Eating Disorders

Question 1

Anorexia Nervosa

Is this based on BMI? What are the cutoffs?

What are the other 2 factors?

Answer 1

Restriction of food that leads to being significantly underweight

YES
less than 17 for adults
less than 5th percentile for ages 2-18

Intense fear of gaining weight

Body Image Disturbance (weight BDD)

Question 2

What are the subtypes of Anorexia?

based on current behavior, not longitudinally

Answer 2

Binge-eating/purging type either/or-don’t need both

*Purging is not just vomiting but also using laxatives, enemas, diuretics

Restricting type-fasting, dieting, exercise

Question 3

What are indicators of excessive thinness?

Answer 3

Low BMI, Amenorrhea and loss of sex drive, hypothermia and lanugo, constipation, HYPERcholesterolemia, anemia, leukopenia, low bone mineral density

Question 4

What are indicators of excessive vomiting?

Answer 4

Calloused knuckles, Russell’s sign, dental enamel erosion, salivary gland inflammation (chipmunk cheeks), subconjunctival hemorrhage, hypokalemia

Question 5

Is vomitting an essential symptom of either disease?

Answer 5

NO

Question 6

Treatments of Anorexia?

There are 3

What’s the success?

Answer 6

1. In house hospitalization-behavioral techniques

IMMEDIATE GOAL IS TO GAIN WEIGHT

2. Psychotherapy: CBT
3. Pharmacological:

Good short term, but bad long-term

Question 7

What is Bulimia?

Answer 7

Recurrent binge eating with inappropriate compensatory behavior-purging or non purging that lasts for 1 week or more for 3 months

Question 8

Does Bulimia have a BMI component?

Answer 8

NO. Bulimics are either normal or slightly overweight

Question 9

Bulimia is associated with what NT?

Answer 9

low serotonin

Question 10

Treatment of Bulimia

There are 2

Answer 10

1. Patient typically initiated treatment so higher likelihood of success

CBT/Antidepressants

Question 11

Binge Eating Disorder

What are the three factors?

Answer 11

Binge eating for at least 1 week for 3 months

NO COMPENSATORY behavior

Eating rapidly, getting uncomfortably full, eating when not physically hungry, eating alone due to shame of quantity, and feeling disgusted/guilty after

Question 12

What is the BMI associated with BED?

Treatment?

Answer 12

at or over 30

CBT and Antidepressants

Question 13

What are the SCOFF questions?

Answer 13

S: sick-induce vomiting
C: control lose control?
O: one weight
F: fat do you believe you're fat
F: food dominates?