12-7 Flashcards
(21 cards)
Restriction of food that leads to being significantly underweight
Is tense fear of weight gain
Body image disturbance
Anorexia Nervosa
person recurrently binges AND purges
Binge-eating/purging type Anorexia Nervosa
Does not recurrently binge or purge, weight loss through dieting, fasting, and/or exercise
Restricting type Anorexia Nervosa
Use of vomiting, laxatives, diuretics or enemas to eliminate calories
Purging
What medical complications can result from Anorexia Nervosa?
Hormone deficiency, organ failure, CNS changes, high mortality rate
Indicators of excessive vomiting
Calloused knuckles (Russell’s sign) Dental enamel erosion Salivary gland inflammation (chipmunk cheeks) Subconjunctival hemorrhage HYPOkalemia
Biological factors of Anorexia
Genetic susceptibility
Inherited biochemical alterations leading to obsessiveness
Cultural pressures may direct obsessiveness to body image
Behavioral techniques (reinforcement/punishment) utilized to achieve weight gain
Treatments of Anorexia: In-patient hospitalization
CBT: to change pt’s attitude about food/weight and stop destructive eating habits
Treatment of Anorexia: Psychotherapy
Limited to treatment of medical complications and comorbid psychiatric conditions
Treatment of Anorexia: Pharmacological
Recurrent binge eating (large amount)
Recurrent inappropriate compensatory behavior for binge
Compensation must occur >1 wk for 3 mos.
Self-evaluation influenced by body shape and weight
Bulimia Nervosa
Typically have normal body weight or are slightly overweight
Bulimia Nervosa
Biological factors for Bulimia Nervosa
Inherited biochemical changes that leads to impulse dyscontrol
Low (unstable) serotonin
Treatment of Bulimia
CBT and antidepressants to help with impulse dyscontrol
Which eating disorder has a better prognosis?
Bulimia
Binge eating at least 1/wk for 3 mos
Binging associated w/ behaviors
No inappropriate compensatory behavior
Binge-Eating Disorder
Health consequences of BED are similar to those of what?
Obesity
Etiology of BED
Unknown
Dysfunctional dieting doesn’t precede binging
Treatment of BED
CBT and antidepressants
Sub clinical eating problems: normal BMI
Purges but doesn’t binge eat
Binges and purges but only one per month
Unspecified Eating Disorder
SCOFF for Eating Disorders
Sick Control One Fat Food
*more than 2 = eating disorder
