Eating disorders are persistent and severe disorders in eating behavior, regardless of any medical condition. It can be defined as the behavior of keeping weight under control to the extent that it disrupts physical health and psychosocial functions (Fairburn, 2001, cited in Klein and Walsh, 2003).
There are 2 main types:
Anorexia Nervosa (AN): Refusal to maintain the lowest body weight considered normal, need to lose more weight and fear of gaining weight
Blumia Nervosa (BN) : Disorder in which repeated binge eating attacks are followed by methods that prevent weight gain. There are inappropriate behaviors such as making oneself vomit, not eating at all, or the use of drugs such as laxatives, diuretics and enemas.
Binge Eating Disorder:
It consists of repeated overeating attacks. but unlike Blumia, these attacks are not followed by inappropriate compensatory behaviors that will prevent weight gain (Klein,Walsh, 2003).
HISTORY OF ANOREXIA NERVOSA:
The word anorexia comes from Greek. An: deficiency; orexis: means appetite. In the past, it was used to describe a person's loss of appetite in cases of headache, cancer or depression. It also has the meaning of reaction to pain.
The contradiction is; People with anorexia do not experience loss of appetite. On the contrary, their desire to eat is excessive, they constantly think and dream about eating.
Blumia Nervosa: It is of Latin origin. It means "the hunger of the ox" (Costin, 1999).
Aneroxia Nervosa, was first described in the medical literature in 1870 and its content is;
- Kilo loss
- Amenorrhea
- Psychological disorders
- Increased physical activity (Klein, Walsh,2003).
AN is divided into two subtypes.
These subtypes are used to indicate the presence or absence of regular binge eating or purging during the current Anorexia episode.
BLUMIA NERVOSA:
- There are two subtypes of BN;
These subtypes are used to indicate the presence or absence of regular use of purging methods to balance binge eating.
- Type With Vomiting (Purging): During the current episode of BN, the person has regularly self-induced vomiting or misused laxatives, diuretics, or enemas.
- Non-Vomiting (Purging) Type: O During the next episode, the person engaged in other inappropriate compensatory behaviors, such as not eating at all or excessive exercise, but did not self-vomit or misuse laxatives, diuretics, or enemas.
- ICD-10 states that Blumia can be viewed as a remnant of persistent anorexia nervosa. The previously anorexic patient may appear to improve due to weight gain and amenorrhea may improve; However, electrolyte loss and physical complications (tetany, epileptic seizures, heart rhythm disturbances, muscle weakness) and further weight loss may be observed due to repeated vomiting, which progresses later with overeating and vomiting.
- Persistent with eating. There is excessive preoccupation and an irresistible desire to eat. The patient cannot stop eating spells by bingeing on large amounts in a short time.
- The patient tries to eliminate the fattening effects of food by one or more of the following ways: vomiting, using laxatives, fasting for varying periods of time, appetite-suppressing drugs (diuretics). or thyroid preparations). Diabetic patients may choose to neglect insulin treatments when they become fat.
- There is a very severe fear of getting fat. The patient has determined for himself a strictly defined body weight threshold that is much lower than what is medically optimal or healthy. There was often an AN period in the history r and the period between two periods can vary from several months to years. In this initial period, all symptoms of AN may be present, or there may be a mild, latent form with moderate weight loss or temporary amenorrhea.
BINGE EATING. DISORDER:
Unlike bulimia, the primary problem in some people is binge eating.
The reason is not avoiding weight gain or restricted eating behavior. Afterwards, compensatory behaviors such as vomiting are not observed.
- It was first described at the International Conference on Eating Disorders in 1992 (Costin, 1999)
Binge eating episodes consist of three (or three) of the following:
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