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BRS YEAR 2 > Eating Disorders > Flashcards

Eating Disorders Flashcards

1
Q

Eating disorders

A

A persistent disturbance of eating behaviour or behaviour intended to control weight which impairs physical health or psychosocial functioning
Driven by fear of fatness or extreme distress about eating

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2
Q

Disturbance of eating behaviour

A

Binge eating
Restricted eating on quantity and range

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3
Q

Behaviour intended to control weight

A

Restricted eating (fasting)
Self induced vomiting
Excessive exercise
Laxative diuretics and other energy burning or appetite suppressing medications eg caffeine or smoking

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4
Q

Physical health impact

A

Impacts growth and development
Stop periods
Effects on brain
Reuksting in osteoporosis
High mortality

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5
Q

Psychosocial function

A

Functional impairment
Impacts work relationships daily living
Distress

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6
Q

DSM5 and ICD11 feeding and eating disorders

A

Anorexia nervosa
Bulimia nervosa
Binge eating disorder
Other specific feeding and eating disorders (OSFED)
Avoidant/restrictive food intake disorder
Rumination disorder
Pica

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7
Q

Anorexia nervosa

A

Restriction of energy intake relative to requirements leading to low body weight
Intense fear of gaining weight or becoming fat or persistent behavior that interferes with weight gain
Disturbance in weight/shape,lack of recognition of low body weight
(Amenorrhea not in DSM5]

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8
Q

Bulimia nervosa

A

Over eating episodes
Large amounts of food in discrete time
Sense of lack of control
Inappropriate compensatory mechanisms
Body image disturbances
Occur at least 1 times a week for more than 4 weeks

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9
Q

Binge eating disorder

A

Episodes of over eating at least once a weak for 4 weeks
No or minimal compensation
Hence frequently overweight

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10
Q

Purging disorder

A

Recurrent purging behavior to influence weight or shape (eg self induced vomiting,misuse of laxatives,diuretic or other medications including insulin) in the absence of binge eating

OSFED-atypical AN,purging,atypical BN and night eating syndrome

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11
Q

ARFID

A

Replaced and extends feeding disorders of infancy and early childhood
Feeding and eating disturbances causes significant weight loss,nutritional deficiency,depends on enteral feeding/nutritional supplements
No weight or shape concerns

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12
Q

Three types of ARFID

A

Individuals that don’t eat
Individual that accepts a limited diet in relation to sensory information
Individuals whose food refusal is related to aversive experience
Combined subtype

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13
Q

Key messages of meed

A

Medical teams need to actively treat
Refeeding
Manage fluid and electrolyte
Manage behavior
Arranging discharge to apporopriate settings
Provide onward care,concerns,compulsion,advise on complex comorbidity

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14
Q

Are eating disorders genetic

A

Yes they run in the family

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15
Q

What kind of disorder are ED

A

Metabolic psychological disorders
This reduces stigma and blame,can identify important gene environments interactions,might inform treatment decisions,can help develop interventions

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16
Q

Childhood eating behaviour and appetite

A

Children with AN more likely to have had early feeding and GI problems,picky eating,mealtime conflict

Children with BN were less picky and ate faster tending to overeat
Genetic factors linked to obesity also drive eating behaviour (FTO gene)

17
Q

Psychological risk factor

A

Personality/temperament
Neurocognition
Self esteem
Psychopathy
Behaviour

18
Q

Sociocultural risk factors

A

Family
School/oeers
Wusses social influences

19
Q

Psychological

A

Perfectionism
High self esteem protective for AN
low self esteem is a risk factor for bulimic and compulsive eating
Anxiety and OCD increases risk of AN
Externalising disorders eg ADHDZ depression increase risk of BN

20
Q

Family influences

A

No evidence for family interaction
Maternal emotional well-being and protective parenting style problem important
Maternal dieting and paternal comments about weight influence girls but not boys

21
Q

Sociocultural factors

A

Increasing in developing countries
Social pressures to be thin
Social media

22
Q

Psychological interventions

A

Children:ED focused family therapy,CBT,adolescent focused therapy

Adults:MANTRA(AN on,y),SSCM(AN only),CBT

Psycho education on effects of starvation and adverse effects of self induced vomiting or laxatives for example

23
Q

Medications

A

SSRIs for anxiety or depression
Olanzapine/aripiprazole to reduce emotional dysregulation during Refeeding

24
Q

Long term complications

A

Death
Growth stunting
Osteoporosis
Pregnancy complications
Dental erosion
Mental health comorbidity including substance misuse

BRS YEAR 2 (43 decks)

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