Eating Disorders Flashcards
which culture is more prone to eatin disorders?
western culture
what is the 3rd most common illness in adolescent females?
eating disorders
what is characteristic of anorexia?
self-induced starvation, relentless drive for thinness or a morbid fear of fatness
-fun house mirror
when is the typical age of onset of anorexia nervosa?
14-18 yo
which SES level is most affected by eating disorders?
developed countries
higher SES
which medication can help AN pts to gain weight?
opioid antagonist (endogenous opioids are thought to impact lack of hunger)
what body systems are impacted by starvation?
hypocortisolemia
suppressed thyroid and HPA axis dysfunction
amenorrhea-3 consecutive periods are missed (lowered hormone levels)
heart failure
what are the subtypes of anorexia nervosa?
fasting/diet
excessive exercise
binge/purge (eats smaller amounts and purges more thoroughly than with bulimia)
what is the awareness of AN pts?
will deny a problem and resist treatment
what is characterstic of bulimia nervosa?
- recurrent binge eating
- followed by purging (vomiting or laxative abuse) or by non purging (fasting, excessive exercise) (2/3 of bulemics will purge)
what is awareness of bulimic pts?
typically have better insight than AN pts
usu. easier to treat
they recognize a lack of control
what time frame is required for a bulimia dx?
twice a week for 3 months
what ED might benefit from SSRIs?
bulimia (NOT anorexia)
what is the therapy approach for bulimia?
psychotherapy, psychosocial, holistic approach with CBT to change eating behaviors and SSRIs and adjunctive
what is txment approach for AN?
BFST (behavioral family systems therapy)
EOIT (ego-oriented indiv therapy)
restore healthy family communication patterns
