Eating Disorders

Question 1

Anorexia Nervosa - Dx criteria?

Answer 1

A) 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. Significantly low weight is defined as a weight that is less then minimally normal or, for children and adolescents, less then that minimally expected

B) Intense fear of gaining weight or becoming fat.

C) Distorted perception and undue significance of body weight and shape

Question 2

Bulimia Nervosa- Dx Criteria?

Answer 2

A) Recurrent episodes of binge eating

1) eating, in a discrete period of time (2 hours), an amount of food that is larger than most people would eat during a similar period of time and under the same circumstances.
2) a sense of lack of control over eating during the episode.

B) Recurrent inappropriate compensatory behavior to prevent weight gain (self-induced vomiting; abuse of laxatives, diuretics, enemas, emetics, other medications; fasting; excessive exercise)

C) A and B both occur, on average, at least twice a week for three months.

D) Self evaluation is unduly influenced by body weight and shape.

E) Disturbance does not occur exclusively during periods of Anorexia Nervosa.

Question 3

Bulimia Nervosa - Timeframe necessary for diagnosis?

Answer 3

Recurrent episodes of binge eating & inappropriate compensatory behavior must occur at least TWICE PER WEEK for 3 MONTHS

Question 4

Do Bulimia Nervosa patients have a sense of control over their eating during a binge episode?
What about Binge Eating Disorder patients?

Answer 4

No- there is a sense of lack of control over eating during the (binge eating) episode.

This is true for both Bulimia & Binge Eating Disorder patients.

Question 5

Bulimia or Anorexia?

Distorted perception and undue significance of body weight and shape

Answer 5

Anorexia

Question 6

Bulimia or Anorexia?

Self evaluation is unduly influenced by body weight and shape.

Answer 6

Bulimia

Question 7

Binge Eating Disorder - Dx Criteria?

Answer 7

Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:

• Eating, in discrete period of time (e.g. w/in 2 hrs) an amount of food that is definitely larger than what most people would eat in a similar period of time under similar circumstances.
• A sense of lack of control over the eating during the episode

Question 8

Avoidant/Restrictive Intake Disorder - Dx Criteria?

Answer 8

(A) An eating or feeding disturbance (e.g. apparent lack of interest in eating or food; avoidance based on the sensory characteristics of food; concerns about aversive consequences of eating) as manifest by persistent failure to meet appropriate nutritional and/or energy needs associated with one (or more) of the following:

1) Significant weight loss (or failure to achieve expected weight gain or faltering growth in children).
2) Significant nutritional deficiency
3) Dependence on enteral feeding or oral nutritional supplements
4) Marked interference with psychosocial functioning

(B) There is NO evidence of a disturbance in the way on which one’s body weight or shape is experience
(C) The eating is not due to a medical condition or better explained any other mental disorder

Question 9

Does an increase in 5-HT increase or decrease food consumption?

Answer 9

Reduces food consumption