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Samenvatting Eating, Sex and Other Needs probleem1 t/m 4
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#1DSM -5 – AMERICAN PSYCHIATRIC ORGANIZATION
Pica:
Onduidelijke prevalentie
Meer bij intellectual disability
Onstaat het vaakst tijdens kindertijd (bij normale kinderen)
Ontstaat bij volwassenen met een disability
Differentiele diagnoses: anorexia, factitous disorder, non-suicidale injuries bij
persoonlijkheidsstoornissen.
Comorbiditeiten: vooral intellectual disability en autisme, daarnaast schizofrenie,
OCD
Geassocieerd met trichotillomania (hair-picking disorder) en excoriation (skin-picking
disorder)
Rumination disorder:
Onduidelijke prevalentie
Meer bij intellectual disability
Differentiele diagnoses: gastrointestinal conditions, anorexia, boulimia.
1
, Comorbiditeiten: medische conditie of psychische stoornis (angststoornis) maar
hierbij kan alleen diagnose gegeven worden als de rumination disorder zelf zorgt voor
verstorning van routine of als er klinische zorg nodig is.
Avoidant/restrictive food intake disorder:
Evenveel bij mannen/vrouwen, maar meer bij mannen waarbij autisme comorbide is
Differentiele diagnoses: andere medische condities, specifieke neurolotische
aandoeningen met betrekking tot feeding (unsafe swallowing), reactive attachement
disorder, autisme, specifieke fobie, sociale angst, algemene angst, anorexia, OCD,
schizofrenie, factitous disorder.
Comorbiditeiten: angststoornissen, OCD en neurodevelopmental disorders.
2
,Anorexia nervosa:
0.4% onder vrouwen
10:1 vrouwen op mannen in klinische populatie
Meer zelfmoord onder anorexia nervosa
Diagnostic markers: hematolgie, serum chemistry, endocrine, electrocardiography,
bone mass, resting energy expenditure, physical signs, electroencephalography.
Differentiele diagnoses: medische condities, depressie, schizofrenie,
middelenmisbruik, sociale angst, OCD, body dysmorphic disorder, boulimia, avoidant/
restrictive food intake disorder.
Comorbiditeiten: bipolair, depressie, angststoornis, OCD, alcohol use/ substance use
disorders.
Boulimia nervosa:
3
, 1-1.5% onder vrouwen
Vooral jongvolwassenen
10:1 vrouwen op mannen
Hoger zelfmoordrisico
Veel ervaren minstens 1 andere mentale stoornis
Differentiele diagnose: anorexia (binge/purging), binge eating disorder, kleine-levin
syndroom, depressie (atypisch), borderline.
Comorbiditeiten: depressie, bipolair, angst (symptomen/stoornissen), 30% substance
abuse.
Binge-eating disorder:
4
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