Feeding/Eating Disorders Flashcards
What are the 3 main features of Anorexia?
- food restriction leading to low body weight
- fear of gaining weight or behavior that interferes with weight gain
- misperception of body shape/weight or lack of recognition of seriousness of low body weight
What are the 2 subtypes of anorexia?
- Restricting type: weight loss with no binge/purge (diet/exercise) within last 3 months
- Binge-eating/purging: binge/purge behavior within last 3 months
What is considered mild, moderate, severe and extreme BMI for anorexia?
mild = 17+ moderate= 16-16.9 severe= 15-15.9 extreme = below 15
What disorder has the highest mortality rate?
Anorexia
What disorder has the highest suicide rate?
Bulimia
What is the difference between Anorexia and Avoidant/Restrictive Food Intake disorder?
Avoidant/Restrictive does not involve a disturbance in body shape/weight
Anorexia: based on BMI and misperception of body image
What disorder is highly comorbid with Anorexia?
Depression
Anorexia has a higher prevalence among?
10x more for young women (vs. men)
more common in middle & upper class
What is the age of onset for anorexia?
adolescence
What disorders are cormorbid with Eating Disorders?
- Depression
- Anxiety
- Borderline Personality
- Substance-Abuse
Do Eating Disorders run in families?
yes
Can eating disorders change brain chemistry and exasperate the disorder?
Yes
What are the main features of Bulimia?
A. Recurrent episodes of binge eating that include 1. eating a lot in a small period of time and 2. lack of control
B. Recurrent compensatory behaviors to avoid weight gain
C. Binge/purge must occur at least 1x/week for 3 months
D. self-evaluation influenced by body shape/weight
What is the duration of Bulimia?
must occur on average a min: 1x/week for 3 months
What qualifies for a mild and extreme severity for bulimia?
mild= 1-3x/week
extreme = 14+ times/week
What disorder is characterized by an excessive concern with weight, but may be thin or heavy?
Bulimia
What are the main features of Binge-Eating Disorder?
A. Recurrent episodes of binge eating with (1. large intake of food within time period & 2. lack of control)
B. Episodes include 3 or more: rapid eating eating until abnormally full eating a lot when not hungry eating alone feeling disgusted/guilty/depressed
C. Distress RE: binge eating
D. 1x/week for 3 months
What are the similarities between Binge-eating Disorder and Bulimia?
Duration of 1x/wk for 3 months
recurrent episodes of binge eating that include large consumption during time period & lack of control
Levels of severity
How does Binge-eating disorder differ from bulimia?
No purging Not weight specified Not OCD about body Onset = adulthood prevalence equal among men & women
What is Enuresis?
Repeated urination into bed or clothes either intentional or unintentional
Needs either: 2x/week for 3 consec. months or impairment in functioning
At least 5 years old
What are the age qualifications for Enuresis vs. Encopresis ?
Enuresis = 5 years old +
Encopresis = 4 years old +
What is Encopresis?
Passage of feces in inappropriate places either intentional or unintentional
Duration of at least 1x/month for 3 months
child at least 4 years old
What are the specifiers for Enuresis?
Nocturnal
Diurnal
Both
Why is family therapy a strongly suggested treatment method for Bulimia?
genetic & family support
What 4 main factors influence Bulimia?
- personhood
- family dynamic
- sphere of influence
- Food
What is the most effective treatment method for Bulimia?
CBT
What is the main focus of those with Bulimia?
Anxiety
What is Pica?
Eating nonnutritive foods for 1 month +
Pica is most prevalent among?
IDD
early childhood
pregnant women
What is Rumination Disorder?
regurgitation of food for 1 mon +
Rumination is most prevalent among?
IDD, onset 3-12 months, males
