adolescent health/ eating disorders

Question 1

eating disorders characterized by?

Answer 1

a PERSISTENT disturbance of eating that impairs health or psychosocial funtioning

Question 2

types of eating disorders

Answer 2

anorexia nervosa, avoidant/ restrictive food intake disorder, binge eating disorder, bulemia nervosa, Pica, rumincation disorder

Question 3

DSM5

Answer 3

used to diagnose- divides eating disorders into mutually exclusive categories based on the observed symptoms

Question 4

screening

Answer 4

copmplex, multisystem approach, some tools too long and not ideal for primary care settings, shorter tools have been developed and may help identify patients

Question 5

SCOFF

Answer 5

screening tool, 5 questions-
make yourself Sick bc uncomfortably full?
worry you have lost Control over how much you eat?
recently lost more than One stone (14lbs) in 3 mos?
do you think you’re Fat when others say you are thin
would you say Food dominates your life?

Question 6

eating disorder screen for primary care (ESP)

Answer 6

are you satisfied with your eating patterns? (no is abnormal)
do you eat in secret? (yes is abnormal)
does your weight affect how you feel about yourself? (yes is abnormal)
have any family members suffered from an eating disorder? (yes is abnormal)
do you currently or have you ever suffered with an eating disorder? (yes is abnormal)

Question 7

the eating attitudes test (EAT)

Answer 7

one of the most widely used self- report eating disorder instruments, 26 item version has an accuracy rate of 90%

Question 8

primary care eval of mental disorders patient questionnaire

Answer 8

brief instrument that both screens for and provides a categorical diagnosis for bulemia nervosa, as well as depressive, anxiety alcohol and somatoform disorders

Question 9

lifetime prevalance in US adult general population

Answer 9

0.6%

Question 10

anorexia more common in who?

Answer 10

more common in women in men

Question 11

median age of onset for anorexia in the general population

Answer 11

18

Question 12

adolescents (13- 18yrs) in the US found that that the lifetime prevalence was

Answer 12

0.3% (prevalence was identical in males and females)

Question 13

pathogenesis and neurobiology of anorexia

Answer 13

unknown, genetic factors may be involved

Question 14

diagnosis of anorexia according to DSM5 requires

Answer 14

• restriction of energy intake that leads to low body weight, given the patient’s age, sex, developmental trajectory, and physical health
• intense fear of gaining weight or becoming fat, or persistent behavior that prevents weight gain, despite being underweight
• distorted perception of body weight and shape, undue influence of weight and shape on self- worth, or denial of the medical seriousness of one’s low body weight

Question 15

2 sub types of anorexia

Answer 15

based upon sx of last 3 months-

1. restricting- marked by weight loss through dieting, fasting, and excessive exercise (pt has not engaged in recurrent episodes of binge eating or purging)
2. binge- eating- marked by episodes of binge eating and purging (self- induced vomiting and misuse of laxatives, diuretics, or enema)

Question 16

low body weight is defined as

Answer 16

BMI

Question 17

DSM5 classification of severity of anorexia

Answer 17

mild- BMI 17 to 18.49kg
moderate- BMI 16- 16.99kg
severe- BMI 15- 15.99kg
extreme- BMI

Question 18

where you treat depends on?

Answer 18

severity of medical illness