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26 Cards in this Set

  • Front
  • Back

Define normal eating behaviour

Eat when hungry/until satisfied


Moderate constraint without being too restrictive


Eating = one important area of life

Two sub-types of Anorexia nervosa?

Restricting type (AN-R)


Binge eating/purging type (AN-BP)

Diagnostic criteria for AN?

Persistent restriction of energy intake leading to low b.w


Intense fear/persistent behaviour interferes with weight gain


Disturbance in how weight/shape perceived

Epidemiology of AN?

10:1 female to male


12 month prevalence .4-.8%


Onset - early adolescence-20s

Does AN have a varied course in its development/progression?

Yes - recover after single episode


Fluctuate


Chronic


Crossover

Two Comorbidity d/o?

Depression


Anxiety


OCD

Aetiology of AN?

Perfectionism


Harm avoidance


Feelings of ineffectiveness

Clinical presentations of AN?

Gradually eliminating food


Food rituals


Preoccupation with food

Health complications of AN?

Cardiac


Hormones issues


Frequent hospitalisation


Highest death rate of all d/o

Name two cognitive detriments caused by AN?

Deficits in executive functioning/memory


Cog/health issues can severely impact adolescent development

Diagnostic crit of bulimia nervosa?

Recurrent episodes binge eating (size, time, loss of control)


Recurrent inappropriate compensatory behaviour to prevent weight gain - purging, laxatives


Occurs once p.w. - 3 months


Self-evaluation unduly influenced by body shape/weight

Does BN have any subtypes?

Purging V’s non-purging

Epidemiology of BN?

10:1 f to m


Prevalence 1-1.5%


Onset - late adolescence/early adulthood, frequently begins during/following dieting

Comorbidity of BN?

Depression


Anxiety


Substance use

Typical Clinical presentation of BN?

Binge/purge cycle


Preoccupation with food


Weight = average


Low self esteem


Impulsivity

Diagnostic crit. Of Binge eating d/o?

Recurrent binge eating


Three + of the following:


Eating more rapid, until uncomfortably full, eating large amount when not hungry, eating alone due to disgust


Once p.w. - 3months

Epidemiology of Binge eating d/o?

12 month - 2-3%


Gender difference more even


Prevalence higher in overweight pop

Name three clinics features of binge eating?

Guilt/shame


Eating when not hungry


Eating for emotional control

Define OSFED

other specified feeding or eating d/o

Define atypical AN

All criteria met despite significant weight loss


Individuals weight = above normal weight range


Similar health consequences but harder to detect because person not underweight

Why would a clinician diagnose a patient under UFED? (Unspecified feeding/eating d/o)

Due to high distress but not meeting criteria for other d/o


Insufficient info

What are the diagnostic criteria for AFID (avoidant restrictive food intake d/o)?

Persistent failure to meet nutritional/energy intake needs associated with one/more following:


Significant loss weight


Significant nutritional deficiency


Marked interference with psychosocial function


Not better explained by culture/lack of food


No evidence of disturbance in ones body weight/shape perception

Is the age onset of AFID younger or older than AN/BN?

Younger


Typically associated with childhood picky eating


GAD


Comorbid medical conditions

Diagnostic crit of Pica?

Persistent eating of non food substances - 1 month


Eating of mongoose inappropriate to development of individual


Increased prevalence in pregnancy

Diagnostic crit of rumination d/o?

Repeated regurgitation of food - 1 month


Not due to medical condition


Behaviour does not occur exclusively in course of AN, BN, BED etc


More common with intellectual disability

What is orthorexia?

Inflexible eating behaviours Aimed at purity


May start as clean eating - progress to eliminate food groups


Emotional well-being dependant I’m eating ‘right’ food


Rigid food rules/interfere with normal functioning/malnutrition