Eating Disorders

Question 1

List the 4 main criteria domains for anorexia nervosa

Answer 1

Weight loss at least 15% below the normal weight
Avoidance of “fattening foods” (self-induced weight loss)
Self-perception of being too fat/dread of fatness
Widespread endocrine disorder

Question 2

What are the main endocrine disorders that occur in anorexia nervosa?

Answer 2

Amenorrhoea in females

Loss of libido + decreased fertility in males

Question 3

List the main criteria for diagnosing bulimia nervosa

Answer 3

Recurrent episodes of over-eating with consumption of large quantities of food
Attempts to counteract fattening by: self-induced vomiting/purging/starvation
Self-perception of being too fat

Question 4

Compensatory behaviour, similar to that in bulimia, is present in binge-eating disorder. True/False?

Answer 4

False

Patient may be uncomfortably full and disgusted at themselves but no self-induced vomiting or “rectifying” behaviour

Question 5

List some neuroprogressive effects of severe eating disorders

Answer 5

Brain shrinkage
Impaired concentration + decision-making
Little joy
Changes in neurotransmission
Social isolation

Question 6

CBT in which outpatient group - adolescents or adults - is more effective in the long-term?

Answer 6

Adolescents

Outpatient adults have poor long-term benefit

Question 7

List the low-sev BMI risk assessment for anorexia

Answer 7

Low: 17.5-16
Mod: 16-15
High: 14.9-13
Very high: less than 13