Task 7 - Eating disorders Flashcards
Anorexia Nervosa DSM 5
A. Restriction of energy intake relative to requirements, leading to significantly low body weight in the context of age, sex, development & physical health.
role of BMI : below 15 !
B. Intense fear of gaining weight/ becoming 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/shape is experienced, undue influence of body weight/shape on self-evaluation OR persistent lack of recognition of the seriousness of the current low body weight
Anorexia Nervosa - restricted type
– during the last 3 months, no recurrent episodes of binge eating/ purging behaviour.
-Weight loss through dieting/fasting and/or excessive exercising
Anorexia Nervosa - bing eating/ purging type
-last 3 months, recurrent episodes of this behaviour (even a small amount of food is considered as binging)
Prevalence Anorexia Nervosa
- 1 to 2 percent of people
- 90-95 of diagnosed are female
- caucasian women more likely
- onset: 15-19 y.o.
- death rate: 5-8 percent
health issues AN
- cardiovascular
- expansion of stomach
- Bone strength
- Kidney damage
Bulimia Nervosa DSM5
A. Recurrent episodes of binge eating, characterised by both of the following:
- Eating, in a discrete period of time, an amount of food that is def larger than most people eat during a similar period of time in similar situation
- Sense of lack of control over eating during the episode
B. Recurrent inappropriate compensatory behaviours in order to prevent weight gain
C. Binge eating & inappropriate compensatory behaviours both occur, on average, at least once per week for 3 months
D. Self-evaluation is unduly influenced by body shape & weight
E. Disturbance doesn’t occur exclusively during episodes of anorexia nervosa
Prevalence Bulimia Nervosa
- 0.5 to 3 percent in population
- onset: 15-29 y.o.
- death rate: high, but not as high as AN
- more females
Health issues Bulimia Nervosa
- imbalance in electrolytes -> can lead to heart failure
AN binge/purge type VS Bulimia Nervosa
- both binge and purge
- An: significantly underweight, Bn: often normal/overweight
- An: body image severely disturbed, Bn: overconcerned with weight, but more realistic body image
- An: lack of control during binges, Bn: always lack of control
Binge Eating Disorder DSM 5
A. Recurrent episodes of binge eating, both of the following:
- Eating, in a discrete period of time, an amount of food that is def larger than most people eat during a similar period of time in similar situation
- Sense of lack of control over eating during the episode
B. Binge eating episodes are associated with 3 or more of the following:
- Eating more rapidly than normal
- Eating until feeling uncomfortably full
- Eating large amounts of food when not feeling physically hungry
- Eating alone bc embarrassed by how much one eats
- Feeling disgusted with oneself, depressed or very guilty afterward
C. Marked distress regarding binge eating
D. Occurs, on average, at least once a week for 3 months
E. Not associated with recurrent use of compensatory behaviour & does not exclusively occur during course of AN or BN
Prevalence Binge Eating DSM 5
- 2 to 3,5 of general population
- 30 percent of people in weight loss programs
- high rates of depression and anxiety
- higher incidence of alcohol abuse and personality disorders
other specified feeding/eating disorders ( 5)
1) Atypical anorexia nervosa
2) Bulimia Nervosa (low frequency and/or limited duration)
3) Binge-eating disorder (low frequency and/or limited duration)
4) Purging disorder
5) Night eating syndrome
Atypical AN
-all criteria for AN are met except significant weight loss
Bulimia Nervosa ( low frequency and/or limited duration)
-all criteria except binge eating and compensatory b. less than 1x week and/or less than 3x months
Binge eating disorder ( low frequency and/or limited duration)
-less than 1x week and/or less than 3x month
Purging disorder
-purging to influence weight/shape in absence of binge eating
