Eating Disorders Flashcards
What is the prevalence of eating disorders?
5-10% of young women attending surgery
5-10% adolescent girls
90% of cases present are in females
When does onset of eating disorders peak?
Teens - mid twenties
What are the screening tools for eating disorders?
SCOFF questionaire
- *S** - make yourself Sick when full?
- *C** - Lost Control over how much youve eaten?
- *O** - recently lost more than One stone?
- *F** - Believe yourself to be Fat when others say you’re too thin?
- *F** - Does Food dominate your life?
What are the psychiatric symptoms of Anorexia nervosa?
Restriction of intake to lose weight
Relies on compulsive compensatory behaviour when food cannot be avoided
15% below BMI 17.5
Fear of weight gain
What are the physical symptoms of Anorexia nervosa?
- Cold intolerance
- Blue hands and feet
- Constipation
- Bloating
- Delayed puberty
- Primary or secondary amenorrhea
- Dry skin
- Fainting
- Hypotension
- Hair loss
- Weakness, fatigue
What are the psychiatric symptoms of Bulimia nervosa?
Binge eating with a loss of control
Binge eating followed by purging or non-purging
Binges and resulting behaviour must be >2 times per week
Dissatisfaction with body shape
What are the physical symptoms of Bulimia nervosa?
- Mouth sores
- Pharyngeal trauma
- Dental caries
- Heartburn
- Oesophageal rupture
- Muscle cramps
- Weakness
- Irregular periods
What are the psychiatric symptoms of Binge Eating disorder?
Bulimia without purging
Repetitive cycles of:
- Fast eating, usually alone
- Large amounts consumed
- Uncomfortably full
- Embarrassed, shame
How do those with eating disorders avoid calorie intake?
Diets
Not touching food - picky eaters
All symptoms are allergies
Eat very slowly
Spoiling food
Rules about finishing last
Medication abuse, appetitie suppressants
How do those with eating disorders get rid of calories?
Self-induced vomiting
Chew and
Over-exercise/overactivity
Cooling
Blood letting
Medication
What are the clusters of consequences of eating disorders?
Psychological, social and physical
What are the psychological consequences of Eating Disorders?
- Extreme overvaluation of low weight
- Weight loss as a solution
- Reduced cognition
- Unable to interpret emotions
- Depression and anxiety
What are the social consequences of Eating Disorders?
Isolation, loss of friends
What are the physical consequences of Eating Disorders?
Poor repair and immunity, heart damage, infertility, bone loss and anaemia
Seizures and arrhythmias in purging
Stunted growth
How are causes of eating disorders grouped?
Predisposing factors
Precipitating factors
Perpetuating factors
