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Brief Discussion of Eating Disorders PNC Spring 2017
BriefDiscussionofEatingDisorders
PNCSpring2017
AN, BN, Eating Disorders Not Otherwise Specified (EDNOS), Compulsive Overeating, etc.
Helpfulterms
What’s too thin?
What do they see?
Eating Disorders
* 1%12-18yo* 15%<IBW* Denialofappetite* Perfectionist?* Symptoms:Lanugo,êBMR,
heartrate;arrhythmia,amenorrhea,marasmus
* Depression
• 2-4%youngwomen,adolescents• ~Normalweight• Binge-Purgecycle• Addictivebehavior• Molestationhistory?• Symptoms:Electrolyteimbalance,
dentalerosion,ulcers,“chipmunkcheeks,”calluses,stomachpain
• DepressionAN death risk (DR): 10%* BN DR ~4-25%** *Mitka, M. ( 2010). DSM Panel Considers Ways to Clarify Diagnostic Criteria for Eating Disorders. J Am Med Assoc. Vol.3(22). **University of Maryland Medical Center. http://www.umm.edu/patiented/articles/how_serious_anorexia_nervosa_000049_5.htm:.
Fig.12.4
NutritionIssuesandOralHealth
Negative self-perceptions
Binge eating
Restrictive dieting
Purging
Mechanism of Action?
Binge-EatingDisorder
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DistinguishingBetweenEatingDisorders
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OtherEatingDisorders
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Female Athlete Triad
Relative Energy Deficiency in Sports
RED-S*
*JAND.May2016.QoftheMonth,p.744.
Why?
FactorsContributingtoEatingDisorders
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Bronfenbrenner (1998)
PNCwebsiteED
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TreatmentApproach-Holistic
Goals in Treatment
* Stopweightloss!* Symptoms:lanugo,êBMR,
heartrate;arrhythmia,amenorrhea,marasmus
* Depression
• Normalizeeatingbehaviors• Symptoms:Electrolyteimbalance,
dentalerosion,ulcers,“chipmunkcheeks,”calluses,stomachpain
• Depression
BN DR ~4-25%**
AN death risk (DR): 10%*; **University of Maryland Medical Center. http://www.umm.edu/patiented/articles/how_serious_anorexia_nervosa_000049_5.htm:. Retr. 1/22/06.
