Eating Disorders Flashcards

1
Q

What is the primary manual used for diagnosing eating disorders?

A

APA Diagnostic and Statistical Manual of Mental Disorders, Fifth Ed

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2
Q

Name two tools used for eating disorder assessment.

A
  • Eating attitudes test
  • Eating disorder inventory
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3
Q

What are the psychological factors contributing to disordered eating behaviors?

A
  • Perfectionism
  • Cognitive inflexibility
  • Impulsivity
  • Emotional dysregulation
  • Avoidance motivation
  • Body image issues
  • Mental health/substance use
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4
Q

Identify a biological factor that contributes to disordered eating.

A

Family history

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5
Q

What social factors can contribute to disordered eating?

A
  • Weight stigma
  • Teasing
  • Appearance ideal internalization
  • Acculturation
  • Limited social network
  • Trauma/abuse
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6
Q

Which psychiatric co-morbidities are often associated with eating disorders?

A
  • Anxiety
  • Depression
  • OCD
  • Personality disorders
  • Substance abuse
  • PTSD
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7
Q

What are the key characteristics of anorexia nervosa?

A
  • Extremely low body weight
  • Extreme calorie restriction
  • Intense fear of gaining weight
  • Body image distortion
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8
Q

What is the mortality rate per decade for anorexia nervosa?

A

5%

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9
Q

List two short-term complications of anorexia nervosa.

A
  • Nutrient deficiency
  • Bradycardia
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10
Q

What defines bulimia nervosa?

A
  • Repeated episodes of binge eating
  • Recurrent inappropriate compensatory behaviors
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11
Q

What is the mortality rate per decade for bulimia nervosa?

A

2%

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12
Q

What are some complications of bulimia nervosa?

A
  • Esophagus and stomach damage
  • Electrolyte imbalance
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13
Q

What defines binge eating disorder?

A
  • Recurrent episodes of binge eating (at least once/week for 3 months)
    At least 3 of the following:
    Eating rapidly, eating until uncomfortable full, eating large amounts of food when not physically hungry, eating alone d/t embarrassment, feelings of disgust, depression, and guilt.
  • Marked distress
    *inappropriate compensatory behaviors after a binge
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14
Q

What percentage of the population is affected by binge eating disorder?

A

3.5% in women and 2% in men

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15
Q

What is OSFED?

A

Other specified feeding and eating disorder

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16
Q

What is a characteristic of ARFID?

A

Inadequate food intake based on a restricted range of foods or caloric intake

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17
Q

What are common risk factors for ARFID?

A
  • GI conditions
  • Anxiety
  • Obsessive-compulsive traits
  • Autism spectrum
  • ADD
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18
Q

What is orthorexia nervosa?

A

An unhealthy obsession with eating healthy food

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19
Q

What is the goal of someone with orthorexia nervosa?

A

Quality of food, not weight loss

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20
Q

What is one level of care in the treatment of eating disorders?

A

Inpatient hospitalization

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21
Q

What type of therapy is commonly used in treating eating disorders?

A
  • Cognitive behavioral therapy
  • Dialectical behavior therapy
  • Family-based therapy
22
Q

Fill in the blank: Eating disorder examination-questionnaire is used for _______.

A

[eating disorder assessment]

23
Q

True or False: Bulimia nervosa typically results in body weight that is significantly lower than normal.

24
Q

What is a common behavioral approach used in psychotherapeutic treatment for eating disorders?

