Eating Disorders Flashcards
(10 cards)
Anorexia vs Bulimia (3)
Bulimia vs Binge-eating disorder (2)
- AN significantly lower body weight
- BN has recurrent binge eating episodes
- AN tends to view their disorder positively
— - BED has no purging or exercise eps
- Both have obsession over food
Genetic risks of eating disorders:
- Heritability
- Temperament
- chromosome 1 and 10
- Gender diff
- Serotonin and cholecystokinin (CCK)
- Suicide behav highest in which disorder
48%-78%, high risk if family history
—
Anxiety and obsessive temperament
—
1 - restricting type (anorexia)
10 - purging behaviour
—
More prone in girls
—
Serotonin: Regulating metabolism, mood, personality; high lvls related to perfectionism/organization
- AN - High lvls
- BN - Dysregulation (low lvls)
CCK: Satiety hormone
- BN - Produce less when they eat
—
Highest suicide behav in BN
Parent management training
- What disorders
- Time outs
For ADHD and CD
Time out is negative punishment
Problem-solving skills training (PSST):
- For what disorders
- Focuses on what
ADHD and CD
Focuses on cognitive deficiencies and distortions in interpersonal situations
Multisystemic therapy (MST):
- For what disorders and age
- Approach
- Effective in reducing what
CD and behavioural problems; teens
Intensive family and community-based approach to empower caregivers to improve youth/family functioning
Reducing long-term rates of criminal behav
Cognitive behaviour therapy (CBT):
- 3 steps of managing anxiety
- Use w/ anxiety (2) + in behaviour therapy (3)
- Use w/ depression; goal setting/mood monitoring and social information processing training (RIBEYE)
1) Notice when you feel anxious
2) Identify, label, and write down worry thoughts
3) Take action (developing habits/routine; identify helpful thinking; engage in activities that are important to you)
—
- Exposure + skills training to combat problematic thinking
- Exposure therapy, systematic desensitization, modelling/reinforced practice
—
Relax
Identify problem
Brainstorm solutions
Evaluate solutions
Yes to best solution and try
Encourage yourself
Disruptive mood dysregulation disorder (DMDD) treatments:
- Comprehensive family therapy
- Interpretation bias training
Help parents identify triggers + diffuse tantrums
Improve relationship between parents to meet child’s social-emotional needs better
—
Reduce irritability by changing interpretation of others’ emotions to a more accurate manner
(Neutral stim typically interpreted as negative -> positive)
Tripartite influence model
- 3 social-cultural factors influence adolescent girls’ eating behav
Peers
Parents
The media
Environmental etiology of eating disorder:
- Sexual development and maltreatment
- Cognitive-behavioural theory (3)
- Tripartite influence model (3)
- Parental restriction in childhood
- Negative reinforcement of binging
- Can cause shame and disgust -> Harm body they starvation, binging, purging
- Attempt to regain sense of control over their bodies
—
1) Affective disturbance characterized by low self-esteem
2) Cognitive disturbance characterized by distorted perceptions of weight, shape, body image
3) Behavioural disturbance marked by maladaptive eating habits (negative reinforcement thru fasting/purging)
——
1) Peers: Influence eating practices by placing importance on weight/body shape, teasing about appearance
2) Parents: Make comments on weight, shape, appearance
3) Media: Conveying physical attractiveness thru models in tv, movies, magazines
—— - Parents impose strict rules about eating (family makes negative comments about shape/weight/eating habits)
—— - Youths w/ BED may binge to alleviate anxiety, depression, dysphoria
Miranda case study:
- What disorder
- Symptoms (3)
- How to differentiate between eating disorders
- Explain cause and maintenance of her problematic eating w/ cognitive-behavioural model
- Explain w/ tripartite model
- Explain w/ interpersonal theory
Anorexia nervosa, restricting type and binge-eating/purging type
——
- Low body weight
- Persistent behav that interferes w/ weight gain (dieting, purging)
- Lack of recognition of the seriousness of the current low body weight (doesn’t think treatment for eating disorder is necessary and thinks she’s fine)
- Eps of binging (shows binge-eating/purging type)
——
- BED has no purging or dieting behav after binging
- BN can have normal body weight
- AN doesn’t think that they’re unhealthy, not all have weight loss methods like binging and purging
——
- Negative reinforcement
- Purging help reduces feelings of guilt from binging, which reinforces eating disorder behav
——
- Peer: Purging behav taught by friend
- Family: Her mom had history of bulimia and always dieted + obsessed w/ calories
- Media: Also had need for perfection like mom and may have viewed girls’ bodies online as being perfect
——
- At adolescence stage, tesns start to go through self-doubt and insecurity but this can be managed through close relationships with peers
- But Miranda doesn’t have any friends in her new school and shows no intention of making friends bcuz she assumes that everyone already dislikes her
