Documente Academic
Documente Profesional
Documente Cultură
Definition
Eating disorder : A persistent (consistent) disturbance of eating (or eating-related behaviour) which impairs physical health or psychosocial functioning, or both, and which is not secondary to any general medical disorder or any other psychiatric disorder.
Anorexia nervosa
Definition Development Diagnosis Effect Management
Anorexia nervosa
Definition: - An eating disorder characterised by a refusal to maintain a minimally normal body weight and a distortion in perception of body shape and weight. Development and causes: - Generally in adolescence, some childhood-onset or prepubertal cases observed - Girls (75-80%), Boys (2025%) - Normal dieting which gets out of control. - Personality factor of perfectionism, negative selfevaluation, child abuse, genetic factor, media (size zero models), family and friends pressure, teasing.
Two types: i) Restricting type - During the episode of AN, the person does not engage in binge eating or purging behavior (Eg. Self-induced vomiting, misuse of laxative, diuretics, or enemas) ii) Binge eating/purging type - During the episode of AN, the person regularly engages in binge eating or purging behaviour (Eg. as above -)
Bulimia nervosa
Definition An eating disorder characterised by repeated episodes of binge eating usually followed by purging self-induced vomiting, misuse of laxatives or diuretics, fasting, or excessive exercise Binge eating ?: the consumption of unusually large amounts of food and an aversive sense of lack of control over eating. Development & causes Common in young adults suggesting other personal and life stressors like work demand. Eg. Models, celebrities History of disturbed eating during adolescence, 30% has resemblance with AN, low genetic factor.
Bulimia nervosa- The vicious cycle of restrictive dieting and binge eating
Negative self perception
Purging
Restrictive dieting
Binge eating
Eating disorder not otherwise specified (EDNOS) Definition: Have symptoms similar in form to anorexia nervosa and bulimia nervosa but fail to meet their diagnostic criteria either because a particular feature is missing (partial syndrome) or because they do not meet the specified level of severity (subthreshold case).
EDNOS- Diagnosis
Criteria for diagnosis of unspecified eating disorder, in general: A) Meet all the criteria for AN, except irregular menses. B) Meet all the criteria for AN, except that their weights fall within the normal range. C) Meet all of the criteria for BN, except that their binges occur less frequently than stated in the criteria. D) Are of normal body weight and who compensate inappropriately for eating small amounts of food (Eg. Self-induced vomiting after eating only 2 cookies) E) Repeatedly chew food, but spit it out without swallow. F) have recurrent episodes of binge but who do not compensate as do those with BN. - Treatment shall concentrate more towards behavioral change