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Anorexia nerviosa y bulimia nerviosa - Centro Nacional de ... · 3.1 justificaciÓn.....9 3.2 actualizaciÓn del aÑo 2008 al 2012.....11

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  • 3.1 JUSTIFICACIN ....................................................................................................................................................................................... 9 3.2 ACTUALIZACIN DEL AO 2008 AL 2012 ................................................................................................................................................. 11 3.3 OBJETIVO ........................................................................................................................................................................................... 12 3.4 DEFINICIONES DE ANOREXIA NERVIOSA Y BULIMIA NERVIOSA ....................................................................................................................... 13

    4.1 PREVENCIN PRIMARIA ......................................................................................................................................................................... 15 4.1.1 Promocin de la Salud ............................................................................................................................................................ 15

    4.1.1.1 Estilo de Vida ................................................................................................................................................................. 15 4.1.2 Promocin de la Salud ............................................................................................................................................................ 16

    4.1.2.1 Educacin para la Salud ................................................................................................................................................. 16 4.2 DIAGNSTICO .............................................................................................................................................................................................................. 17 4.2.1 Tamizaje ................................................................................................................................................................................. 17

    4.2.2 Diagnstico Clnico ................................................................................................................................................................. 18 4.2.2.1 Uso de los Manuales Diagnsticos y Estadsticos .......................................................................................................... 18 4.2.2.2 Anorexia Nerviosa ......................................................................................................................................................... 19 4.2.2.3 Bulimia Nerviosa ............................................................................................................................................................ 20 4.2.2.4 Comorbilidades ............................................................................................................................................................. 23

    4.2.3 Estudios Complementarios ..................................................................................................................................................... 24 4.3 CRITERIOS TCNICO-MDICOS DE REFERENCIA ........................................................................................................................................ 25

    4.3.1 Revaloracin por Especialista ........................................................................................................................................... 25 4.3.2 Envo Urgente a Hospitalizacin ....................................................................................................................................... 26

    5.1 PROTOCOLO DE BSQUEDA ................................................................................................................................................................... 27 5.1.1 Primera Etapa ........................................................................................................................................................................ 27 5.1.2 Segunda Etapa ....................................................................................................................................................................... 28

    5.2 ESCALAS DE GRADACIN ....................................................................................................................................................................... 29 5.3 ESCALAS DE CLASIFICACIN CLNICA ........................................................................................................................................................ 30

    5.3.1 Anorexia Nerviosa .................................................................................................................................................................. 30 5.3.2 Bulimia Nerviosa .................................................................................................................................................................... 31 5.3.3 Instrumentos de Tamizaje ...................................................................................................................................................... 32 5.3.4 Entrevistas Diagnsticas Semiestructuradas .......................................................................................................................... 34

    5.4 DIAGRAMA DE FLUJO ............................................................................................................................................................................ 38

    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