Bulimia Nervosa Flashcards
Features of bulimia nervosa
Not significantly underweight
Preoccupation with body shape/weight which strongly influences self evaluation
Episodes of binge eating
Recurrent compensatory behaviours
Episodes of binge eating how often
Once a week for a month
Diabetes type 1 eating disorder restricitve
Diabulimia
Binge eating disorder
Frequent binges
Distressing accompanied by negative emotions
Not ass with compensatory behaviours
Discrete period of time
Subjective loss of control
More than usual
ARFID
Abnormal eating/feeding resulting in insufficient quantity of variety of food
Features of ARFID
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
3 subtypes ARFID
Specific phobia - choking, committing, allergy, worsening condition, GI upset
Picky eating - autistic traits, taste, texture, smell, brand
Lack of appetite or somatic anxiety symptoms
What use in children
Expected percentage body weight
Arrest of puberty - prepubertal onset
Hormonal affects of eating disorders
Amenorrhea
Men - loss of sexual interest or potency
Bigorexia
Muscle dysphoria
Drunkorexia
Restrict so can have calories in alcohol
Orthorexia
Healthy or clean diet obsessed
Cycle of bulimia nervous
Diet
Binge
Purge
Peak age of onset anorexia
15-25
Average illness duration anorexia
6 years
Incidence of bulimia over 16 in UK
1%
Binge eating disorder % in population
3.2%
Anorexia comorbid mental heatlh disorders
Depressive
OCD
Anxiety disorder
Personality disorder - BPD
Comorbid health disorders mental with bulimia
Depression
Substance misuse
Self harm/suicide attempts
Emotionally unstable personality disorder
What are some recurrent compensatory behaviours?
Purging
Restricting
Exercise
Neglect insulin treatment
Avoidant Restricitve Food Intake Disorder
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
Criteria for eating disorders
DSM-V
Signs of eating disorder in children
BMI for age under 5th percentile
Prepubertal onset - delayed/arrested
Men signs of eating disorder
Loss of sexual interest or potency
Differences in idealised body shape - muscular strength, definition, physical fitness
Behaviours driven by fear in anorexia
Lying, aggression, distress
Falsifying weight, tampering with feed, secret exercise
% young women in high income countries with eating disorers
15%
What is the most chronic illness common in adolescence
Anorexia
What % of patients with anorexia go on to develop bulimia
50%
What is the most common eating disorder in the uk
Binge eating
How many people with bulimia or binge eatind disorder will become obese?
33-50%
How much more likely are you to have anorexia vs bulimia if a relative does?
11.3 - anorexia
4.4-9.6 - bulimia
Starvation physical symptoms
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
Complication of hyponatremia
Confusion/coma
