Ch. 11: Eating Disorders Flashcards

1
Q

What is the DSM 5 criteria for Anorexia nervosa?

A

Restriction of energy intake that leads to low weight
Fear of gaining weight or behavior that interferes with weight gain
Lack of recognition of seriousnes

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2
Q

What is restricting type anorexia?

A

No purging or bingeing for 3 months. Fasting, dieting and exercise only.

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3
Q

What is binge-eating/purging type?

A

Engaging in binge eating or purging (vomiting, laxative, enemas) for 3 months

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4
Q

Females account for how many cases of anorexia?

A

About 90-95% of cases, 2-6% will die

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5
Q

What is the peak age of onset for anorexia?

A

14-18 years

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6
Q

What are some typical characteristics of anorexia?

A

Fear of becoming fat
Preoccupied with food
Distorted thinking
Anxiety, drug abuse issues kind common

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7
Q

What is the DSM 5 criteria for bulimia?

A

Eating large amounts of food than others would, lack of control
Behaviors to then stop weight gain
Disturbance doesn’t occur during episodes of anorexia?

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8
Q

What is the current severity rating for bulimia?

A

Mild: 1-3 episodes of behavior/week
Moderate: 4-7
Severe: 8-13
Extreme: 14+

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9
Q

Females account for how many bulimia cases?

A

90-95% of all cases

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10
Q

What is the peak onset of bulimia?

A

15-21 years

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11
Q

Binges are often done in ________.

A

secret

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12
Q

What are some of the compensatory behaviors of bulimia?

A

to undo effects of bingeing: laxatives, vomiting

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13
Q

What are the DSM 5 criteria for binge eating disorder?

A

Recurrent episodes of binge eating (and 3 of the following):

  • Eating more rapidly than normal
  • Eating till feeling full
  • Eating large amounts of food when not nungry
  • Feeling disgusted with self/distress
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14
Q

T/F: Binge eating is associated with recurrent use of compensatory behaviors and not during anorexia or bulimia.

A

False, binge eating isn’t associated with it.

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15
Q

Binge eating occurs at least _______ a week for 3 months.

A

1 time

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16
Q

______ of those with binge eating disorder are overweight/obese

A

2/3

17
Q

Peak of binge eating disorder is when?

A

develops in teens

18
Q

What is a key difference between binge eating disorder and bulimia?

A

People with binge eating disorder are not driven to attain thinness.

19
Q

What is the psychodynamic view on eating disorders?

A

Disturbed mother-child relationships = serious ego deficiencies. Postulated by Hilda Bruch

20
Q

What is the theory of ineffective parents in eating disorders?

A

Ineffective parents don’t respond consistently to when child is hungry, child becomes incapable in perceiving their needs

21
Q

Difficulty describing feelings is known as _________.

A

alexithymic

22
Q

What are some cognitive factors of eating disorders?

A

Improperly label sensations and needs, misjudge self based on body image.

23
Q

What are some biological factors of eating disorders?

A

Genetic factors
Low serotonin levels
Changes in hypothalamus

24
Q

Minuchin says what can cause an increased risk in eating disorders?

A

Enmeshed family pattern

25
Q

Teens pose a special problem because they want __________.

A

independence

26
Q

Describe the 1995 study of white Americans vs. African Americans perception of beauty?

A

White people spoke about physical features when asked to name characteristics of the most beautiful friend they have. Black people named inner beauty characteristics.

27
Q

What is reverse anorexia nervosa?

A

guy is very muscular but sees self as scrawny

28
Q

What are the two goals to treating anorexia?

A

correct dangerous eating pattern and address psychological issues

29
Q

What is the cognitive behavioral model of treating anorexia?

A

monitor eating behaviors, address beliefs & maladaptive attitudes, teach coping skills

30
Q

What are some long term outcomes for anorexia?

A

90% show improvement after several years, recurrence occurs with new stressors. More severe cases have poor recovery rates.

31
Q

What are some treatment options for bulimia?

A

Cognitive behavior therapy (keeping a diary/exposure and response). Interpesonal, and psychodynamic therapy

32
Q

Antidepressants are best as __________ therapy in treating bulimia/binge eating.

A

adjunctive

33
Q

What percentage of those with bulimia will show great improvement?

A

40%

34
Q

________ who recover relapse within 2 years, usually within 6 months.

A

1/3

35
Q

40% of bulimia patients will show __________ improvement

A

moderate