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3MB Psychiatry: Eating Disorders

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This flashcard set summarises the diagnostic criteria for anorexia nervosa and bulimia nervosa, highlighting characteristic behaviours, body image disturbances, and associated endocrine abnormalities such as amenorrhoea and reduced fertility.

List the 4 main criteria domains for anorexia nervosa

Weight loss at least 15% below the normal weight
Avoidance of “fattening foods” (self-induced weight loss)
Self-perception of being too fat/dread of fatness
Widespread endocrine disorder

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Key Terms

Term
Definition

List the 4 main criteria domains for anorexia nervosa

Weight loss at least 15% below the normal weight
Avoidance of “fattening foods” (self-induced weight loss)
Self-perception of being too fat/d...

What are the main endocrine disorders that occur in anorexia nervosa?

Amenorrhoea in females

Loss of libido + decreased fertility in males

List the main criteria for diagnosing bulimia nervosa

Recurrent episodes of over-eating with consumption of large quantities of food
Attempts to counteract fattening by: self-induced vomiting/purgin...

Compensatory behaviour, similar to that in bulimia, is present in binge-eating disorder. True/False?

False

Patient may be uncomfortably full and disgusted at themselves but no self-induced...

List some neuroprogressive effects of severe eating disorders

Brain shrinkage

Impaired concentration + decision-making

Little joy

Changes in neurotransmission

Social isolation

CBT in which outpatient group - adolescents or adults - is more effective in the long-term?

Adolescents

Outpatient adults have poor long-term benefit

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TermDefinition

List the 4 main criteria domains for anorexia nervosa

Weight loss at least 15% below the normal weight
Avoidance of “fattening foods” (self-induced weight loss)
Self-perception of being too fat/dread of fatness
Widespread endocrine disorder

What are the main endocrine disorders that occur in anorexia nervosa?

Amenorrhoea in females

Loss of libido + decreased fertility in males

List the main criteria for diagnosing bulimia nervosa

Recurrent episodes of over-eating with consumption of large quantities of food
Attempts to counteract fattening by: self-induced vomiting/purging/starvation
Self-perception of being too fat

Compensatory behaviour, similar to that in bulimia, is present in binge-eating disorder. True/False?

False

Patient may be uncomfortably full and disgusted at themselves but no self-induced vomiting or “rectifying” behaviour

List some neuroprogressive effects of severe eating disorders

Brain shrinkage

Impaired concentration + decision-making

Little joy

Changes in neurotransmission

Social isolation

CBT in which outpatient group - adolescents or adults - is more effective in the long-term?

Adolescents

Outpatient adults have poor long-term benefit

List the low-sev BMI risk assessment for anorexia

Low: 17.5-16
Mod: 16-15
High: 14.9-13
Very high: less than 13