Anorexia Nervosa Flashcards
1
Q
Anorexia Nervosa:
A
- restriction of energy intake relative
to requirements, leading to a
significant low body weight in the
context of age, sex, developmental
trajectory and physical health (less
than minimally normal) - below BMI 17.5; less than 85% of
an ideal body weight - intense fear of gaining weight or
persistent behaviour that
interferes with weight gain - disturbed by ones body weight or
shape, self-worth influenced by
body weight or shape or persistent
lack of recognition of seriousness
of low bodyweight
2
Q
Anorexia Nervosa: Subtypes:
A
- anorexia nervosa restrictive type
- anorexia nervosa binge-purge type
- atypical anorexia nervosa = all
criteria are met, except despite
significant weight loss, the
individual’s weight is within or
above the normal range
3
Q
Anorexia Nervosa: Risks:
A
- osteoporosis
- osteopenia
- infertility (often experience
menorrhagia) - co-morbid mental health disorders
common
4
Q
Anorexia Nervosa: Recovery Rates:
A
- 46% fully recover
- 33% partial recovery
- 20% do not recover
- poor prognosis if duration of
symptoms before treatment >3 yrs
5
Q
Bulimia Nervosa:
A
- recurrent episodes of binge eating
- recurrent inappropriate
compensatory behaviours in order
to prevent weight gain (self-
induced vomiting, misuse of
laxatives, diuretics, fasting,
excessive exercise) - binge eating and inappropriate
compensatory behaviours occur at
least once a week for 3 months - disturbance does not occur
exclusively during episodes of
anorexia nervosa
6
Q
Bulimia Nervosa:
Recurrent episodes of binge eating characterised as both:
A
- eating within a discrete period of
time an amount of food that is
definitively larger than what most
individuals would eat in a similar
period of time under similar
circumstances - a feeling that one can not stop
eating or control what or how
much one is eating
7
Q
Bulimia Subtypes:
A
- purging
- non-purging
- atypical bulimia nervosa
8
Q
Bulimia Nervosa: Purging Type:
A
- during the current episode, the
person has regularly engaged in
self-induced vomiting or the
misuse of laxative, diuretics or
enemas
9
Q
Bulimia Nervosa: Non-purging Type:
A
- during the current episode, the
person has used inappropriate
compensatory behaviours such as
fasting or excessive exercise but
has not regularly engaged in self-
induced vomiting or the misuse of
laxative, diuretics or enemas
10
Q
Bulimia Nervosa: Atypical:
A
- binge eating of low frequency or
limited duration - all criteria are met except that
binge eating and inappropriate
compensatory behaviours occur at
a lower frequency and or for less
than 3 months
11
Q
What is OSFED?
A
- diagnosis when an individual
meets most but not all of the
diagnostic criteria for Anorexia
Nervosa, Bulimia Nervosa, Binge
Eating Disorder
12
Q
Binge Eating Disorder:
A
- recurrent episodes of binge eating:
- eating,, in a discrete period of
time an amount of food that is
definitely larger than most
people would eat in a similar
period of time- sense of lack of control over eating during the episode
- no compensatory behaviour
- associated with three or more of
the following:- eating more rapidly than normal
- eating until uncomfortably full
- eating large amounts of food
when not feeling physically
hungry - eating alone because of being
embarrassed by how much one
is eating - feelings of disgust, depression,
guilty after overeating
- 1 day a week for 3 months
- no regular use of inappropriate
compensatory behaviour - marked distress associated with
binge eating
13
Q
ARFID: Avoidant/Restricative Food Intake Disorder:
A
- eating or feeding disturbance as
manifested by persistent failure to
meet appropriate nutritional
and/or energy needs associated
with one or more of the following - significant weight loss or failure to
achieve expected weight in
children - significant nutritional deficiency
- dependence on enteral feeding or
oral nutritional supplements - marked interference with
psychosocial functioning
14
Q
ARFID is not better explained by lack of available food or by an associated culturally sanctioned practice.
True or False?
A
True
15
Q
Which of the following eating disorders does ARFID occur during?
- anorexia nervosa
- bulimia nervosa
- binge eating
A
- does not occur exclusively during
either condition - no evidence of a disturbance in
the way in which one’s body
weight or shape is experienced