disorder per se; however, because of the strong emotional fac-Cmorbid fear of obesity. It is characterized by the individual’s gross Eating Disorders● Anorexia nervosa is a clinical syndrome in which the person has a The American Psychiatric Association (APA, 2000) Defiand Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR)Anorexia NervosaPsychiatric Association.acterized by severe disturbances in eating behavior. Two such disorders are described in the binge eating disorder, is also being considered by the American Affecting Medical Condition.may be considered within the category of tors associated with it, the and bulimia nervosa. Obesity is not classifidistortion of body image, preoccupation with food, and refusal to BACKGROUND ASSESSMENT DATA nedHAPTER^12 identifi A third category of eating disorder, DSM es eating disorders as those char-DSM-IV-TR-IV-TR suggests that obesity ed as a psychiatric Psychological Factors : anorexia nervosa Diagnostic
2506_Ch12_218-235.indd Sec1:218 2506 Ch 12 218 - 235 .indd 6. Compulsive behavior, such as excessive hand washing, may S^218 Symptomatology (Subjective and Objective Data) 3. Preoccupation with food. Thinks and talks about food at 1. Morbid fear of obesity. Preoccupied with body size. Reports eat. The disorder occurs predominantly in females 12 to 30 years 4. Amenorrhea is common, often appearing even before notice- 2. Refusal to eat. Reports “not being hungry,” although it is 5. Delayed psychosexual development.of age. Without intervention, death from starvation can occur.^ ec 1 late in the disorder.be present.great length. Prepares enormous amounts of food for friends and family members but refuses to eat any of it.“feeling fat” even when in an emaciated condition.able weight loss has occurred.thought that the actual feelings of hunger do not cease until : 218 1 10/1/10 9:35:58 AM 0 / 1 / 10 9 : 35 : 58 AM