CH 9 Eating Disorders Flashcards

1
Q

9.1 DSM-5 Criteria for Anorexia Nervosa

A

a. Restriction of energy intake relative to requirements, leading to a significantly low body weight in context

b. Intense fear of gaining weight or becoming fat, or persistent behavior that interferes with weight gain, even though at a significantly low weight

c. Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight/shape on self-evaluation, or persistent lack of recognition of the seriousness of current low body weight

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2
Q

9.1 DSM-5 Criteria for Bulimia Nervosa

A

a. Recurrent episodes of binge eating
1. Eating an abnormally large amount of
food in a discrete period of time
2. Sense of lack of control over eating
during the episode
b. Recurrent inappropriate compensatory behaviors to prevent weight gain, such as self-induced vomiting, misuse of laxatives, etc.

c. Binge eating and compensatory behaviors occur on average at least 1/week for 3 months

d. Self-evaluation is unduly influenced by body shape/weight

e. Disturbance does not exclusively occur during episodes of anorexia

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3
Q

9.1 Differentiate between Bulimia and Binge/Purge Anorexia

A

B - Normal body weight
BPA - Underweight

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4
Q

9.1 What are the two subtypes of Anorexia?

A

Restricting and Binge/Purge

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5
Q

9.1 Describe body weight for Restricting Anorexia

A

Markedly low

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6
Q

9.1 Describe body weight for Binge/Purge Anorexia

A

Markedly low

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7
Q

9.1 Describe body weight for Bulimia

A

Normal

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8
Q

9.1 Describe body weight for BED

A

Typically overweight

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9
Q

9.1 DSM-5 Criteria for BED

A

a. Recurrent episodes of binge eating

b. Episodes are associated with 3+ of the following
1. Eating more rapidly
2. Eating until uncomfortably full
3. Eating large amounts when not
physically hungry
4. Eating alone due to embarrassment of
amount of food
5. Feeling disgusted, depressed, or guilty
after

c. Marked distress regarding binge eating

d. At least 1/week for 3 months

e. Not associated w/ recurrent use of inappropriate compensatory behavior and does NOT occur exclusively during the course of bulimia or anorexia

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10
Q

9.1 The first known account of Anorexia was published in _____ by _____.

A

1689, Richard Morton

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11
Q

9.1 Who first described the clinical syndrome of anorexia?

A

Charles Lasegue and William Gull

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12
Q

9.1 Common causes of death in people with anorexia include _______ and _______.

A

Medical complications, suicide

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13
Q

9.1 In eating disorders, comorbidity is the _______ rather than the _______.

A

rule, exception

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14
Q

9.1 What disorders are often comorbid with eating disorders?

A

Depression
OCD with anorexia and bulimia
Substance abuse with binge/purge anorexia and bulimia
Personality disorders
Anxious-avoidant with anorexia & bulimia
Dramatic, emo, erratic with bulimia

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15
Q

9.2 Describe the genetic factor in developing an eating disorder

A

It runs in families, there is a significantly higher risk for people with relatives who suffer from a particular ED

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16
Q

Candidate gene

A

A gene thought to affect the risk for a disorder

17
Q

9.2 What brain area plays an important role in eating?

A

Hypothalamus

18
Q

9.2 Ventromedial hypothalamus VMH

A

Involved in the feelings of starvation and ability to start/stop eating

19
Q

9.2 Relate 5-HIAA to anorexia

A

5-HIAA is a major metabolite of serotonin

People with anorexia have low 5-HIAA levels because they eat so little

20
Q

9.3 What medications are used to treat anorexia?

A

Antidepressants (low evidence)
Olanzapine
Antipsychotics

21
Q

9.3 For adolescents with anorexia, _______ is the treatment of choice

A

family therapy

22
Q

9.3 The leading treatment for bulimia is _______.

A

CBT

23
Q

9.3 IPT

A

Interpersonal psychotherapy seeks to improve interpersonal functioning

24
Q

9.4 Obesity

A

Having a BMI of 30 or above

Associated with many medical problems and increased mortality

25
Q

9.5 Who is most at risk for obesity

A

Genetic makeup that makes certain people more likely to gain weight

A cultural environment that promotes overconsumption and a sedentary lifestyle

Minorities (besides asians)

Men, black women

26
Q

9.6 Current treatments for obesity

A

Lifestyle modifications and medications for small amounts of weight loss

Bariatric surgery for drastic weight loss

Prevention-focused treatment

27
Q

9.1 Amenorrhea

A

Loss of period, no longer a criteria for anorexia

28
Q

9.1 Biggest difference between anorexia and bulimia

A

A is low weight
B is average or slightly overweight

29
Q

9.1 How long do symptoms need to occur for an anorexia or bulimia diagnosis?

A

3 months

30
Q

Hypokalemia

A

Low potassium

31
Q

Ghrelin

A

Hormone associated with hunger

32
Q

Leptin

A

Hormone associated with satiation

33
Q

_______ (high/low) ghrelin is associated with obesity

A

high

34
Q

_______ (high/low) leptin is associated with obesity

A

low