Eating Disorders Flashcards
Exam 3
What are the 5 categories of eating disorders? (DSM-5-TR)
- Anorexia nervosa
- Bulimia nervosa
- Binge eating disorder
- Other Specified Feeding or Eating Disorders (OSFED)
- Avoidant Restrictive Food Intake Disorder (ARFID)
What is the prevalence of eating disorders?
It has significantly increased over time, about 28.8 million people in the US suffer from an ED
What is the diagnostic criteria of Anorexia Nervosa?
- restriction of energy intake relative to requirements leading to a significantly low BW in context of age, sex, developmental trajectory, and physical health
- intense fear of gaining weight or becoming fat, even though underweight
- disturbance in the way ones BW or shape is experienced, undue influence of BW or shape on self-evaluation, or denial of the seriousness of the current low BW
What are some comorbidities of eating disorders?
- alchol or substance abuse 4x more likely
- depression and other mood disorders co-occur frequently
- markedly elevated risk for OCD
Signs that eating disorders occur early?
- girls start to express concerns about weight by age 8
- 42% of 1st-3rd grade girls want to be thinner
- 81% of 10 yo’s concerned about becoming fat
- 40-60% of normal weight teens view themselves as too heavy
- 50% of teenage girls and 1/3 of teenage boys use unhealthy weight control behaviors - skipping meals, fasting, smoking, vomiting, laxitives, dieting
- girls who diet frequently are 12x more likely to binge
What eating disorder have the highest mortality rate of any psychiatric disorder?
Anorexia nervosa
* females 15-24 who suffer from AN, the mortality rate associated with the illness is 12x higher than the death rate of all other causes of death
What is the female athlete triad?
The female athlete triad involves the relationship and often sequential development of:
* Low energy availability
* Irregular menstrual cycles
* Poor bone health
* An athlete with signs or symptoms of any one of these components should be evaluated for the other two because of this relationship
Diagnostic criteria of Bulimia nervosa?
recurrent binge eating characterized by:
1. eating in a discrete amount of time large amounts of food
2. sense of lack of control over eating during an episode
- recurrent purging in order to prevent weight gain
- binge eating and purging bother occur, on average, at least once a week for 3 months
- self-evaluation based on body shape and weight
- the disturbance does not occur exclusively during episodes of AN
Diagnostic criteria of binge eating disorder?
Recurrent episodes of binge eating consisting of:
1. eating an amount of food larger than most people would eat in a similar period of time under similar cicumstances
2. a sense of lack of control
the binge eating episodes are associated with 3+ of the following:
1. eating more rapidly than normal
2. eating until uncomfortably full
3. eating large amounts of food when not physically hungry
4. eating alone because of feeling embarassed
5. feeling disgusted with oneself after
does not occur exclusively during the course of AN, BN, or ARFID
What are the other specified feeding or eating disorders (OSFED) in DSM-5-TR?
- Atypical anorexia nervosa
- Bulimia nervosa (of low frequency and/or limited duration)
- Binge-eating disorder (of low frequency and/or limited duration)
- purging disorder
- night eating syndrome
What are the diagnostic criteria of Avoidance Restrictive Food Intake Disorder (ARFID) in DSM-5-TR?
an eating or feeding disturbance as manifested by persistent failure to meet appropriate nutritional and/or energy needs associated with one+ of the following:
* significant weight loss
* significant nutritional deficiency
* dependence on enteral feeding or oral nutritional supplements
* marked interference with psychosocial functioning
What are some eating disorder preventions for parents and role models?
- take caution with own attitudes and actions
- do not use food as reward or punishment
- do not criticize your own shape/weight status
- do not equate food with +/- behaviors
- become a critical consumer of media
- be aware of ED warning signs
- do not support activities that depict people as objects
- help children accept and enjoy their bodies
- encourage physical activity
- trust your childrens appetites
