APPENDIX A: Overzicht subtypen eetstoornissen Feeding and Eating Disorders Diagnostic Criteria from DSM V 307.53 Rudimentation disorder 1) Repeated regurgitation of food over a period of at least 1 month. Regurgitated food may be re-chewed, re-swallowed, or spit out. 2) The repeated regurgitation is not attributable to an associated gastrointestinal or other medical condition. 3) The eating disturbance does not occur exclusively during the course of anorexia nervosa, bulimia nervosa, binge-eating disorder, or avoidant/restrictive food intake disorder. 4) If the symptoms occur in the context of another mental disorder (e.g. intellectual disability or another neurodevelopmental disorder), they are sufficiently severe to warrant additional clinical attention. 307.59 Avoidant/restrictive food intake disorder 1) An eating or feeding disturbance as manifested by persistent failure to meet appropriate nutritional and/or energy needs associated with one of the following: - Significant weight loss; - Significant nutritional deficiency; - Dependence on enteral feeding or oral nutritional supplements; - Marked interference with psychosocial functioning. 2) The disturbance is not better explained by lack of available food or by an associated culturally sanctioned practice. 3) The eating disturbance does not occur exclusively during the course of anorexia nervosa or bulimia nervosa, and there is no evidence of a disturbance in the way in which one’s body weight or shape is experienced. 4) The eating disorder is not attributable to a concurrent medical condition or not better explained by another mental disorder. When the eating disturbance occurs in the context of another condition or disorder, the severity of the eating disorder exceeds that routinely associated with the condition or disorder and warrants additional clinical attention. 307.1 Anorexia nervosa 1) Restriction of energy intake relative to requirements, leading to a significantly low body weight in context to age, sex, development trajectory and physical health. Significantly low weight is defined as a weight that is less than minimally normal or, for children and adolescents, less than minimally expected. 2) Intense fear of gaining weight or of becoming fat, or persistent behavior that interferes with weight gain, even though at a significantly low weight. 3) 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 persistent lack of recognition of the seriousness of the current low body weight. Subtypes: 1) Restricting type During the last 3 months, the individual has not engaged in recurrent episodes of binge eating or purging behavior (i.e. self-induced vomiting or the misuse of laxatives, diuretics or enemas). This subtype describes presentations in which weight loss weight loss is accomplished primarily through dieting, fasting, and/or excessive exercise. 2) Binge-eating subtype During the last 3 months, the individual has engaged in recurrent episodes of binge eating or purging behavior. 307.51 (F50.2) Bulimia nervosa 1) Recurrent episodes of binge-eating. An episode of binge eating is characterized by both of the following: a. Eating in a discrete period of time an amount of food that is definitely larger than what most individuals would eat in a similar period of time under similar circumstances. b. A sense of lack of control over eating during the episode. 2) Recurrent inappropriate compensatory behaviors in order to prevent weight gain, such as self-induced vomiting, misuse of laxatives, diuretics or other medications, fasting or excessive exercise. 3) The binge eating and inappropriate compensatory behaviors both occur on average at least once a week for 3 months. 4) Self-evaluation in unduly influenced by body shape and weight. nummer 4 | september 2014 | Sport & Geneeskunde 11 Pagina 10
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