eating disorders

Question 1

F:M ratio of anorexia nervosa

Answer 1

10:1

Question 2

symptoms of anorexia

Answer 2

BMI<17.5, fear of wgt gain , disturbed body image , denial of low weight, amenorrhoea, restricted eating

Question 3

give some typical behaviours seen in anorexia nervosa

Answer 3

food restriction, over exercise , self induced vomiting , misuse of laxatives.
secrecy in eating- lying and avoiding
shopping and food prep- weighing and measuring
obsession or avoidance of mirrors or self weighing
an interest in cooking, baking and feeding others

Question 4

what is the hereditability of anorexia

Answer 4

70%

Question 5

co-morbidities seen in anorexia nervosa

Answer 5

anxiety, depression and OCD common

Question 6

treatment of anorexia nervosa

Answer 6

family based 2st choice in children. parents to feed child calmly but persistently
CBT
Interpersonal therapy
medication - multivitamins, Vit D and Ca, OE patches for amenorrhoea, anti -depressants

Question 7

what is bulimia nervosa

Answer 7

recurrent binges associated with compensatory behaviours including vomiting, excessive exercise or fasting.

Question 8

how often do binges occur and for how long must if have been going on for for diagnosis of bulimia nervosa

Answer 8

binge at least once a week for 3 months.

Question 9

what co morbidities assoc with bulimia

Answer 9

impulse behaviours around alcohol, substances and shop lifting

Question 10

treatment of bulimia nervosa

Answer 10

individual or group CBT

High dose fluoxetine shown to reduce food cravings

Question 11

what is binge eating disorder and how is it different to bulimia

Answer 11

bingeing at least once a week for 3 months without compensatory behaviours