Feeding and Eating Disorders Flashcards
Pica Diagnostic Criteria
A. Persistent eating of nonnutritive, nonfood substances over a period of ≥1 month.
B. Inappropriate for the developmental level of the individual.
C. Not part of a culturally supported or socially normative practice.
D. If the behaviour occurs in the context of another disorder (e.g., intellectual disability) or medcial condition, it is sufficiently severe to warrant additional clinical attention.
Specify if:
* In remission: After full criteria were previously met, the crtieria have not been for a sustained period of time.
Rumination Disorder Diagnostic Criteria
A. Repeated regurgitation of food over a period of ≥1 month. May be re-chewed, re-swallowed, or spit out.
B. Not attributable to an associated gastrointestinal or other medical condition.
C. Does not occur exclusively during the course of anorexia nervose, bulimia nervosa, binge-eating disorder, or avoidant/restrictive food intake disorder.
D. If symptoms occur in the context of another mental disorder, they are sufficiently sever to warrant additional clinical attention.
Specify if:
* In remission
Avoidant/Restrictive Food Intake Disorder
A. An eating or feeding disturbance (e.g., apparent lack of interest in eating or food; avoidance based on sensory characteristics of food; concern about aversive consequences of eating) associated with ≥1 of the following:
1. Significant weight loss
2. Significant nutritional deficiency
3. Dependence on enteral feeding or oral nutritional supplements.
4. Marked interference with psychosocial functioning
B. Not better explained by lack of available food or a culturally sanctioned practice.
C. Does not occur exclusively during the course of AN or BN, and there is no evidence of a disturbance in the way in which one’s body weight or shape is experienced.
D. Not attributable to a concurrent medical condition; not better explained by another mental disorder. When it occurs in the context of another condition or disorder, the severity of the disturbance exceeds that routinely associated with the condition or disorder and warrants additional clinical attention
Specify if:
* In remission
Anorexia Nervosa Diagnostic Criteria
A. Restriction of energy intake relative to requirements, leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health.
B. Intense fear of gaining weight or becomign fat, or persistent behaviour that interferes with weight gain, even though at a significantly low weight.
C. Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or persistent lack of recognition of the seriousness of the current low body weight.
Anorexia Nervosa Specifiers
Type:
* Restricting Type: During the last 3 months, the individual has not engaged in recurrent episodes of binge-eating or purging behaviour (i.e., self-induced vomiting or misuse of laxatives, diuretics, or enemas). This subtype describes presentations in which weight loss is accomplished primarily through dieting, fasting, and/or excessive exercising.
* Binge-eating/purging type: During the last 3 months, the individual has engaged in recurrent episode of binge-eating or purging behaviour
Remission status:
* In partial remission: After full criteria for AN were previously met, Criterion A (body weight) has not been met for a sustained period, but either Criterion B (intense fear of gaining weight/behaviour that interferes with weight gain) or Criterion C (disturbances in self-perception of weight and shape) is still met.
* In full remission: None of the criteria are met for a sustained period of time.
Severity: Based on BMI:
* Mild: ≥17
* Moderate: 16-16.99
* Severe: 15-15.99
* Extreme: <15
Differentiation between AN and BN
- Both diagnoses can involve binge eating and inappropriate compensatory behaviours
- In BN, body weight remains within the normal range
Bulimia Nervosa Diagnostic Criteria
A. Recurrent episodes of binge eating, characterized by both of the following:
1. Eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than what most individuals would eat in a similar period of time under similar circumstances
2. A sense of lack of control over eating during the episode (e.g., feeling that one cannot stop or control it)
B. Recurrent inappropriate compensatory behaviours in order to prevent weight gain, such as self-induced vomiting; misues of laxatives, etc.
C. The binge eeating and inappropriate behaviours both occur, on average, ≥1/week for 3 months
D. Self-evaluation is unduly influenced by body weight and shape.
E. The disturbance does not occur exclusively duriung episodes of AN.
Bulimia Nervosa Specifiers
Remission status:
* In partial remission: Some, but not all, of the criteria have been met for a sustained period of time.
* In full remission
Severity: Based on the frequency of the inappropriate compensatory behaviour.
* Mild: Avg of 1-3 episodes/week
* Moderate: Avg 4-7 episodes/week
* Severe: Avg 8-13 episodes/week
* Extreme: Avg ≥14 episodes/week
Differentiation of BN from BED
- Both diagnoses involve binges
- Only BN involves compensatory behaviours
Binge-Eating Disorder Diagnostic Criteria
A. Recurrent episodes of binge eating, characterized by both of the following:
1. Eating, in a discrete period of time (e.g., within any 2-hour period), an amount of food that is definitely larger than what most individuals would eat in a similar period of time under similar circumstances
2. A sense of lack of control over eating during the episode (e.g., feeling that one cannot stop or control it)
B. Binges are associated with ≥3 of the following:
1. Eating much more rapidly than normal.
2. Eating until feeling uncomfortably full.
3. Eating large amounts of food when not feeling physically hungry
4. Eating alone bewcause of feeling embarrassed by the amount.
5. Feeling disgusted with oneself, dperessed, or very guilty afterwards.
C. Marked distress regarding binge eating is present.
D. The binge eating occurs, on average, ≥1/week for 3 months
E. Not associated with recurrent use of inappropriate compensatory behaviours as in BN and doesn ot occur exclusively during the course of BN or AN.
Binge-Eating Disorder Specifiers
Remission status:
* In partial remission
* In full remission
Severity: Based on frequency of binges
* Mild: 1-3/week
* Moderate: 4-7/week
* Severe: 8-13/week
* Extreme: ≥14/week
