Chapter 20 Eatingg disorders Flashcards
(24 cards)
Life threatening eating disorder characterized by the clients refusal or inability to maintain a minimally normal body weight
• intense fear of gaining weight or becoming fat
• significantly disturbed perception of the shape or size of the body
• steadfast inability or refusal to acknowledge the seriousness of the problem or even one exist
Anorexia nervosa
Body weights less than the minimum expected weight
• considering their age
• height
• and over physical health
• pre occupation with food and food related activities
Anorexia nervosa
Classiest in two sub groups on how they control their weight.
- restrictive
- binge eating & purging
Subtypes of anorexia
Lose weight primarily through dieting, fasting, or excessive exercising
Restrictive subtype
Engage in regular binge eating followed by purging
Binge eating subtype
Consuming a large amount of food for greater than most people eat at one time in a discreet period
• usually two hours or less
Binge eating
Compass and Tori behavior is designed to eliminate foods by means of self-induced vomiting or miss-use of:
• laxatives
• enemas
• and diuretics
Purging subtype
- absorbed in their quest for weight loss and thinness
- do not lose appetites,
- experience hunger but ignored signs of physical weakness and fatigue believe that if they eat anything they will not be able to stop eating and will become fat
- preoccupied with food related activities such as grocery shopping and counting calories
Anorexia nervosa
May engage in unusual ritualistic behaviors:
• such as refusing to eat on others • cutting food into my new pieces or
• not allowing the food to eat to touch their lips these behaviors increases their sense of control
- excessive exercise is common may occupy several hours a day
Anorexia nervosa
Eating disorder characterized by recurrent episodes of binge eating followed by inappropriate compensatory behaviors to avoid weight gain
• such as purging
•fasting or
•excessive exercising
- the amount of food consumed on a binge into episode is much larger than a person would normally eat
Bulimia nervosa
Between binges the client may eat low calorie foods or fast
- binging or purging episodes are often precipitated by strong emotions and followed by guilt remorse shame or self-contempt
- clients with bulimia are usually in the normal range although some kind of overweight or underweight
Bulimia nervosa
Is characterized by recurrent episodes of binge eating with no regular use or inappropriate compensatory behaviors such as purging or excessive exercise for abuse of the laxatives guilt, shame, and disgustabout eating behaviors and marked by psychological distress
• people over age of 35
- often occurs in men
- likely to be overweight or obese
- overweight as children and traded about weight at early age
Binge eating disorder
Consuming 50% of daily calories after the last evening meal
Hyperphagia
Characterized by morning anorexia
- evening hyperphagia
-and nighttime awakenings to consume snacks at least once a night
•it is associated with life stress low self-esteem anxiety depression and adverse reactions to weight-loss
•most people with syndrome are obese treatment with SSRIs have shown limited yet positive affects
Night eating syndrome
Persistent ingestion of non-food substances in rumination or repeating regurgitation of food that is then re-chewed, re-swallow or spit out both of these disorders or associate with parent-child conflict and family dysfunction
Pica
Obesity dieting at early age
Biological risk factors for anorexia nervosa
Obesity early dieting possible serotonin and norepinephrine disturbances chromosome one susceptibility
biological risk factors bulimia nervosa
Issues of developing autonomy and having control over self and environment developing a unique identity dissatisfaction with body image
Developmental risk factors of anorexia nervosa
Self perception of being overweight fat unattractive and undesirable dissatisfaction with body image
Developmental factors Bulimia nervosa
Family lacks emotional support
Parental maltreatment
Cannot deal with conflict
Family risk factors of anorexia nervosa
Chaotic families with loose boundaries maltreatment
Parental maltreatment including possible physical or sexual abuse
Bulimia nervosa family risk factors
Cultural ideal of being thin, media focus on beauty, thinness, fitness, pre-occupation with achieving the ideal body
Sociocultural risk factors of anorexia nervosa
Cultural ideal of being thin, media focus on beauty, thinness, fitness, pre-occupation with achieving the ideal body
• weight related teasing
Sociocultural risk factors of bulimia nervosa
Amenorrhea Constipation Overly sensitive to cold, lanugo hair on body Hair loss Dry skin Dental carries Pedal edema Bradycardia Enlarged parotid and hypothermia Electrolyte imbalance
Physical symptoms of anorexia nervosa