Chapter 11 eating disorders

Question 1

eating disorders are defined as?

Answer 1

severe disturbances
in eating behaviors, such as eating too
little or eating too much

Question 2

eating disorder diagnostic catagories are?

Answer 2

– Anorexia Nervosa
– Bulimia Nervosa
– Binge Eating Disorder

Question 3

DSM-5 made what change in this section?

Answer 3

Adding binge eating disorder as a new diagnostic
category, rather than a condition in need of further
study,

Question 4

Eating disorders are a part of what group in the DSM-5

Answer 4

“Feeding and

Eating Disorders” group

Question 5

what is PICA disorder?

Answer 5

eating non-food

substances for extended periods

Question 6

what is Rumination disorder?

Answer 6

repeated regurgitation of foods

Question 7

Anorexia Nervosa has three main components which are?

Answer 7

-Intense fear of weight gain/behaviours that limit weight gain
-body distortions of weight or shape (thinks they are fat when not)
self-starvation

Question 8

Anorexia nervosa onset is usually?

Answer 8

early to mid teens

Question 9

Anorexia nervosa affects more ____ than _____

Answer 9

affects more women than men

Question 10

Anorexia nervosa can be triggered by?

Answer 10

stress and diet

Question 11

Anorexia nervosa is usually comorbid with (women)?

Answer 11

depression, OCD, phobias,

panic, alcoholism, and PDs

Question 12

Women are ____ more likely to develop anorexia nervosa?

Answer 12

10x

Question 13

Anorexia nervosa is usually comorbid with (men)?

Answer 13

substance dependence,

mood disorders, or schizophrenia

Question 14

what are the suicide rates with anorexia nervosa (contemplating and completing)?

Answer 14

– 5% completing

– 20% attempting

Question 15

what are the two subtypes of anorexia nervosa and what is the timeframe noted for each?

Answer 15

restricting (no binge/purge in last 3 months)

Binge/purge ( for previous 3 months)

Question 16

what are the physical changes in anorexia nervosa?

Answer 16

Low blood pressure, heart rate decrease
• Kidney and gastrointestinal problems
• Loss of bone mass
• Brittle nails, dry skin, hair loss
• Lanugo
– Soft, downy body hair
• Depletion of potassium and sodium electrolytes
– Can cause tiredness, weakness, and death

Question 17

what are the death rates compared to the general population and compared with other psychiatric conditions?

Answer 17

Death rates 10x higher than general population
– Death rates 2x higher than other psychological
disorders

Question 18

what is the recovery rate for Anorexia Nervosa and how long does it usually take?

Answer 18

50-70% eventually recover
– May often take 6 or 7 years
– Relapse common

Question 19

Bulimia nervosa: what are the DSM-5 criteria?

5

Answer 19

Recurrent binge eating
– Binge = eating an excessive amount of food within
two hours, sense of loss of control
• Inappropriate compensatory behaviours
– Purge = vomiting or misuse of laxatives, diuretics, or
enemas
– Excessive exercise
• Distorted body image
• Not due to anorexia

Question 20

Bulimia nervosa: what percentage are women?

Answer 20

90%

Question 21

Bulimia nervosa: what is the typical age of onset?

Answer 21

late adolescence or early adulthood

Question 22

Bulimia nervosa: what is the prevalence rate among women (in the general population)

Answer 22

1-2% of the general population

Question 23

Bulimia nervosa is comorbid with (5)?

Answer 23

depression, PD, anxiety,

substance abuse, conduct disorder

Question 24

Bulimia nervosa suicide rates are higher or lower than anorexia?

Answer 24

lower. but higher than the general population for both contemplating and completing

Question 25

Bulimia nervosa: what is the usually BMI?

Answer 25

they tend to have normal BMI

Question 26

Bulimia nervosa: a mild severity rating is ? | how many compensatory behaviours per week

Answer 26

1-3 per week

Question 27

Bulimia nervosa: a moderate severity rating is ? | how many compensatory behaviours per week

Answer 27

4-7 per week

Question 28

Bulimia nervosa: a severe severity rating is ? | how many compensatory behaviours per week

Answer 28

8-13 per week

Question 29

Bulimia nervosa: an extreme severity rating is? | how many compensatory behaviours per week

Answer 29

14 or more per week

Question 30

Reports of ______ or ___ and they feel | ___ and ____ often after?

Answer 30

Reports of losing awareness or dissociation | • Shame and remorse often follow

Question 31

what are the physical changes in Bulimia nervosa patients? (4)

Answer 31

Menstrual irregularities (amenorrhea) • Potassium depletion from purging • Laxative use depletes electrolytes, which can cause cardiac irregularities • Loss of dental enamel from stomach acids in vomit • Mortality rate of 4%

Question 32

what is amenorrhea

Answer 32

Menstrual irregularities

Question 33

What is the recovery rate for Bulimia?

Answer 33

75%

Question 34

what rate of Bulimia sufferers remain fully symptomatic

Answer 34

10-20% remain fully symptomatic

Question 35

Bulimia: what issues can make a poorer prognosis?

Answer 35

when depression and substance abuse are comorbid or when more severe symptomatology

Question 36

Binge Eating Disorder: must have three or more of the following?

Answer 36

1) Eating more rapidly than normal. 2. Eating until feeling uncomfortably full. 3. Eating large amounts of food when not feeling physically hungry. 4. Eating alone because of feeling embarrassed by how much one is eating. 5. Feeling disgusted with oneself, depressed, or very guilty afterward.

Question 37

Binge Eating Disorder:The binge eating occurs, on average, at least ___ a ____ for _ months.

Answer 37

once a week for three months

Question 38

Binge eating disorder: full remission is when?

Answer 38

none of the criteria have | been met for a sustained period of time.

Question 39

Binge eating disorder: Partial remission is when?

Answer 39

binge eating occurs at an | average of less than one episode per week for a sustained period of time.

Question 40

Binge eating disorder: DSM-5 diagnostic criteria is

Answer 40

``` Diagnostic criteria: – Recurrent binges, feel out of control – Distress regarding the binge eating • No compensatory behaviours • Not just during anorexia or bulimia ```

Question 41

what is one difference between Binge Eating Disorder vs. Anorexia:

Answer 41

lack of weight loss in Bulimia

Question 42

what is one difference between Binge Eating Disorder vs. Bulimia:

Answer 42

Absence of compensatory behaviors (purging, fasting, or excessive exercise) in binge eating disorder

Question 43

Binge eating disorder: what are the risk factors?

Answer 43

Childhood obesity, early childhood weight loss attempts, having been taunted about their weight, low self-concept, depression, and childhood physical or sexual abuse

Question 44

Binge eating: what rate of obese people may qualify as having this disorder?

Answer 44

Approximately 2-25% of obese may qualify

Question 45

which of the eating disorders is the most common | and lasts the longest?

Answer 45

Binge eating disorder

Question 46

What is the average timespan for having binge eating disorder? how many years

Answer 46

14.4 years

Question 47

what is the recovery rate with binge eating disorder

Answer 47

approx 60%