Eating disorders Flashcards
Epidemiology of eating disorders
0.1-0.9% lifetime prevalence with most before 22yrs
female 90%
prevalence higher than type 1DM and IBD
Screening tool for eating disorders
SCOFF questionnaire
SCOFF questionnaire questions
Do you make yourself Sick because you feel uncomfortably full?
Do you worry you have lost Control over how much you eat?
more than One stone lost in 3 months
Do you believe yourself to be Fat when others say you are too thin?
Would you say Food dominates your life?
Main symptoms of anorexia nervosa and ED
obsessive fear of fatness
avoid food and calories
compulsive compensatory behaviours
F50 Anorexia nervosa
restrict intake to lose weight
BMI<17.5
compensatory behaviour eg laxatives, exercise
fear of weight gain
Signs and symptoms of anorexia nervosa
early satiety hypotension constipation scalp hair loss bloating delayed puberty osteopenia cold intolerance dry skin
F50.2 Bulimia nervosa
episodes of binge eating - loss of control
compensatory behavioural - purging or non purging
binge and compensations at least 2/7 for 3 weeks
dissatisfaction with body shape and weight
Purging and non purging compensatory behaviour of bulimia nervosa
purging eg vomit, laxatives, omit insulin
non purging eg exercise, diets
Bulimia nervosa signs and symptoms
swollen parotids heartburn mouth sores pharyngeal trauma muscle cramps weakness fainting bloody diarrhoea
Binge eating disorder
similar to buliamia but no purging behaviours
eat a lot very fast, alone
embarrassment, depression, shame, guilt
Avoidance of calorie intake
diets eg vegan
not touching food
eating slow
avoiding parties
Getting rid of calories
vomit - exercise - over active - medications - cooling
Other eating disorder behaviours
pro-ana websites
body checking
thinspirations
Psychological consequences of ED
core psychopathology = extreme overvaluation of thin
obsessive weight losing
narrow focus of interest
unable to interpret emotion, depression, anxiety
Social consequences of ED
lie, cheat, steal, lose interest
