brief discussion of eating disorderslisagor/spring 2017/494 s17/pnc eating disorders.pdfeating...
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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
18
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.