Eating Disorders Flashcards
Epidemiology of eating disorders?
75% before 22
90% of presentations female
Screening tool?
SCOFF questionnaire
SCOFF?
Sick - do you make yourself sick?
Control - worry you’ve lost control?
One stone - ever lost more than one stone in three month period?
Fat - believe you are fat when others say you are too thin?
Food - does food dominate your life?
Definition of anorexia nervosa?
Obsessive fear of fatness
Avoidance of food and calories
Compulsive behaviours when food cannot be avoided
Diagnosis of anorexia nervosa?
15% below ideal body weight
BMI 17.5 or less
Fear of weight gain
Amenorrhoea (>3 cycles)
Symptoms of AN?
Cold intolerance Blue hands and feet Constipation Bloating Delayed puberty Primary or secondary amenorrhoea Dry skin Fainting Hypotension Lanugo hair Scalp hair loss Early satiety Weakness Short stature
Bulimia nervosa definition?
Binge eating with sense of loss of control
Followed by compensatory behaviour
Minimum of two times per week for three months
Dissatisfaction with body shape and weight
Signs and symptoms of BN?
Mouth sores Pharyngeal trauma Dental caries Heartburn, chest pain Oesophageal rupture Impulsivity Muscle cramps Weakness Bloody diarrhoea Irregular periods Fainting Swollen parotid glands Hypotension
Binge eating disorder difference?
Lack of purging behaviour
Avoidance of calorie intake?
Becoming vegan/vegetarian Not touching food or grease 'Picky eater' Eating slowly Avoiding social occasions Appetite suppression (gum, cigarettes)
Getting rid of calories?
Self-induced vomiting Chewing and spitting out Over exercise Overactivity Cooling Medication abuse
Other behaviours in eating dosrders?
Body checking
Displaying emaciation
Competing to attain lower weight
Deliberate self harm if ‘rules’ broken
Consequences of ED?
Physical
Social
Psychological
Causes of anorexia nervosa?
Genetic predisposition
Perinatal factors
Life events and traumas
Perpetuating consequences of starvation
Mortality rate?
Anorexia nervosa has the highest mortality rate of any psychiatric disorder
