CP: Chapter 11 Eating Disorders Flashcards
when does anorexia nervosa start
usually teen years
anorexia gender
women more than men
3 factoren die een rol spelen bij anorexia
restriction of food that leads to very low body weight, body weight is significantly below normal
intense fear of gaining weight, repeated behaviours interfering with gaining weight
body image disturbance
kijken naar graph over prevalentie eating disorders
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verschillen anorexia, bulimia en binge eating disorder
anorexia - calory restriction through low intake of foods, concern, fear of gaining weight, going long periods without eating
bulimia - episodes of binge eating followed by compulsive purging, purging behaviours (vomiting, dieting, exercise, laxatives), callused hands, dental issues (from vomiting), drinking excessive amounts of water, or high amounts of mints (hanna marin)
binge eating disorder - episodes of binge eating, usually without purging, feelings of losing control, shame, digust, eating past signs of fullness, frequently eating alone or in secret
russel’s sign
calluses on the knuckles or back of the hand due to repeated self-induced vomiting over long periods of time.
physical consequences of anorexia
blood pressure falls, heart rate slows, kidney failure, nails brittle, bone mass declines, hair falls out, hormone levels change, tiredness, weakness, sudden death
how many ppl with anorexia recover
between 50-70%, takes about 6-7 years. relapses are common
bulimia nervosa samenvatting
+ recurrent episodes of binge eating, large amount in a short time, with the feeling of losing control
+ recurrent compensatory behaviours to prevent weight gain (vomiting, fasting, excessive exercise, use of laxatives).
+ self evaluation is influenced by body shape and weight,
dsm 5 bulimia nervosa
A. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
- Eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than what most individuals would eat in a similar period of time under similar circumstances.
- A sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating).
B. Recurrent inappropriate compensatory behaviors in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, or other medications; fasting; or excessive exercise.
C. The binge eating and inappropriate compensatory behaviors both occur, on average, at least once a week for 3 months.
D. Self-evaluation is unduly influenced by body shape and weight.
E. The disturbance does not occur exclusively during episodes of anorexia nervosa.
dus hoe lang moet bulimia
at least once a week (both binging and compensatory behaviour), for 3 months.
physical consequences of bulimia
not as much weight loss as anorexia
menstrual problems, tearing in the stomach, irregularities in heart beating, swelling salivary glands, depression often cooccurs.
how many ppl with bulimia recove
75%
10-20% remains symptomatic
binge eating disorder
recurrent episodes of binge eating, large amounts in a short time, loss of control.
at least 3:
eating more rapidly than normal,
eating untill uncomfortably full
eating a lot when not hungry
eating alone due to embarassment
feeling disgusted, guilty or depressed
no compensatory behaviour,
at least 3 months and once per week
physical consequences of binge eating disorder
obesity
type 2 diabetes
cardiovascular issues
breathing problems
insomnia
joint/muscle problems
