Eating Disorders: Bulimia Flashcards Preview

PSYC3018 Abnormal Psychology > Eating Disorders: Bulimia > Flashcards

Flashcards in Eating Disorders: Bulimia Deck (19)
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1

What constitutes a binge-eating episode?

> Eating, in a discrete period of time, an amount of food that is definitely larger than socially acceptable
> A sense of lack of control over eating during the eating episode - they are desperate to stop eating but can't

2

What is the difference between BN and BED

Compensatory behaviour must be prevalent for BN, whereas it is an exclusionary criteria for BED

3

What are the criteria for bulimia nervosa?

> Recurrent episodes of binge-episodes
> Recurrent inappropriate compensatory behaviour
> Self-evaluation is unduly influenced by body shape and weight - it influenced who they are!
> the disturbances does not occur exclusively during episodes of anorexia nervosa

4

How often must both the binge-eating and inappropriate compensatory behaviour both occur?

At least once a week for 3 months

5

What classifies partial and full remission?

Partial:
> after full criteria for BN met, some, but not all, of the criteria have been met for a sustained period of time

Full:
> after full criteria for BN met, none of the criteria have been met for a sustained period of time

6

Severity levels of BN (average inappropriate compensatory behaviours per week)

Mild: 1-3 episodes
Moderate: 4-7 episodes
Severe: 8-13 episodes
Extreme: 14+ episodes

7

Comorbid symptoms

> substance abuse
> depression
> suicidality
> personality disorders
> anxiety disorder

NOT JUST A CASE OF STOPPING PEOPLE BINGING IN MOST CASES

8

What are the scales of assessment for the Eating Disorder Inventory (EDI-3)

> drive for thinness
> bulimia (eating like an Ox)
> ineffectiveness
> body dissatisfaction
> interpersonal distrust
> perfectionism
> impulse regaulation

9

What is Eating Disorder Examination?

> Great reliability and validity
> semi-structured interview

10

What are the 4 subscales of the EDE?

Restraint
Shape concern
Eating concern
Weight concern

11

What should you consider when selecting a treatment?

> acceptability - are the people going to do it
> attrition rates - how many people drop out etc.
> clinical effectiveness
> speed of action - will it work quick enough
> breadth of effects - stop binging, lift mood and raise self-esteem
> durability of effects - continue after treatment
> cost-effectiveness

12

What is the treatment of choice for BN

CBT-E (enhanced with interpersonal considerations)

13

What does CBT involve for BN

> concerned with present and future - rather than past
> needs BOTH cognitive restructuring AND behavioural modification
"talk the talk" and "walk the walk"!

14

What is stage 1 of CBT (sessions 1-8)

> establish a sound therapeutic relationship
> educate them on the cognitive maintenance of BN to explain the need for both behavioural and cognitive change
> establish regular weekly weighing
> educate on adverse consequences of compensatory behaviours
> introduce a regular pattern of eating
> start keeping a food diary record (FDR)
> reduce secrecy and increase support from others

15

What is stage 2 of CBT (sessions 9-16)

> tackle dieting
> address concerns about shape and weight
> addressing other cognitive distortions

16

What is stage 3 of CBT (sessions 17-19

> aim is to ensure that progress is maintained
> try to prevent relapse
> plan for dealing with setbacks

17

What is the cognitive view of the maintenance of BN

Low self-esteem - > extreme concerns about shape or weight - > strict dieting - > binge-eating - > self-induced vomiting - > LOOPS AROUND TO START

18

Why shouldn't you use Overeaters Anonymous

> With eating, the abstinence model doesn't work - Keys et al. (1950) study on starving
> You need to introduce forbidden foods and get accustomed to them

19

What are the two types of diaries that should be used

Food Diary for behavioural modification
Thought Diary for cognitive restructuring
> situation
> dysfunctional thought
> challenge to dysfunctional thought