Eating disorders Flashcards
What is the most common type of eating disorder?
- Binge Eating Disorder
- Bulimia Nervosa
- Anorexia Nervosa
- Avoidant-restrictive food intake disorder (ARFID)
- Pica
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What is the OSFED diagnosis?
Used for patients who do not fit other categories of eating disorders
- Other Specified Feeding or Eating Disorder (OSFED/EDNOS) (5%)
- Binge Eating Disorder (3-4%)
- Bulimia Nervosa (1-2%)
- Anorexia Nervosa (0.5%)
- Avoidant-restrictive food intake disorder (? ~5% children)
- Pica
What is the next most common eating disorder after binge eating disorder?
bulimia nervosa
What is Pica?
Pica is an eating disorder in which a person eats things not usually considered food
Usually occur in children; some overlap with ASD
What are the features of binge eating disorder?
Frequent, recurrent episodes of binge eating
- Often begin after a period of dieting
- Loss of control over eating
- Experienced as very distressing.
Binges not regularly followed by compensatory behaviours
What is the main difference between bulimia nervosa and binge eating disorder?
In BED there is the binge eating component but no compensatory behaviour
What screening questions can be asked for eating disorders?
- Do you make yourself Sick because you feel uncomfortably full?
- Do you worry you have lost Control over how much you eat?
- Have you recently lost One stone in a 3 month period
- Do you believe yourself to be Fat when others say you are thin?
- Would you say Food dominates your life?
Go to further history if positive (≥2, or clinical suspicion)
What does a comprehensive assessment of eating disorders include?
- Current weight and BMI, Rate of loss
- Duration of symptoms
- Current weight control behaviours, bingeing and abnormal eating.
- Typical days eating?
- Strict dietary rules? Calorie-counting?
- Body checking
- Compensatory behaviours
- Exercise, purging, laxatives, diet pills
- Beliefs about weight, shape and eating, include their desired weight
- Biopsychosocial consequences of ED symptoms and behaviour
