40. Eating Disorders Flashcards
what are the major categoreies of eating disorder diagnoses in DSMV?
Anorexia Bulimia Binge Eating Otherwise Specified Unspecified
main diagnostic criteria for anorexia?
- Restriction of intake leading to sig low weight
- intense fear of weight gain
- disturbance in experience of weight, body shape
- amenorrhea (if applicable)
what does it mean to be in partial remission for anorexia?
low body weight has not been diagnosed for a sustained time, but EITHER intense fear of wt gain or disturbance self-perception is still met
what does it mean to be in FULL remission for anorexia?
none of the criteria have been met for a sustained period of time
what are the levels of severity for anorexia based on?
BMI or %BMI (kids). may adjust depending on degree of disability, need for supervision
Dx for bulimia?
- Recurrent episodes of binge eating
- Recurrent inappropriate compensatory behavior to prevent wt gain
- above sx for 3 months+
- self evaluation unduly influenced by body
two types of bulimia?
- purging type: use of vomiting, laxatives, diuretics, enemas
- non purging type: fasting or exercise but not the above
what are the levels of severity for bulimia based on?
frequency of behaviors
what are the frequency requirements for Mild, Moderate, Severe, Extreme bulimia?
(note these are the same frequencies as for binge eating)
Mild: 1-3/week
Mod: 4-7/week
Severe: 8-13/week
Extreme: 14+/week
Dx for binge-eating disorder?
- Recurrent episodes of binge eating
- Episodes characterized by eating quickly, until uncomfortably full, when not hungry, eating alone due to embarrassment
- Distress re: binge eating
- once/week for 3+ months
- not associated by purging as in bulimia
what is the severity of binge-eating disorder based on?
frequency of behavior
what is purging disorder?
an subcategory of the “Other Specified Feeding or Eating Disorder”: purging without associated binging
what is night eating symdrome?
an subcategory of the “Other Specified Feeding or Eating Disorder”: excessive consumption at night, with awareness and recall. causes distress.
Unspecified Feeding or Eating Disorder?
have some sx of eating disorder but do not fit full diagnostic criteria, physician chooses not to specify further.
what is the typical age of onset of anorexia?
generally adolescence/young adult. may be as young as 7
