6) Eating Disorders Flashcards
What are the two main types of anorexia nervosa?
- Restrictive
- Binge-eating/purging type
Approximately what is the ratio of females:males with anorexia?
10:1
What are the FOUR main diagnostic criteria of anorexia nervosa?
- Intentional weight loss
- Fear of “fatness”
- Disturbance of body image
- Endocrine disturbance - ammenorhea
What is the name given to anorexia that does not meet all the diagnostic criteria?
Atypical anorexia nervosa
Suggest the possible management for anorexia nervosa.
- Biological only if there are other conditions co-morbid
- Psychological therapies:
+ CAT
+ CBT
+ Interpersonal therapy (how they relate to others)
Discuss the possible aetiology of eating disorders.
- Biological (genetics, dieting)
- Psychological (low self esteem, fear of growing up, perfectionist, peer pressure)
- Social (attractive people around you)
Suggest some components of an eating disorder which predict a good outcome.
- Short duration of illness
- Onset during adolescence
- Family support
Suggest some components of an eating disorder which predict a bad outcome.
- Severe, long duration (SEED)
- General other psychopathology
- Mood disorders/personality problems
- Vomiting and purging
- Low motivation and social withdrawal
What are the main two types of bulimia nervosa?
- Purging type (making self sick)
- Non-purging type (excessive exercise)
What are some of the clinical features of bulimia nervosa?
- Recurrent binge episodes (loss of control, shamed hiding)
- Inappropriate compensatory behaviour
Suggest some possible types of inappropriate compensatory behaviour in bulimia nervosa.
- Vomiting
- Exercise
- Laxatives
- Thyroxine
- Diuretics
Suggest some associated psychiatric co-morbidities w/ eating disorders.
- Depression (over 50%)
- Anxiety symptoms
Suggest some complications of bulimia nervosa.
- Hypokalaemia (v. important as they vom a lot)
- Mallord-Weiss tears (after vomming)
- Dental erosion
- Parotid enlargement
- Calluses on the back of hand (Russel’s sign)
At what ages are eating disorders most common?
14-25 years old
What part of an eating disorder is the last part to go after treatment?
Body image disorder (feel they look strange, ugly or odd)
Suggest some psychological factors that can predispose people to developing an eating disorder.
- Low self esteem
- Fear of growing up
- Perfectionist/obsessive personality
- Control (attempt to gain control when you’re not)
- Addictive
Suggest some social factors that can predispose people to developing an eating disorder.
- Ideal body shape in the media
- Family/environmental issues - overclose parents, narcissistic parents
