Eating Disorders Flashcards
DSM V Criteria for Anorexia Nervosa
- Refusal to maintain body weight at or above a minimally normal weight for age and height OR
failure to make expected weight gain during period of growth, leading to body weight less than 85% of that expected. - Intense fear of gaining weight or becoming fat
- In postmenarcheal females, amenorrhea, i.e. the absence of at least 3 consecutive menstrual cycles.
What are the two types of Anorexia Nervosa?
- Restricting Type
2. Binge-Eating/Purging Type
What is the restricting type of anorexia nervosa?
During the current episode of Anorexia Nervosa, the person has NOT regularly engaged in binge-eating or purging behavior (i.e., self-induced vomiting or the misuse of laxatives, diuretics, or enemas)
What is the Binge-eating/purging type of anorexia nervosa?
During the current episode of Anorexia Nervosa, the person has regularly engaged in binge-eating or purging behavior (i.e., self-induced vomiting or the misuse of laxatives, diuretics, or enemas.
What are the most commonly perceived causes of Anorexia?
Dysfunctional families
Weight loss and dieting
Stressful experiences
Perceived pressure
DSM V criteria for diagnosis of bulimia Nervosa
Recurrent episodes of binge eating characterized by all of the following:
1) Eating … 2) Loss of Control 3) Compensatory Behaviors
An episode of binge eating is characterized by what 2 things?
- Eating, in a discreet period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances.
- A sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating).
The binge eating and inappropriate compensatory behaviors both occur on average how much?
@ least twice a week for 3 mo
What are the two types of Bulimia?
- Purging Type
2. Non-purging Type
What is the purging type like under Bulimia?
During the current episode of Bulimia Nervosa, the person has regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas.
What is the non-purging type like under Bulimia?
During the current episode of Bulimia Nervosa, the person has used other inappropriate compensatory behaviors, such as fasting or excessive exercise, but has not regularly engaged in self-induced vomiting or the misuse of laxatives, diuretics, or enemas.
What is Binge Eating Disorder Diagnostic Criteria?
A. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:
1. Eating, in a discrete period of time (e.g. within any 2-hour period), an amount of food that is definitely larger that what most people would eat in a similar period of time under similar circumstances.
2. A sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating or control what or how much one is eating).
B. The binge-eating episodes are associated with 3 or more of the following:
1. Eating much more rapidly than normal
2. Eating until feeling uncomfortably full.
3. Eating large amounts of food when not feeling physically hungry.
4. Eating alone because of feeling embarrassed by how much one is eating.
5. Feeling disgusted with oneself, depressed, or very guilty afterward.
For diagnosis how often does the binge eating episodes occur?
On average at least once/week for 3 months
1. Not associated with recurrent use of inappropriate compensatory behaviors
Almost 50% of those with an eating disorder also meet the criteria for what?
Depression
The long term effects of eating disorders?
Teeth erosion Low potassium levels/electrolyte imbalances Osteoporosis Heart attacks/irregularities Endocrine abnormalities Ruptured esophagi (hole in esophagus, think if vomiting blood) Seizures Anemia Diet pill addition Ovarian failure Retinopathy Sterility
