating”; often begins in childhood
– An eating or feeding disturbance
– Lack of interest
– Avoidance (fear, sensory characteristics)
– Failure to meet energy and nutrient needs – Significant wt loss and nutrient deficiency
– Not attributable to a medical condition or other mental disorder (can be independent of AN and BN)
What are the goals of nutrition assessment for EDs?
- Current eating and behavioural habits of the patient
- Degree of malnutrition
- Knowledgebase
- Motivation
how can we assess EDs?
Anthropometry
Biochem
Clinical
What are some cautionary clues that patient cause say to you?
– Inadequate food/beverage intake
– Disordered eating patterns
– Elimination of specific foods/food groups
– Numerous food “intolerances” or “allergies”
– Vegetarianism/Veganism
– Preoccupation with health, “being healthy”, “clean eating” (orthorexia), food, recipes, cooking shows, calories
– Feelings of shame, guilt about foods consumed
– Excessive exercise
How do you determine wt goals fo ED clients?
– Weight restoration is essential for behavioural improvement
– Goal weight determined based on growth patterns (children and adolescents)
– Use growth charts
What are the goals for nutrition intervention for EDs?
Restore weight, normalize eating patterns, and correct the physical and psychological complications of malnutrition
