binge eating

Question 1

define

Answer 1

recurrent binge beyond satiety with stress after and impaired control over behavior, obesity

Question 2

dx

Answer 2

recurrent episodes of binge eating: more the normal in 2 hr time period, lack of control
binge eating episode associated with 3 or more: rapid eating, eating until uncomfortably full, eating large amounts of food when not physically hungry, eating alone bc embarrassed about how much one eats, feel disgusted with oneself, depressed, very guilty after
marked distress regarding binge eating
1/wk for 3 mo
not associated with recurrent use of inappropriate compensatory behavior as in bulimia and does not occur exclusively during bulimia nervosa or anorexia nervosa

Question 3

epidemiology

Answer 3

most common ED
F, genetic, hx trauma, hx food insecurity, impulsivity and reward sensitivity, low self esteem, body dissatisfaction, difficulty coping with feelings
other psych disorder (phobias, PTSD, OH abuse/dependence)

Question 4

s/s

Answer 4

freq high food intake in short amount of time, feel out of control, dep/guilty/disgusted
eat when not hungry, eat alone, eat until uncomfortably full
upper and lower GI problems

Question 5

assess

Answer 5

pt perception, PA, labs, psychosocial hx, nutrition pattern, hx weight cycling (gains and loss), careful hx binge eating triggers, food, freq

Question 6

health consequences

Answer 6

htn, high chol, HD, DM, GI disease, gallbladder disease, MS issues

Question 7

tm

Answer 7

usually out pt, health teach and promo
pharm: SSRI, lisdexam fetamine dimesylate
psych: individual/group CBT, DBT, support groups
use unhealthy weight rather than “weight problems”, “heavy”