Eating Disorders, Vertrees Flashcards Preview

Year 2 Psych exam2 > Eating Disorders, Vertrees > Flashcards

Flashcards in Eating Disorders, Vertrees Deck (34):
1

what is an eating disorder

undue preoccupation with body image leading to impaired intake

2

types of anorexia nervosa

restricting type and binge/purge type

3

binge

limited period with intake greater than others
sense of lack of control over eating in episode
almost always followed by built, sadness, disgust

4

purge

self induced vomiting or misuse of laxatives, diuretics or enemas

5

criteria anorexia nervosa

restriction energy intake relative to requirements below BMI 18.5
intense fear of gaining weight or getting fat
significant disturbance in perception of shape or weight of body

6

restricting type anorexia nervosa

last 3 mo, not engaged in recurrent binge eating or purging
weight loss achieved through diets, fasts and excessive exercise

7

binge purge type anorexia nervosa

las 3 mo has engaged in recurrent binges and/or purges

8

epidemiology anorexia nervosa

common onset 14-18
F>M
higher in modeling, ballet, cross country

9

biologic anorexia

higher concordance in monozygotic twins than dizygotic
mood disorders common in family

10

higher social risk anorexia

heterosexual women and gay men

11

pyschodynamic

family where excellence is demanded
lack of sense of autonomy and selfhood
self starvation= discipline, self mastery
wrest control of self from mother
rigid and perfectionist

12

what accompanies onset anorexia

dec sex

13

what psych disorders common with anorexia

MDD
social anxiety
OCD
GAD
80% are single

14

complicaitons anorexia

lowered cognition, anhedonia/apathy
cold intolerance
bradycardia
reduced thyroid metabolism
low LH and FSH, estrogen/testosterone
osteoporosis, hypocalcemia
chronic dehydration and constipation

15

Tx anorexia

weight normalization
physical complications
CBT: distorted body image, low self esteem, destructive coping strategies
SSRI
family therapy

16

hospitalize for anorexia when

BMI under 17
evidence organ system failure: HR

17

adult onset anorexia

Sx onset after 18 y.o

18

adolescent onset prognosis anorexia

5 yr post tx
most full recovery
no deaths reported

19

adult onset prognosis

4 yrs post Tx
15% recover
40% "good" outcome
5% dead

20

lifetime mortality anorexia

25%

21

bulimia nervosa

recurrent binge eating with inappropriate compensatory methods to avoid weight gain
binge avg 1/week for at least 3 mo

22

onset bulimia nervosa

late teens early 20s

23

which NT implicated in bulimia

serotonin- satiety
SSRI dec binging and purgin

24

psychodynamics of bulimia

less superego control
more outgoing, impulsive, emotional lability
engage in substance use and destructive sexual relations
significant BPD assoc traits
family viewed as conflictual, neglectful and rejecting

25

complications of bulimia

dehydration and electrolyte disturbances
laxatives- metabolic acidosis
vomiting- metabolic alkalosis
low Mg elevated amylase
irregular menses

26

Which SSRI used in bulimia

fluoxetine

27

binge eating disorder

recurrent binge eating (weekly in 3 mo)
no compensation
binges: eat fast, uncomfortably full, large amounts when not hungry, eating alone, post binge disgust

28

epidemiology binge eating

most common
50% obese

29

Tx binge eating

CBT
SSRI
self help groups

30

When trying to Dx binge eating

why are they disordered eating
look at BMI
look for complicaitons form behavior

31

substance abuse more likely with bulimia or anorexia

bulimia

32

OCD assoc with

anorexia

33

borderline personality disorder associated with

bulimia

34

avoidant personality disorder

anorexia and bulimia