Eating Disorders

Question 1

DSM-5 Criterion A for Anorexia Nervosa: A _______ of energy intake relative to requirements, leading to significantly ____ ______ _____

Answer 1

restriction; low body weight

Question 2

DSM-5 Criterion B for Anorexia Nervosa: Intense fear of ______ ______ or becoming _______ even though underweight

Answer 2

gaining weight; fat

Question 3

DSM-5 Criterion C for Anorexia Nervosa: Distorted ____ image

Answer 3

body

Question 4

What are the two types of anorexia nervosa?

Answer 4

Restricting type
Binge-eating/purging type

Question 5

Restricting type of anorexia nervosa involves _______, ________, and _______

Answer 5

dieting, fasting, excessive exercise

Question 6

What is a binge?

Answer 6

Eat more than most would in a discrete time period

Question 7

What are some examples of purging?

Answer 7

Vomiting
Laxative
Diuretics
Enemas to minimize caloric imapct

Question 8

True or false: You can diagnose two eating disorders at the exact same time

Answer 8

False

Question 9

Anorexia nervosa is often associated with several ______ complications

Answer 9

medical

Question 10

Common medical complications in anorexia nervosa:

Answer 10

Loss of bone mass/strength
Loss of menstruation
Electrolyte imbalance
Hypertension

Question 11

Anorexia Nervosa onset:

Answer 11

adolescense

Question 12

Onset for AN is associated with a stressful life event

Answer 12

True

Question 13

AN Prevalence in the U.S.

Answer 13

1%

Question 14

__% of all those with AN are women.

Answer 14

95

Question 15

AN is more prominent in those with a low/high SES

Answer 15

high

Question 16

What is the death rate from AN (not counting from suicide)?

Answer 16

5-8%

Question 17

DSM-5 Criteria for BN:
A. Recurrent ______ :
B. __________________ behaviors to prevent weight gain
C. A and B occur at minimum _x/week for _ months
D. Self-esteem tied to ________
E. Symptoms do not occur exclusively during episodes of _________.

Answer 17

Binges
Compensatatory
1; 3
weight/shape
anorexia

Question 18

Binges

Answer 18

Eating more than most would in a discrete time period with little to no sense of control

Question 19

Examples of compensatory behaviors

Answer 19

Purging, excessive exercise, laxatives, diuretics

Question 20

BN Cycle

Answer 20

Shame and disgust
Strict dieting
Tension and craving
Binge eating
Purging to avoid weight gain

Question 21

What are some common triggers for a binging episode in BN?

Answer 21

Emotions
Tempting food
Interpersonal stressors
Body image dissatisfaction
Skipping meals/
getting too hungry

Question 22

Medical complications with BN

Answer 22

stomach rupture
bradycardia
dehydration
sore throat
electrolyte imbalance
dental erosion
swelling of salivary glands

Question 23

BN Prevalence

Answer 23

0.5-3%

Question 24

BN W:M Ratio

Answer 24

10:1

Question 25

BN Onset

Answer 25

15-29 years

Question 26

BN is more common in Caucasian/African Americans.

Answer 26

Caucasian

Question 27

BN is highly comorbid with

Answer 27

depression, anxiety, personality disorder, substance abuse

Question 28

DSM-5 Binge-eating disorder: Recurrent binges associated with _+ of: Unusually rapid eating Eating large amounts w/o hunger Eating until uncomfortably full Eating alone because of embarrassment Depression/self-disgust/guilt post binge Significant _____ about binges Average of _x/week for _ months __ appropriate compensatory behavior

Answer 28

3 distress 1; 3 No

Question 29

Lifetime prevalence of binge-eating disorder

Answer 29

2.8%

Question 30

Which is better for eating disorders, medication or therapy?

Answer 30

Therapy

Question 31

Ideal therapy type for eating disorders

Answer 31

CBT approach

Question 32

What behaviors are we targeting with CBT?

Answer 32

Normalize eating

Question 33

What cognitions are we targeting with CBT?

Answer 33

need for control / coping with stress

Question 34

With anorexia, in addition to normalizing eating and changing the maladative thoughts, we also need the individual to _____ ________

Answer 34

gain weight