Feeding And Eating Disorders

Question 0

What are the diagnostic criteria of Rumination disorder?

Answer 0

• Repeated regurgitation of food over a period of at least 1 month. Regurgitated food may be re-chewed, re-swallowed or spit out
• Not attributable to a gastrointestinal or other medical condition
• Does not occur exclusively during course of another feeding/eating disorder
• If occurs in context of another mental disorder must be sufficiently severe to warrant clinical attention

Question 1

What are the diagnostic criteria of Pica?

Answer 1

• Persistent eating of non nutritive, non food substances over a period of at least 1 month.
• Inappropriate for the developmental level of the individual
• Not part of a culturally supported practice
• If occurs in context of another mental disorder e.g. ASD is suffix toy severe to warrant additional clinical attention

Question 2

What are the main diagnostic criteria for avoidant/restrictive food intake disorder?

Answer 2

• An eating or feeding disturbance (e.g. apparent lack of interest in food; avoidance based on sensory characteristics of food; concern about aversive consequences of eating) as manifested by persistent failure to meet appropriate nutritional and/or energy needs associated with 1 or more: significant weight loss or failure to achieve expected weight gain in development; significant nutritional deficiency; dependence on enteral feeding or oral nutritional supplements; marked interference it’s psychosocial functioning
• Not better explained by lack of available food or cultural practice
• Does not occur exclusively during course of anorexia or bulimia
• Not attributable to medical condition or other mental disorder

Question 3

What are the diagnostic criteria of anorexia nervosa?

Answer 3

• Restriction of energy intake relative to requirements, leading to significantly lower body weight
• Intense fear of gaining weight or becoming fat, or persistent behaviour that interferes with weight gain, even though at a significantly low weight
• 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
  Specify whether- restricting type or binge-eating/purging type

Question 4

What are the diagnostic criteria of bulimia nervosa?

Answer 4

• Recurrent episodes of binge eating. An episode is characterised by both: eating in a discrete period of time an amount of food that is definitely larger than what most individuals would eat; a sense of lack of control over eating during that period
• Recurrent inappropriate compensatory behaviours in order to prevent weight gain
• The binge-eating and inappropriate compensatory behaviours both occur on average at least once a week for 3 months
• Self-evaluation is unduly influenced by body shape and weight
• The disturbance does not occur exclusively during episodes of anorexia nervosa

Question 5

What are the diagnostic criteria for binge-eating disorder?

Answer 5

Recurrent episodes of binge eating. An episode is characterised by both: eating in a discrete period of time an amount of food that is definitely larger than what most people would eat in a similar period of time and under similar circumstances; a sense of lack of control
The binge eating episodes are associated with 3 or more of the following: eating much more rapidly than normal; eating until feeling uncomfortably full; eating large amounts of food then not feeling physically hungry; eating alone because of feeling embarrassed by how much they are eating; feeling disgusted, depressed or very guilty aferward
Marked distress regarding binge eating is present
Binge eating occurs on average, at least once a week for 3 months
Binge eating is not associated with the recurrent use of inappropriate compensatory behaviours and does not occur exclusively during the course of bulimia or anorexia nervosa