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Clinical Comp > Eating Disorders > Flashcards

Eating Disorders Flashcards

1
Q

What makes up symptoms of an eating/feeding disturbance (lack of interest in eating food; avoidance based on sensory characteristics of food) in Avoidant/Restrictive Food Intake Disorder?

A
    • Significant weight loss
  • Significant nutritional deficiency
  • Dependence on enteral feeding or oral nutritional supplements
  • Marked interference with psychosocial functioning
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2
Q

What are the criteria besides the feeding disturbance associated with a Avoidant/Restrictive Food Intake Disorder?

A
  • The disturbance is not better explained by lack of available food
  • The disturbance does not occur exclusively during the course of anorexia nervosa or bulimia nervosa
  • The eating disturbance is not attributable to a concurrent medical condition or explained by another mental health disorder
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3
Q

What are the 3 criteria for Anorexia Nervosa?

A
  • Restriction of energy intake relative to requirements leading to significantly low body weight (which is defined as a weight that is less than minimally normal or, for children and adolescents, less than minimally expected)
  • Intense fear of gaining weight or of becoming fat, or persistent behavior that interferes with weight gain even a significantly low weight
  • Disturbance in the way in which one’s body weight or shape is experienced.
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4
Q

What does the restricting type of anorexia nervosa entail?

A
  • 3 months of not engaging in bing eating or purging behaviors. Weight loss is accomplished primarily through dieting, fasting, and/or excessive exercise
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5
Q

What does the binge-eating/purging type of anorexia nervosa entail?

A
  • The last 3 months of engagement in recurrent episodes of binge eating or purging behavior
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6
Q

What criteria must be met for someone with anorexia nervosa to be in partial remission?

A
  • Full criteria for anorexia nervosa have been met in the past
  • Criterion A (low body weight) has not been met for a sustained period
  • Criterion B (fear of gaining weight) or Criterion C (disturbances in self-perception of weight) are still met
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7
Q

When is someone with anorexia nervosa in full remission?

A

No criteria have been met for a sustained period of time after full criteria had been met previously.

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8
Q

What are the severity specifiers for anorexia nervosa and their corresponding BMI values?

A
  • Mild: >= 17kg/m2
  • Moderate: 16 - 16.99 kg/m2
  • Severe: 15 - 15.99 kg/m2
  • Extreme < 15 kg/m2
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9
Q

What makes anorexia nervosa binge-eating/purging type different than bulimia nervosa?

A

Individual with bulimia nervosa maintain a body weight at or above a minimally normal level

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10
Q

What are the criteria that make up a bulimia nervosa diagnosis?

A
  • Recurrent episodes of binge eating characterized by:
    • eating, in a discrete period of time (within any 2-hour period) an amount of food that definitely larger than what most individuals would in a similar period of time under similar circumstances
    • a sense of lack of control over eating during such episodes
  • Recurrent inappropriate compensatory behaviors in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives; fasting; or excessive exercise
  • Binge eating and inappropriate compensation both occur on average at least once a week for 3 months
  • Self-evaluation is unduly influenced by body shape and weight
  • Disturbance does not occur during episodes of anorexia nervosa
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11
Q

What differentiates Bulimia Nervosa with Binge-Eating Disorder?

A
  • There are no compensatory behaviors in binge-eating disorder
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12
Q

How frequently and for how long do episodes of binge eating and compensatory behaviors need to last for a diagnosis of bulimia nervosa?

A

At least once a week for 3 months

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13
Q

What are the remission specifiers for bulimia nervosa?

A
  • In partial remission: full criteria for BN were met previously and some but not all are met for a sustained period of time
  • In full remission: after full criteria for BN is met, no criteria has been met for a sustained period of time
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14
Q

What are the severity specifiers for bulimia nervosa?

A
  • Mild: an average of 1-3 episodes of inappropriate compensatory behavior per week
  • Moderate: an average of 4-7 per week
  • Severe: an average of 8-13 per week
  • Extreme: an average of 14 or more per week
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15
Q

What constitutes a binge eating episode in Binge-Eating Disorder?

A
  • eating, in a discrete period of time (within any 2-hour period), an amount of food that is definitely larger than what most individuals would eat
  • a sense of lack of control over eating during the episode
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16
Q

What symptoms are associated with a binge eating episode in Binge-Eating disorder (i.e., feelings)?

A
  • eating much more rapidly than normal
  • eating until feeling uncomfortably full
  • eating large amounts of food when not feeling hungry
  • eating alone because of feeling embarrassed by how much one is eating
  • feeling disgusted with oneself, depressed or guilty after
17
Q

What is the time frame for binges to occur in order to meet criteria for a Binge-Eating diagnosis?

A
  • On average once a week for 3 months
18
Q

What are the remission specifiers for Binge-Eating Disorder?

A
  • in partial remission: full criteria for binge eating disorder were met, but binge eating occurs at an average frequency of less than one episode per week for a sustained period of time.
  • in full remission: after full criteria have been met, no criteria is met for a sustained period of time.
19
Q

What are examples of Other Specified Feeding or Eating Disorder?

A
  • Atypical Anorexia Nervosa: All criteria for AN are met, but weight is within or above normal range
  • Bulimia nervosa (of low frequency and/or limited duration): All criteria for BN are met, but frequency of binging/compensatory behaviors occur less than once a week and/or less than 3 months
  • Binge-eating disorder (of low frequency and/or limited duration): Same as BN but for binge-eating
  • Purging Disorder: recurrent purging behavior to influence weight or shape in the absence of binge eating
  • Night eating syndrome:
    • Recurrent episodes of night eating evidence of eating after waking up or after an evening meal
    • awareness and recall of eating
    • night eating is not better explained by external influences
    • causes sig distress
    • not better explained by another mental disorder

Clinical Comp (12 decks)

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