Chapter 10 - Eating Disorders Flashcards
List eating disorders in DSM-IV
1) Anorexia Nervosa
2) Bulimia Nervosa
List eating disorders in DSM-V
1) Anorexia Nervosa
2) Bulimia Nervosa
3) Binge eating disorder
4) Pica
5) Rumination disorder
6) Avoidant/restrictive food intake disorder
Key difference between Anorexia and Bulimia
- Body weight is key difference (bulimia often has normal body weight)
- compensatory necessary for bulimia, not for anorexia
Key difference between Bulimia and Binge eating
- tend not to have compensatory behaviour
- Binge eating tend to be overweight
Criteria for Anorexia
- refusal to maintain normal weight for one’s age/height
- 85% or 17.5BMI
- intense fear of getting fat
- disturbed body image
- amenhorrea
Subtypes of Anorexia
1) restricting
2) Binge eating/purging type
Associated features of Anorexia
- depression
- obsessive-compuslive
- preoccupied w food
- low self-esteem
Medical complications wrt Anorexia
- anemia, dehydration, low metabolism
- electrolyte, endocrine
- EEG abnormalities
- eroded dental enamel
- liver damage, cardiovascular
- osteoprosis (due to cortisol eats bones, low estrogen makes for brittle bones)
Comorbidity w Anorexia and Bulimia
Anorexia - comorbid with OCD
Bulimia - comorbid w personality disorders (i.e. BPD)
Criteria for Bulimia
- recurrent episodes of binge eating
- compensatory behaviour
- twice a week for 3 mos
- self-esteem unduly influenced by weight
Bulimia subtypes
1) Purging - vomit, laxitives,
2) Non-purging - exercise, fasting
Associated features of Bulimia
- normal weight
- depression, anxiety
- low self-esteem
- Medical problems: electrolyte, dental probs, salivary glands, cariac arrythmia, stomach pain
Define binge eating
- more food than most people would eat in a given amount of time
- lack of control during episode
Depression differently in anorexia vs bulimia
ana - as a consequence
bulimia - can be precursor and consequence
Genetics in anorexia and bulimia
- anorexia has some genetics
