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)
