Eating Disorders Flashcards
What is Pica?
persistent eating of nonnutritive, nonfood substances over a period of at least one month
(i.e. eating dirt)
Risk factors for Pica?
parent-child psychopathology, environmental deprivation, pregnancy, epilepsy, brain damage, intellectual disability
At what age does pica become developmentally inappropriate?
in those over 24 months
what are some signs/sxs of pica?
ascariasis, mechanical bowel obstruction/perforations, dental problems
Pica tx
generally goes away on its own in children
psychosocial interventions
What is avoidant/restrictive food intake disorder?
An eating or feeding disturbance (e.g., apparent lack of interest in eating or food; avoidance based on the sensory characteristics of food; concern about aversive consequences of eating) as manifested by not meeting nutritional needs
When does ARFID typically develop? What are some characterisitics?
infancy/childhood and continue into adult
young infants may be sleepy/agitated to feed
ARFID tx?
re-feeding and behavioral interventions
cognitive behavioral therapy
exposure therapy
(no med therapy)
Describe anorexia nervosa
life threatening eating disorder characterized by inability to maintain a normal weight, fear of weight gain
How do we rate the severity of anorexia nervosa?
based on BMI
mild: BMI >17
moderate: BMI 16-16.99
severe: BMI 15-15.99
extreme: BMI <15
What are the 2 subtypes of anorexia nervosa?
restricting type
binge-eating/purging type
Complications of anorexia nervosa?
dif to resolve, CV complications, endocrine/metabolic, GI, neuro, integumentary, renal
Who is at higher risk for anorexia nervosa?
females > men
dancers, runners, skater, models etc.
occurs in both young and old
gay/bisexual males
What screening tools are available for anorexia nervosa?
SCOFF questionnaire
Anorexia Nervosa PE
may have obvious emaciation, may hide under bulky clothing
hair and nails become dry and brittle
Anorexia nervosa tx
dif. to treat due to denial/lack of insight
directed at correcting/preventing disease complications
re-establish normal eating pattern
hospital admission often necessary
psychological therapy
vitamine supplementation- Ca
What types of psychological therapy are available for anorexia nervosa pts?
individual therapy, cognitive (analytic) therapy, cognitive behavioral therapy, interpersonal therapy, group therapy, family based therapy
Anorexia nervosa prognosis?
Guarded
morbidity rates 10-20%
50% make full recovery, other 50% (20% remain emaciated, 25% thin, 10% overweight or die of starvation)
What is bulimia nervosa?
potentially life threatening, cycles of binge eating and compensatory behaviors to undo binge
What is binge eating
eating in a discrete period of time an amt of food larger than what most ppl would eat
sense of lack of control over eating during episode
mild bulimia
1-3 episodes of inappropriate compensatory behaviors/wk
Moderate bulimia
4-7 episodes of inappropriate compensatory behaviors/wk
Severe bulimia
8-13 episodes of inappropriate compensatory behaviors/wk
extreme bulimia
> 14 episodes of inappropriate compensatory behaviors/wk
