Eating Disorders Lecture Powerpoint Flashcards
Pica definition and what 3 groups is it most often seen in?
Persistent eating of non-nutritive substances for a period of at least one month inappropriate for given individual’s developmental level (not including teething babies), not accounted for by ethnic/social norm, highest among pregnant women, children, adults with iron deficiency
Pica comorbidities (4)
- Intellectual development disorder
- schizophrenia
- OCD
- trichotillomania (hair pulling disorder, then sometimes ingested)
Complications of pica (3)
- Heavy metal toxicity
- GI symptoms and complications
- bowel obstruction
Rumination disorder definition
Repeated regurgitation of food for >1 month that is either re-chewed, re-swallowed, or spit out not due to a medical condition and not exclusive to anorexia, bulimia, binge eating, etc.
Complications of rumination disorder (3)
- malnutrition
- esophageal ulceration
- tooth decay
Pica and rumination disorder treatment (2)
- Pharmacologic treatment for comorbid conditions
- Psychotherapy
Avoidant restrictive food intake disorder (ARFID) definition
An eating or feeding disturbance manifested by persistent failure to meet appropriate nutritional and or energy needs associated with significant weight loss, nutritional deficiency, and marked interference with psychosocial functioning NOT*** due to disturbance in perception of body weight and shape (not anorexia or bulimia)
Binge eating disorder (BED) definition
Recurrent episodes of binge eating episodes characterized by both eating in a discrete period of time (such as 2 hours) an amount of food that is definitely larger than what most would normally eat AND individual has lack of control over eating (cannot stop eating or control what or how much one is eating), associated with eating rapidly, alone, and feeling disgusted with oneself (ego dystonic) not associated with compensatory behaviors
Binge eating disorder complications (3)
- overweight
- DM II
- HTN
Bing eating disorder treatment (3)
- Psychotherapy
- group therapy in or outpatient
- pharmacotherapy for psychiatric comorbidities
Anorexia nervosa definition and epidemiology
- Persistent restriction of energy intake leading to significantly low body weight and intense fear of gaining weight or becoming fat regardless of own weight as well as disturbance in way ones body weight or shape is experienced
- 90% of cases of females primarily affecting adolescent girls and young women
Anorexia nervosa 2 subtypes
1) Restrictive - restricted food and compulsive exercise
2) binge eating/purging - restricts food with intermittent episodes of binging OR** purging
Bulimia nervosa definition
Recurrent episodes of binge eating episodes characterized by both eating large portions of food in discrete period of time and a sense of lack of control as well as reucrrent inappropriate compensatory behavior in order to prevent weight gain such as self induced vomiting, laxatives, diuretics, fasting, etc.
Bulimia nervosa 2 subtypes
1) purging - use of vomiting or misuse of laxatives, diuretics, etc
2) non purging - person has used other inappropriate compensatory behavior but has not engaged regularly in self induced vomiting, diuretics, laxatives, etc. but rather things like excessive exercising and fasting
Atypical anorexia nervosa
All criteria met despite significant weight loss, individuals weight is within or above normal range