A

Supervision and support during meals

25
Special considerations in the nutritional assessment of eating disorder pts
Over and under reporting, calories retained from binges (50%), specific dietary practices and chaotic eating, nutritional adequacy, eating attitudes, behaviors and habits (OCD)
26
What are the components of laboratory assessment in the nutritional assessment of eating disorder patients?
* CMP * Thyroid panel * Lipid panel * Vitamin and mineral deficiencies * Fluid and electrolyte balance * Hypercarotenemia * Iron deficiency anemia * Osteopenia * Osteoporosis * Significant problems with vomiting and laxative and diuretic abuse
27
What is the significance of checking urine specific gravity in eating disorder patients?
To assess dehydration or fluid loading
28
What is the recommended frequency for body weight assessment in the early treatment of eating disorder patients?
Once/day to once/week
29
How does energy expenditure differ between anorexia and bulimia?
* Low REE in anorexia * Unpredictable in bulimia
30
What special considerations should be taken into account regarding body weight assessment in eating disorder patients?
Blind weights
31
Fill in the blank: Significant problems with _______ and laxative and diuretic abuse are common in eating disorder patients.
vomiting
32
What is the first goal of medical nutrition therapy for Anorexia Nervosa?
Correct nutrient deficiencies ## Footnote This involves addressing any nutritional deficiencies that may have occurred due to the eating disorder.
33
What is the target weight restoration goal for inpatient Anorexia Nervosa patients?
2 to 3 lb/week ## Footnote This is the recommended weight gain for patients receiving inpatient care.
34
What caloric intake is recommended to initiate weight gain for Anorexia Nervosa patients?
30-40 kcals/kg/day ## Footnote This caloric intake is crucial to start the weight gain process.
35
What is the progressive increase in caloric prescription for Anorexia Nervosa?
+100 to 200 kcal every 2 to 3 days ## Footnote This gradual increase helps to safely promote weight gain.
36
What is a critical concern to monitor when treating Anorexia Nervosa with increased caloric intake?
Refeeding syndrome ## Footnote This condition can occur due to rapid refeeding and must be carefully monitored.
37
What is the recommended caloric intake to achieve goal weight in Anorexia Nervosa patients?
70-100 kcals/kg/day ## Footnote This higher caloric intake may be necessary for some patients to meet their weight goals.
38
What counseling approach is important when providing nutrition therapy for Anorexia Nervosa?
Motivational interviewing ## Footnote This technique helps assess the patient's readiness to change and engage in their treatment.
39
What is a key intervention for Bulimia Nervosa patients?
Interrupt binge-and-purge cycle ## Footnote This is essential to restore normal eating behavior and stabilize body weight.
40
What is the focus of goals when treating Bulimia Nervosa?
Size-acceptance, improved body image, increased physical activity, better overall nutrition ## Footnote The focus should not be on weight loss but rather on holistic health improvements.
41
What is a common outcome for patients with Bulimia Nervosa?
~70% remission rate ## Footnote This indicates a relatively favorable outcome compared to other eating disorders.
42
What percentage of Anorexia Nervosa patients may experience relapse requiring rehospitalization?
Up to 50% This high rate underscores the challenges in treating Anorexia Nervosa.
43
What factors can positively affect the prognosis for eating disorder patients?
Younger age Outcomes tend to be better for younger patients with eating disorders.
44
Patient participation in menu planning and meal planning approaches:
Meal plan method (patient must finish all their food first) and then intuitive eating
45
What should be limited in the diet of Anorexia Nervosa patients?
Caffeine Limiting caffeine can help with anxiety and other symptoms associated with the disorder.
46
What is important for Bulimia Nervosa patients to restore?
Hunger and satiety cues This helps patients develop a healthier relationship with food.
47
What type of supplement is recommended for both Anorexia Nervosa and Bulimia Nervosa patients?
Daily multivitamin/mineral supplement This helps to ensure that patients receive essential nutrients during recovery.
48
What should be discouraged for Anorexia Nervosa patients until their weight is stable?
Exercise This precaution is taken to avoid further weight loss and health complications.
49
What is a key educational focus for Bulimia Nervosa patients?
Education about food, eating behaviors, body shape and weight This knowledge is crucial for developing healthier eating habits.
50
Fill in the blank: The goal for Bulimia Nervosa is to control or reduce _______ episodes.
binge-eating Addressing binge-eating is central to managing Bulimia Nervosa.