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

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

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

Fact Sheet (from National Eating Disorders Association) Anorexia has the highest fatality rate of all mental illnesses (20%) Females between 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

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 1 st -3 rd 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

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