Anorexia Nervosa (DSM IV)

1. Anorexia Nervosa (DSM IV) • Refusal to maintain body weight at or above 85% of expected weight* • Intense fear of gaining weight • Body image disturbance • In females, amenorrhea (lack of 3 menstrual cycles)* • Restricting type • Binging/Purging type

2. Bulimia Nervosa • Recurrent episodes of binge eating characterized by • Eating a larger amount of food than most people would eat in 2 hours • Sense of lack of control over eating • Recurrent compensatory behavior to prevent weight gain • Occurs 2x a week for 3 months* • Self evaluation unduly influenced by body shape and weight • Purging vs. Nonpurging type

3. Eating Disorder Not Otherwise Specified • All criteria for anorexia except amennorhea, or weight is in normal range • Bulimia symptoms but not quite as often • Inappropriate compensation after small amounts of food • Chewing and spitting • Binge eating disorder

4. Fact Sheet (from National Eating Disorders Association) • Anorexia has the highest fatality rate of all mental illnesses (20%) • Females between 15-24 who have anorexia have a mortality rate 12 times higher than the death rate of all other causes of death (Sullivan, 1995) • EDs on the rise every decade since 1930s • Increasing in diverse ethnic and sociocultural groups

5. Dieting • 40-60% of high school girls diet • 50% girls, 30% of teen boys use unhealthy weight control behaviors • 13% of high school girls purge • 30-40% of junior high girls worry about weight • 42% of 1st-3rd grade girls want to be thinner • 40% of 9 year olds have dieted • 81% of 10 year olds are afraid of being fat • 5 year olds are concerned about weight

6. 35% of “normal dieters” progress to pathological dieting • 20-25% of those progress to eating disorders