definition and criteria

Question 1

Wad is eating disorder

Answer 1

ersistent disturbance of eating that impairs health or psychosocial functioning

Question 2

anorexia nervosa DSM 5 (3)

types and how to differentiate

Answer 2

A. Restriction of energy intake relative to requirements, leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health. Significantly low weight is defined as a weight that is less than minimally normal or, for children and adolescents, less than that minimally expected.

B. Intense fear of gaining weight or of becoming fat or persistent behavior that interferes with weight gain, even though at a significantly low weight.

C. Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or persistent lack of recognition of the seriousness of the current low body weight.

type:
Restricting type: During the last three months, the individual has not engaged in recurrent episodes of binge eating or purging behavior (ie, self-induced vomiting or the misuse of laxatives, diuretics, or enemas). This subtype describes presentations in which weight loss is accomplished primarily through dieting, fasting, and/or excessive exercise.

Binge eating/purging type: During the last three months, the individual has engaged in recurrent episodes of binge eating or purging behavior (ie, self-induced vomiting or the misuse of laxatives, diuretics, or enemas).

Question 3

severity of AN

Answer 3

according to BMI:
Mild: BMI ≥17 kg/m2¶
Moderate: BMI 16 to 16.99 kg/m2
Severe: BMI 15 to 15.99 kg/m2
Extreme: BMI <15 kg/m2

Question 4

outcome of schizphrenia

Answer 4

in IOWA 500 study, 46% have improved or recovered

Chestnut Lodge Study, 36% recovered

Question 5

international study of schizophrenia

Answer 5

52% of person in developing countries in best outcome, 39% in developed

Question 6

genetics for schiz (8)

Answer 6

CACNA1c, DISC-1, Dopamine D2 receptors, AMPA subunit 1, NMDA receptor subunit 2A, metabotropic glutamate receptor 3, neuregulon, micro RNA 137, serine racemase, transcription factor 4, zinc finger 804A

Question 7

what are the four elements of psychoeducation

Answer 7

• briefing abt the illnes
• problem solving trainning
• communication training
• self assertiveness training

Question 8

prognosis of schizophrenia
% f patient with first episode relapse within one year with or without treatment
% with first episode with placebo
% with 5 or more, relapse within one year irregardless with psychotherapy
% with 5 or more will relapse with jz placebo

Answer 8

27% of patient with first episode relapse within one year with or without treatment
61% with first episode with placebo
48% with 5 or more, relapse within one year irregardless with psychotherapy
87% with 5 or more will relapse with jz placebo

Question 9

lifetime suicide prevalence in schizophrenia

Answer 9

5.6%

Question 10

median standardised mortality rate for schzophrenia

Answer 10

2.58

Question 11

which type has the worse prognosis

Answer 11

disorganised type
-earlier age of onset, insidousl onset, greater family history of psychopathology, poor premorbid functioning, continuous illness with a poor long term prognosis

Question 12

good prognosis factor in schizophrenia (8)

Answer 12

older age
late onset
obvious precipitating factors
acute onset
good premorbid
being married
family history of affective disorder
Good initial response to treatment (best predictor)
affective symptoms

Question 13

bas prognosis factor in schizophrenia (8)

Answer 13

early onset, 
no precipitating factors
insidious onset
social withdrawal
poor social network
single/divorced/widowed
begative symptoms
poor complicance
many relapse
history of violence
no remissions in 3 years
poor premorbid 
neurological signs and symptoms 
history of perinatal trauma

Question 14

predictors of poor response to a psychotic response (3)

Answer 14

stressful life events, high EE, non compliance