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Mental Health > Bulimia Nervosa > Flashcards

Bulimia Nervosa Flashcards

1
Q

Features of bulimia nervosa

A

Not significantly underweight
Preoccupation with body shape/weight which strongly influences self evaluation
Episodes of binge eating
Recurrent compensatory behaviours

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2
Q

Episodes of binge eating how often

A

Once a week for a month

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3
Q

Diabetes type 1 eating disorder restricitve

A

Diabulimia

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4
Q

Binge eating disorder

A

Frequent binges
Distressing accompanied by negative emotions
Not ass with compensatory behaviours
Discrete period of time
Subjective loss of control
More than usual

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5
Q

ARFID

A

Abnormal eating/feeding resulting in insufficient quantity of variety of food

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6
Q

Features of ARFID

A

Significant weight loss/failure to gain weight
Negatively affect health of person/functioning
Not due to concerns about body weight or shape
It isn’t about lack of food availability

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7
Q

3 subtypes ARFID

A

Specific phobia - choking, committing, allergy, worsening condition, GI upset
Picky eating - autistic traits, taste, texture, smell, brand
Lack of appetite or somatic anxiety symptoms

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8
Q

What use in children

A

Expected percentage body weight
Arrest of puberty - prepubertal onset

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9
Q

Hormonal affects of eating disorders

A

Amenorrhea
Men - loss of sexual interest or potency

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10
Q

Bigorexia

A

Muscle dysphoria

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11
Q

Drunkorexia

A

Restrict so can have calories in alcohol

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12
Q

Orthorexia

A

Healthy or clean diet obsessed

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13
Q

Cycle of bulimia nervous

A

Diet
Binge
Purge

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14
Q

Peak age of onset anorexia

A

15-25

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15
Q

Average illness duration anorexia

A

6 years

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16
Q

Incidence of bulimia over 16 in UK

A

1%

17
Q

Binge eating disorder % in population

A

3.2%

18
Q

Anorexia comorbid mental heatlh disorders

A

Depressive
OCD
Anxiety disorder
Personality disorder - BPD

19
Q

Comorbid health disorders mental with bulimia

A

Depression
Substance misuse
Self harm/suicide attempts
Emotionally unstable personality disorder

20
Q

What are some recurrent compensatory behaviours?

A

Purging
Restricting
Exercise
Neglect insulin treatment

21
Q

Avoidant Restricitve Food Intake Disorder

A

Abnormal eating/feeding resulting in insufficient quanitity/variety of food
Significant weight loss/failure to gain weight
Negatively affective the health of the person/impaired functioning
Not due to concerns about body weight or shape
It isn’t about lack of food availability/effects of meds/substance use/underlying physical health condition

22
Q

Criteria for eating disorders

A

DSM-V

23
Q

Signs of eating disorder in children

A

BMI for age under 5th percentile
Prepubertal onset - delayed/arrested

24
Q

Men signs of eating disorder

A

Loss of sexual interest or potency
Differences in idealised body shape - muscular strength, definition, physical fitness

25
Q

Behaviours driven by fear in anorexia

A

Lying, aggression, distress
Falsifying weight, tampering with feed, secret exercise

26
Q

% young women in high income countries with eating disorers

A

15%

27
Q

What is the most chronic illness common in adolescence

A

Anorexia

28
Q

What % of patients with anorexia go on to develop bulimia

A

50%

29
Q

What is the most common eating disorder in the uk

A

Binge eating

30
Q

How many people with bulimia or binge eatind disorder will become obese?

A

33-50%

31
Q

How much more likely are you to have anorexia vs bulimia if a relative does?

A

11.3 - anorexia
4.4-9.6 - bulimia

32
Q

Starvation physical symptoms

A

Cardiac arrhythmias
Postural hypotension
Hypothermia
Bone marrow suppression
Sepsis
Electrolyte imbalance
Renal Failure
Liver failure / Hepatitis
Hypoglycaemia
Lagopthalmos
Muscle wasting
Pressure sores
Osteoporosis
Impaired fertility
Thyroid abnormalities
Hypercortisolaemia
Dermatological complications
Impaired cognitive function

33
Q

Complication of hyponatremia

A

Confusion/coma

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