W11 Chapter 9.1 Clinical Aspects of Eating Disorder

Question 1

How are eating disorders characterized in the DSM-5

Answer 1

A persistent disturbance in eating behaviour that impairs health

Question 2

What are the three most important adult eating disorders

Answer 2

1. anorexia nervosa
2. bulimia nervosa
3. binge eating disorder

Question 3

How is anorexia nervosa defined?

Answer 3

The pursuit of thinness that is restless and involves behaviours that result in significant low body weight

Question 4

What criteria is no longer required in the DSM-5 for a diagnosis of anorexia nervosa

Answer 4

Amenorrhea (cessation of menstruation)

Question 5

What are the three criteria for Anorexia Nervosa

Answer 5

1. restriction if energy intake resulting in significantly low body weight
2. intense fear of gaining weight
3. Disturbance in the perception of one’s own body weight

Question 6

What are two subtypes of anorexia nervosa

Answer 6

1. restrictive type
2. binge-eating/purging type

Question 7

What is bulimia nervosa

Answer 7

uncontrollable binge eating and inappropriate efforts to prevent weight gain (purging or exercise)

Question 8

What are the five criteria for Bulimia Nervosa

Answer 8

1. binge eating
2. recurrent inappropriate behaviours to prevent weight gain
3. behaviours occur on average once a week for 3 months
4. Self evaluation influenced by body shape
5. The disturbance does not occur exclusively during episodes of anorexia nervosa

Question 9

What is the difference between the binge eating/purging type of anorexia nervosa and bulimia nervosa

Answer 9

Bulimia nervosa does not require the person to be excessively underweight

Question 10

What is the key difference between binge eating disorder and bulimia nervosa

Answer 10

There are not compensatory purging behaviours following the binge eating episode in binge eating disorder

Question 11

What are the five criteria of binge eating disorder

Answer 11

1. recurrent episodes of binge eating (including a lack of control)
2. three of the following: eating fast, eating until uncomfortable, eating when not hungry, eating alone due to embarrassment, feeling disgusted in oneself
3. Distress about binge eating
4. occurs on average once a week for 3 months
5. not compensatory purging behaviours

Question 12

When is anorexia nervosa likely to develop

Answer 12

between the ages of 16-20

Question 13

When is bulimia nervosa likely to develop

Answer 13

between the ages of 21-24

Question 14

When is binge eating disorder likely to develop

Answer 14

between the ages of 30-50

Question 15

What is the worldwide prevalence of binge eating disorder

Answer 15

2%

Question 16

What is the worldwide prevalence of bulimia nervosa

Answer 16

1%

Question 17

What four other disorders are associated with eating disorders

Answer 17

1. depression
2. obsessive compulsive disorder
3. substance abuse disorders
4. personality disorders

Question 18

Are eating disorders common in all cultures?

Answer 18

yes, although bulimia nervosa is culturally bound to western ideals