Eating Disorders - Vertrees

Question 1

undue preoccupation with body image - leading to impaired intake

Answer 1

eating disorder

disordered behavior, thinking, physiology

Question 2

anorexia nervosa types

Answer 2

restricting
binge/purge

split roughly 50/50

Question 3

2 hour with intake significantly greater than others would consume in similar circumstance

Answer 3

binge

sense of lack of control

followed by guilt, sad, disgust

Question 4

purge

Answer 4

self-induced vomiting or misuse of laxatives, diuretics, enemas

Question 5

diagnosis of anorexia nervosa

Answer 5

below BMI 18.5

intense fear gaining weight or getting fat

significant disturbance in perception of shape or weight of body

Question 6

restricting anorexia

Answer 6

in last 3 months - not engaged in recurrent binge eating or purging

weight loss - diets, fasts, excessive exercise

Question 7

binge/purge anorexia

Answer 7

in last 3 months - engaged in recurrent binges/purges

Question 8

BMI of 18.5

Answer 8

5'1 - 98
5' - 104
5'7 - 118
5'9 - 125
6'1 - 140
6'5 - 155

Question 9

anorexia epidemiology

Answer 9

14-18yo onset

female 10:1 ratio

more in modeling, ballet, cross country

Question 10

genetic anorexia

Answer 10

higher in monozygotic twins

mood disorders common in family

Question 11

social of anorexia

Answer 11

heterosexual women and gay men - high rates

heterosexual men and lesbian women - lower risk

Question 12

psychodymanic of anorexic

Answer 12

mommie dearie

domineering family
-excellence demanded

control of self from mother

rigid and perfectionist
-ego-syntonic

Question 13

anorexics and loss of appetite

Answer 13

no - often think about food alot

Question 14

decreased with anorexia

Answer 14

socializing - isolate and secret
decreased sex
loved ones drag pt to tx

Question 15

restrictive vs. bunge/purge anorexia

Answer 15

restricting - high achievers

binge/purge - less self control - substance abuse

Question 16

psych disorders with anorexia

Answer 16

65% major depressive
35% social anxiety
25% OCD
12% GAD
80% single

Question 17

phys of anorexia

Answer 17

slow HR
low BP
amenia
kidney stones
low lytes
constipation
period stops
growth problems
bruise easily
grow fine hair over body

Question 18

complications anorexia

Answer 18

lower cognition
anhedonia - can't experience pleasure
cold intolerance
low LH and FSH
osteoporosis
lanugo

Question 19

tx anorexia

Answer 19

weight normalization
treat physical complications
CBT
SSRIs - comorbid depression/anxiety

Question 20

hospitalize anorexic

Answer 20

BMI

Question 21

anorexia progonis

Answer 21

age of onset

adolescent onset - 70% recover post tx
adult onset (>18yo) - 15% recover post tx

Question 22

lifetime mortality adult onset anorexia

Answer 22

25%

Question 23

bulimia nervosa

Answer 23

recurrent binge eating with inappropriate compensatory methods to avoid weight gain

binge and compensate - 1/week for 3 months

self eval - influenced by weight or shape

Question 24

bulimia epidemiology

Answer 24

more in females

late teen, early 20s

Question 25

biology of bulimia

Answer 25

linked to satiety - serotonin SSRIs - decreases binge/purge and depression more bulimia in first degree relatives

Question 26

psych of bulimia

Answer 26

more outgoing, emotional labile substance use destructive sexual relations BPD associations

Question 27

complications of bulimia

Answer 27

dehydration and lyte abnormalities - laxatives - met acid - vomiting - met alkalosis - chipped teeth, enlarge parotid low Mg - elevated amylase irregular menses

Question 28

tx bulimia

Answer 28

psychotherapy - 50% sx reduction - CBT most effective - psychodynamic - once binge/purge sx improve

Question 29

meds for bulimia

Answer 29

SSRIs - fluoxetine best results - combine meds with CBT

Question 30

prognosis bulimia

Answer 30

episodic course -3 months - 70% remission 10 years - 60% recovered

Question 31

binge eating disorder

Answer 31

recurrent binge eating - weekly in 3 months no compensation eat fast, uncomfortably full, large amounts when not hungry, eat alone

Question 32

epidemiology binge eating

Answer 32

more in females | -50% are obese

Question 33

tx binge eating

Answer 33

CBT SSRIs self help groups

Question 34

normal weight

Answer 34

bulimia

Question 35

as incidence of overweight and obesity rise

Answer 35

so does incidence of eating disorders

Question 36

42% girls age 6-9

Answer 36

want to be thinner 50% 4th grade girls - on diet 90% high school girls - on diet

Question 37

substance abuse

Answer 37

with 23-40% bulimia 12-18% anorexia

Question 38

borderline PD

Answer 38

with bulimia

Question 39

O/C PD

Answer 39

with anorexia

Question 40

avoidant PD

Answer 40

with anorexia and bulimia

Question 41

sexual abuse

Answer 41

with bulimia and anorexia