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Flashcards in Eating Disorders Deck (20):
1

Anorexia nervosa

Not eating enough to satisfy body's requirements: results in significantly low body weight
Intense fear of gaining weight
Seeing self as heavier than body actually is

2

Anorexia specifiers

Restricting type: starving self (body begins to attack organs after burning through fat stores- organs shut down)
Binge-eating/purging type: uncontrolled eating followed by getting rid of food through vomiting or laxatives

3

How severity of anorexia is based

Severity is based on BMI

4

Medical impact of anorexia

Discontinuation of menstrual cycle
Dry skin
Development of fine, peach-fuzzy hair all over body
Hypothermia
Hypotension (low blood pressure)
Electrolyte imbalance
Hormonal imbalance
Brittle hair, nails, bones

5

Epidemiology of anorexia

10x more common in females
Age of onset: teens
Common in people who are Caucasian, middle/upper middle class, come from perfectionistic households

6

Causes and contributors to anorexia

Genetic links (over 50%)
Hormonal imbalances in hunger mechanism
Early or late onset of puberty
Low sense of personal control and confidence
Perfectionism
Preoccupation with body image and food
Emotion dysregulation

7

Treatments for anorexia

1st priority: weight restoration
Contingency management (reward people for eating)
Cognitive restructuring (attacking perceptions of self)

8

Bulimia nervosa

Recurrent episodes of uncontrolled, excess consumption of food followed by compensatory behavior
Not effective strategy for losing weight: most people with this disorder are of average weight or overweight

9

Typical binge in bulimia

Up to 3000-5000 calories in a 2 hour period
Uncontrolled

10

Compensatory behaviors in bulimia

Purging (getting food directly out of system): vomiting, diuretics, laxatives
Non-purging (getting rid of calories without getting rid of food): exercise, fasting

11

How severity of bulimia is based

Based on number of times compensatory behavior is performed in a week

12

Typical pattern of bulimia

Binge: hungry, regulate emotions (try to make self feel better)
Guilt
Purge

13

Medical impact of bulimia

Generally "average" weight
Electrolyte imbalance
Vomiting: eroded dental enamel, scar tissue in throat
Laxatives: intestinal/colon problems

14

Epidemiology of bulimia

10x more common in females
Age of onset: usually late teens, but can be in college

15

Causes and contributors to bulimia

Genetic links
Lowered serotonin
Cycle of dietary restriction
Low sense of personal control and confidence
Preoccupation with food and body image
Emotional dysregulation

16

Treatments for bulimia

SSRIs reduce binging and purging
Contingency management: reward people for eating normally and reduce compensatory behaviors
Cognitive restructuring

17

Binge-eating disorder

Recurrent episodes of uncontrolled, excess consumption of food
No compensatory behaviors

18

Common features of binge-eating disorder

Obesity
Eating by self when not hungry
Eating until uncomfortable
Disgust/guilt afterward

19

How severity of binge-eating disorder is based

Based on number of binges per week

20

Cultural considerations of eating disorders

Mostly western world phenomenon (primarily Caucasian, upper or middle class)
Problems in standards of ideal body size (mainly driven by media)
Familial pressure toward thin ideal