Flashcards in Ch. 11: Eating Disorders Deck (35):
What is the DSM 5 criteria for Anorexia nervosa?
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
What is restricting type anorexia?
No purging or bingeing for 3 months. Fasting, dieting and exercise only.
What is binge-eating/purging type?
Engaging in binge eating or purging (vomiting, laxative, enemas) for 3 months
Females account for how many cases of anorexia?
About 90-95% of cases, 2-6% will die
What is the peak age of onset for anorexia?
What are some typical characteristics of anorexia?
Fear of becoming fat
Preoccupied with food
Anxiety, drug abuse issues kind common
What is the DSM 5 criteria for bulimia?
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?
What is the current severity rating for bulimia?
Mild: 1-3 episodes of behavior/week
Females account for how many bulimia cases?
90-95% of all cases
What is the peak onset of bulimia?
Binges are often done in ________.
What are some of the compensatory behaviors of bulimia?
to undo effects of bingeing: laxatives, vomiting
What are the DSM 5 criteria for binge eating disorder?
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
T/F: Binge eating is associated with recurrent use of compensatory behaviors and not during anorexia or bulimia.
False, binge eating isn't associated with it.
Binge eating occurs at least _______ a week for 3 months.
______ of those with binge eating disorder are overweight/obese
Peak of binge eating disorder is when?
develops in teens
What is a key difference between binge eating disorder and bulimia?
People with binge eating disorder are not driven to attain thinness.
What is the psychodynamic view on eating disorders?
Disturbed mother-child relationships = serious ego deficiencies. Postulated by Hilda Bruch
What is the theory of ineffective parents in eating disorders?
Ineffective parents don't respond consistently to when child is hungry, child becomes incapable in perceiving their needs
Difficulty describing feelings is known as _________.
What are some cognitive factors of eating disorders?
Improperly label sensations and needs, misjudge self based on body image.
What are some biological factors of eating disorders?
Low serotonin levels
Changes in hypothalamus
Minuchin says what can cause an increased risk in eating disorders?
Enmeshed family pattern
Teens pose a special problem because they want __________.
Describe the 1995 study of white Americans vs. African Americans perception of beauty?
White people spoke about physical features when asked to name characteristics of the most beautiful friend they have. Black people named inner beauty characteristics.
What is reverse anorexia nervosa?
guy is very muscular but sees self as scrawny
What are the two goals to treating anorexia?
correct dangerous eating pattern and address psychological issues
What is the cognitive behavioral model of treating anorexia?
monitor eating behaviors, address beliefs & maladaptive attitudes, teach coping skills
What are some long term outcomes for anorexia?
90% show improvement after several years, recurrence occurs with new stressors. More severe cases have poor recovery rates.
What are some treatment options for bulimia?
Cognitive behavior therapy (keeping a diary/exposure and response). Interpesonal, and psychodynamic therapy
Antidepressants are best as __________ therapy in treating bulimia/binge eating.
What percentage of those with bulimia will show great improvement?
________ who recover relapse within 2 years, usually within 6 months.