bulimia_nervosa_flashcards
What is bulimia nervosa?
A type of eating disorder characterized by episodes of binge eating followed by intentional vomiting or other purgative behaviours.
What are the DSM 5 diagnostic criteria for bulimia nervosa?
Recurrent episodes of binge eating, lack of control over eating, inappropriate compensatory behaviour, binge eating and compensatory behaviours occurring at least once a week for three months, self-evaluation influenced by body shape and weight, and not occurring exclusively during episodes of anorexia nervosa.
What is a recurrent episode of binge eating?
Eating an amount of food that is definitely larger than most people would eat during a similar period of time and circumstances.
What is a sense of lack of control over eating during an episode?
A feeling of being unable to stop eating or control what or how much one is eating during the episode.
What are recurrent inappropriate compensatory behaviours in bulimia nervosa?
Self-induced vomiting, misuse of laxatives, diuretics, or other medications, fasting, or excessive exercise.
What are the physical signs associated with recurrent vomiting in bulimia nervosa?
Erosion of teeth and Russell’s sign (calluses on the knuckles or back of the hand).
How often must binge eating and compensatory behaviours occur for a diagnosis of bulimia nervosa?
At least once a week for three months.
How does self-evaluation influence bulimia nervosa?
Self-evaluation is unduly influenced by body shape and weight.
When does the disturbance of bulimia nervosa not occur exclusively?
During episodes of anorexia nervosa.
What is the recommended management for all cases of bulimia nervosa?
Referral for specialist care.
What does NICE recommend for adults with bulimia nervosa?
Bulimia-nervosa-focused guided self-help.
What should be considered if bulimia-nervosa-focused guided self-help is unacceptable, contraindicated, or ineffective after 4 weeks?
Individual eating-disorder-focused cognitive behavioural therapy (CBT-ED).
What therapy is recommended for children with bulimia nervosa?
Bulimia-nervosa-focused family therapy (FT-BN).
What is the role of pharmacological treatments in bulimia nervosa?
Limited role.
Which pharmacological treatment is currently licensed for bulimia and what is lacking?
High-dose fluoxetine; long-term data is lacking.
