**_🤯Psychiatry🤯 - Eating disorders Flashcards
What is the 5:2 diet?
Intermittent caloric restriction method
5 days of normal eating, 2 days of calorie restriction (500-600kcal)
What is the difference between binge eating and bulimia?
Bing eating is where you consume an excessive amount of food - no compensation - most common eating disorder especially in higher weight individuals
Bulimia is consuming an excessive amount of food - followed by compensation (e.g. purging/excessive caloric restriction)
Why are men statistically less likely to be advised to lose weight?
Doesn’t experience same levels of distress or shame/guilt
Less internalised stigma
What is the definition of an eating disorder?
A persistent disturbance of eating behaviour or behaviour intended to control weight, which significantly impairs physical health or psychosocial functioning
Driven by “fear of fatness” or extreme distress about eating
What categories can disturbances of eating behaviour be found in?
Binge eating
Restricted eating
-Quantity
-Range
What are some common weight controlling behaviours?
Restricted eating (fasting)
Self induced vomiting
Excessive exercise - element of compulsion, distressed when unable to
Laxative, diuretic and other energy burning or appetite suppressing medications (e.g. caffeine, smoking)
What physical health impairments can result from out of control eating disorders?
Impacts growth and development
Stop periods
Effects on the brain
Results in osteoporosis
High mortality
What psychosocial consequences can out of control eating disorders result in?
Functional impairment
-Impacts work
-Relationships (family, peers, intimate)
-Daily living
Distress
List the main eating disorders
Anorexia Nervosa
Bulimia Nervosa
Binge Eating Disorder
Other Specified Feeding and Eating Disorders (OSFED)
Avoidant/Restrictive Food Intake Disorder (ARFID)
Rumination Disorder/Syndrome
Pica
What is the most common eating disorder?
Anorexia nervosa
Always top differential if showing signs of malnutrition
What is pica?
Eating non-nutritious substances
Which 2 eating disorders are generally not seen in routine clinical practice?
Rumination disorder/syndrome
Pica
What is anorexia nervosa?
Restriction of energy intake relative to requirements leading to significantly low body weight in the context of age, sex, developmental trajectory and physical health
Intense fear of gaining weight or becoming fat, or persistent behaviour that interferes with weight gain
Often body dysmorphia
Restricting – exercising is main weight management strategy
What is bulimia nervosa?
Over eating episodes:
Large amount of food in discrete time period - sense of lack of control
Inappropriate compensatory mechanisms
Body image disturbance
Occur at least 1x week for 4 weeks or more
What is binge eating disorder?
Episodes of over eating at least once a week for 4 weeks or more
No or minimal compensation
Hence, frequently overweight