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Futures in Practice: Physical Activity |
EATING
DISORDERS
Diagnostic
Criteria for 307.1 Anorexia Nervosa
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A. Refusal
to maintain body weight at or above a
minimally normal weight for age and height
(e.g.,
weight loss leading to maintenance of
body weight less than 85% of that expected;
or failure to make expected weight gain
during period of growth, leading to body
weight less than 85%
of that expected).
B. Intense
fear of gaining weight or becoming fat,
even though underweight.
C. Disturbance
in the way in which one's body weight
or shape is experienced, undue influence
of
body weight or shape on self-evaluation,
or denial of the seriousness of the current
low body weight.
D. In
postmenarcheal females, amenorrhea, i.e.,
the absence of at least three consecutive
menstrual cycles. (A woman is considered
to have amenorrhea if her periods occur
only following hormone, e.g., estrogen,
administration.)
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Restricting Type: During the current
episode of Anorexia Nervosa, the person has not regularly
engaged in binge-eating or purging behavior (i.e.,
self-induced vomiting or the misuse of laxatives, diuretics,
or enemas).
Binge-Eating/Purging
Type: During
the current episode of Anorexia Nervosa, the person
has regularly engaged in binge-eating or purging
behavior (i.e., self-induced vomiting or the misuse
of laxatives,
diuretics, or enemas).
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Diagnostic
Criteria for 307.51 Bulimia Nervosa
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A. Recurrent
episodes of binge eating. An episode
of binge eating is characterized by
both of the following:
(1) eating,
in a discrete period of time (e.g., within
any 2-hour period), an amount of food
that is definitely larger than most people
would
eat during a similar period of time and
under similar circumstances
(2) a
sense of lack of control over eating
during the episode (e.g., a feeling that
one cannot
stop eating or control what or how much
one is eating)
B. Recurrent,
inappropriate compensatory behavior in
order to prevent weight gain, such as
self-induced vomiting; misuse of laxatives,
diuretics, enemas, or other medications;
fasting; or excessive exercise.
C. The
binge eating and inappropriate compensatory
behaviors both occur, on average, at
least twice a week for 3 months.
D. Self-evaluation
is unduly influenced by body shape
and weight.
E. The
disturbance does not occur exclusively
during episodes of Anorexia Nervosa.
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Purging
Type: During the current
episode of Bulimia Nervosa, the person has regularly
engaged in self-induced vomiting or the misuse
of laxatives, diuretics, or
enemas.
Nonpurging
Type: During the current
episode of Bulimia Nervosa, the person has used
other inappropriate compensatory behaviors,
such as fasting
or excessive exercise, but has not regularly engaged
in self-induced vomiting or the misuse of laxatives,
diuretics, or enemas.
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Diagnostic
Criteria for 307.50 Eating Disorder
Not Otherwise Specified
The
Eating Disorder Not Otherwise Specified
category is for disorders of eating
that do not meet the criteria for
any specific Eating Disorder. Examples
include
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For
females, all of the criteria for Anorexia
Nervosa are met except that the individual
has regular menses.
- All
of the criteria for Anorexia Nervosa are
met except that, despite significant weight
loss, the individual's current weight is
in the normal range.
- All
of the criteria for Bulimia Nervosa are
met except that the binge eating and inappropriate
compensatory mechanisms occur at a frequency
of less than twice a week or for a duration
of less than 3 months.
- The
regular use of inappropriate compensatory
behavior by an individual of normal body
weight after eating small amounts of food
(e.g., self-induced vomiting after the
consumption of two cookies).
- Repeatedly
chewing and spitting out, but not swallowing,
large amounts of food.
- Binge-eating
disorder: recurrent episodes of binge eating
in the absence of the regular use of inappropriate
compensatory behaviors characteristic of
Bulimia Nervosa.
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