Flashcards in Eating Disorders Deck (39):
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Anorexia Nervosa- must have all these criteria
restriction of energy intake-->significantly below body weight
intense fear of gaining weight or becoming fat (may deny)
body-image disturbance (disturbance in perception of how you see your body)
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subtypes of anorexia
restricting type
binge-eating/purging type
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partial remission
normal weight but rest of criteria are present
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mild anorexia BMI
>17
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moderate BMI
16-16.99
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severe anorexia
15-15.99
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extreme
BMI <15
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prevalence of anorexia
0.4% rare! but not rare, just stringent criteria
used to have amennorhea for 3 months or more but too hard to assess
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percentage of women who maintain a near-normal body weight
little less than half
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how many patients do not recover
about 1/4
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suicide risk
higher than any other mental disorder
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mortality rate
higher than any other mental disorder except heroin disorder
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inpatient treatment AN focuses on
weight gain
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long term AN treatment
no psychological or drug treatment
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outcomes of treatment vs no treatment
similar outcomes
-doesnt mean treatment isnt important
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promising treatments
family therapy (for adolescents)
acceptance and cmmitment therapy
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Bulimia Nervosa
recurrent episodes of binge eating
recurrent inappropriate compensatory behavior to prevent weight gain
both behaviors occur at least 2x/week for 3 months
self evaluation is unduly influenced by body shape and weight
disturbance is not exclusively during episodes of AN
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severity scale
mild: 1-3
moderate: 4-7
severe: 8-13
extreme: 14 or more
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prevalent of Bullemia
about 1-3% in women
90% women
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effective in treating BN
CBT
Interpersonal psychotherapy
fluoxteine
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big problem with treatments
drop-out, non-response, incomplete response
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binge eating disorder
recurrent binges
assocaited with atleast three- eating more rapidly, feeling uncomfortably full, large amounts of food when not hungry, eating alone bcause of embarrassment, feeling disgusted, depressed or very guilty
marked distress about binge eating***
once a week for 3 months
no compensatory beahviors (purging, restriction)
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less emphasis in binge eating on
body dissatisifcation
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gender in binge eating
more even sex ratio
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CBT is
effective but does not cause weight loss
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BED NOT synonymous with
obesity
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EDNOS
more common than AN and BN
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DSM5 replaced with 2 diagnosies
other specified feeding or eating disorder
unspecified feeding or eating disorder
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other specificed feeding or eating disorder
includes specific subthreshold instances of other disorders
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unspecified feeding or eating disorder
inadequate information to make another diagnosis
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genetic influences
may be specific for AN- starving humans crave sugar- anorexics have that switch turned off
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other influences
family influences
dieting
socioculture- If no cultural imperative to be thin, no eating disorder
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obesity is NOT
a mental disorder
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obestiy and eating
most obese people do not eat differently than normal people
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underweight, overweight and mortality
underweight 2x more likely to die
overweight has most likely to have long mortality
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all treatments except ___ haveproven ineffective for long term
bariatric surgery
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weight loss efforts predict
eright gain and onset of obesity
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intended weight loss
may be as strongly related to health outcomes as actual weight loss
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