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Eating disorders Introduction
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DSM-IV identifies 3 categories
1. Anorexia nervosa Both of the types involve significant weight loss Restricting type Binging – purging type
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DSM-IV identifies 3 categories
2. Bulimia nervosa Binging followed by purging but not associated with significant weight loss
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DSM-IV identifies 3 categories
3. Eating disorders not otherwise specified (EDNOS) Some of the characteristics of AN and BN but can’t be strictly be categorised as either.
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Anorexia nervosa In common with bulimia there is an anxiety and dissatisfaction with body weight and/or shape.
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statistics Anorexia nervosa affects approximately 0.9% of females.
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Statistics cont. Over 90% of cases are with females.
And are extremely resistant to treatment.
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AN often develops into Bulimia nervosa
It is rare for BN to develop into AN.
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30 – 40% show no improvement over 5 years.
About a third live with the condition all their lives and learn to manage it.
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Clinical characteristics
The body weight is 85% or less of the normal weight for age, height, sex etc.
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2 There is a distorted perception of body weight/shape.
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3 There is an intense fear of becoming fat.
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4 For women - Loss of three consecutive menstrual cycles (amenorrhoea)
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