Eating Disorders Flashcards
Anorexia nervosa is the most common cause of admissions to child and adolescent psychiatric wards.
True
Anorexia nervosa Epidemiology
90% of patients are female
predominately affects teenage and young-adult females
prevalence of between 1:100 and 1:200
Anorexia nervosa BMI and amenorrhoea is part of diagnosis criteria
false
no longer specifically mentioned
Anorexia nervosa - Diagnosis is now based on the DSM 5 criteria.
- 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.
- Intense fear of gaining weight or becoming fat, even though underweight.
- 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 denial of the seriousness of the current low body weight.
For adults with anorexia nervosa, NICE recommend we consider one of:
individual eating-disorder-focused cognitive behavioural therapy (CBT-ED)
Maudsley Anorexia Nervosa Treatment for Adults (MANTRA)
specialist supportive clinical management (SSCM).
Anorexia In children and young people, NICE recommend
‘anorexia focused family therapy’ as the first-line treatment. The second-line treatment is cognitive behavioural therapy.
The prognosis of patients with anorexia nervosa is good
false
poor. Up to 10% of patients will eventually die because of the disorder.
Anorexia nervosa is associated with a number of characteristic clinical signs
reduced body mass index
bradycardia
hypotension
enlarged salivary glands
Anorexia nervosa causes hypo/hyperkalaemia
hypokalaemia
Anorexia nervosa causes hypo/hypercholesterolaemia
hypercholesterolaemia
Anorexia nervosa causes hypo/hypercarotinaemia
hypercarotinaemia
Anorexia nervosa causes hypo/hyper cortisol and growth hormone
raised
Anorexia nervosa causes impaired glucose tolerance
true
Anorexia nervosa causes low FSH, LH, oestrogens and testosterone
true
Bulimia nervosa is a type of eating disorder characterised by
episodes of binge eating followed by intentional vomiting or other purgative behaviours such as the use of laxatives or diuretics or exercising.